Total Superficial Vein Reflux Eradication in the Treatment of Venous Ulcer
| Autor: | Waigoon Stapanavatr, Burapa Kanchanabat, Pong Kanchanasuttiruk |
|---|---|
| Rok vydání: | 2015 |
| Předmět: |
Adult
Male Reoperation medicine.medical_specialty Time Factors medicine.medical_treatment Vein stripping Severity of Illness Index Varicose Ulcer Recurrence medicine Humans Saphenous Vein Aged Retrospective Studies Aged 80 and over Wound Healing business.industry Reflux Retrospective cohort study Middle Aged Vascular surgery digestive system diseases Surgery Cardiac surgery Treatment Outcome Cardiothoracic surgery Female Superficial vein business Follow-Up Studies Abdominal surgery |
| Zdroj: | World Journal of Surgery. 39:1301-1305 |
| ISSN: | 1432-2323 0364-2313 |
| Popis: | Total superficial vein reflux eradication in the treatment of venous ulcer. Our initial experience with groin–knee vein stripping resulted in recurrent or unhealed venous ulcers prompting us to remove the entire reflux segment with emphasis on the calf superficial vein adjacent to, or underneath the ulcer. This study aims to assess the healing and recurrent rates after treatment with this technique combined with compression therapy. Pertinent data of the patients with healed or active venous ulcers (C5-6) between October 2006 and October 2013 was prospectively collected and retrospectively reviewed. Forty-three operations were performed on 39 C5-6 legs (four reoperations for recurrent ulcer of the same legs) among 35 patients who had completed follow-up. The median follow-up time was 22 months. Of the 39 operations for active venous ulcers (C6), wound healing was achieved in 35 instances (90 %) with a median healing time of 21 days. The 30-day healing rate was 64 % and the 14-day healing rate was 38 %. Only four legs had ulcers which healed beyond 60 days. The post-operative VCSS and VDS were significantly improved compared with the pre-operative value (11.6, 3.7, p |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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