Role of saphenous vein surgery in the treatment of venous ulceration

Scriven, J. M.; Hartshorne, T.; Thrush, Abigail; Bell, P. R. F.; Naylor, A.R.; Nj, London

doi:10.1046/j.1365-2168.1998.00653.x

Cited by 73 publications

(49 citation statements)

References 9 publications

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“…A high ligation alone, without wearing compression hose, will heal ulcers if deep venous reflux is absent [20]. Only a few patients will become worse and patients who do not show a significant improvement after this procedure will likely become progressively symptomatic [7].…”

Section: Discussionmentioning

confidence: 99%

“…After a high ligation, some patients will again become symptomatic from neovascularization and renewed reflux in the greater saphenous vein [13]. High ligation and stripping of the greater saphenous vein, and sclerotherapy have failed over time in some patients [12,19,20], and the use of sclerotherapy after a high ligation has now become controversial. Patients, however, who have only superficial venous reflux may benefit from a high ligation because adjuvant sclerotherapy can reduce or even eliminate reflux [5,6,15].…”

Section: Introductionmentioning

confidence: 97%

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Management of varicose veins from chronic venous insufficiency

Chang

Stein

2011

Int J Angiol

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Chronic venous insufficiency is a progressive disease, which may require surgical intervention to prevent complications. This study was done to determine the usefulness of a high ligation with sclerotherapy to prevent the return of symptoms. Duplex scanning was used to locate incompetent veins. There was no evidence of incompetent perforating or deep veins in the 322 patients who had 483 high ligations of the greater saphenous vein. Multiple phlebectomies and limited vein stripping were done for large (>20 mm) varicose veins. The clinical, etiologic, anatomic and pathophysiologic (CEAP) score evaluated the severity of venous dysfunctions. Symptoms of leg aches, ankle edema, night cramps or ulceration were evaluated after 1-3 months, and then at 6-12 month intervals. Sclerotherapy of the saphenous vein, using a sodium tetradecyl sulfate solution from 0.1-3.0%, was done if there was no significant improvement of a non-healing ulcer or the recurrence of symptoms. Compression hose, 30-40 mm Hg, was prescribed unless contraindicated by arterial occlusive disease, acute deep vein thrombosis or severe congestive heart disease. After the high ligation, symptoms improved in 212 limbs, were unchanged in 187 limbs and became worse in 84 limbs. After sclerotherapy in 264 limbs, 237 limbs improved, 21 remained unchanged and six became worse. Patients who have varicose veins from superficial venous incompetence can achieve a good long-term outcome with the high ligation procedure. However, it is important to control venous reflux and the related symptoms with sclerotherapy as needed.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 97%

Management of varicose veins from chronic venous insufficiency

Chang

Stein

2011

Int J Angiol

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“…Surgical treatment of superficial axial and perforator vein reflux speeds healing and reduces recurrence. [17] The recurrence is an avoidable complication of an imperfect primary surgery. [18] A surgeon with expertise in venous surgery and accurate preoperative Duplex ultrasound assessment is important.…”

Section: Discussionmentioning

confidence: 99%

The Study, Clinical Implications and Solutions for Failed Varicose Vein Surgery With Recurrent Venous Ulcers: An Analysis of 12 Patients With Duplex Scan Correlated With Intra Operative Findings at Second Surgery

H¹,

Lahoti²

2016

jemds

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“…Die operative Sanierung insuffizienter Stammvenen,gleichgültig ob V.saphena magna oder parva, führt bei Patienten mit Ulcus cruris in der Regel zur raschen Abheilung, wenn nicht weitere relevante Störungen vorhanden sind [4]. Aufgrund der allgemeinen Akzeptanz der Stammvenenchirurgie in der Therapie der fortgeschrittenen Venenerkrankung wird dieser Themenkomplex hier nur kurz behandelt.…”

Section: Entstauung Der Extremitätunclassified

Operative Ulkustherapie

2003

Hautarzt

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Surgical treatment of venous leg ulcers is a domain of dermatology. Special knowledge of differential diagnosis considerations and various treatment options are necessary to develop complex, sometimes interdisciplinary treatment plans together with angiologists,vascular surgeons and interventional radiologists. Besides surgical treatment options aiming towards normalization of venous hemodynamics, local options such as shave or total ulcer excision are well established. Additionally, new surgical techniques such as subfascial endoscopic perforator surgery (SEPS) or implantation of iliac stents now have their place in the surgical treatment of venous ulcer disease.

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Role of saphenous vein surgery in the treatment of venous ulceration

Cited by 73 publications

References 9 publications

Management of varicose veins from chronic venous insufficiency

Management of varicose veins from chronic venous insufficiency

The Study, Clinical Implications and Solutions for Failed Varicose Vein Surgery With Recurrent Venous Ulcers: An Analysis of 12 Patients With Duplex Scan Correlated With Intra Operative Findings at Second Surgery

Operative Ulkustherapie

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