Total Superficial Vein Reflux Eradication in the Treatment of Venous Ulcer

Kanchanabat, Burapa; Stapanavatr, Waigoon; Kanchanasuttiruk, Pong

doi:10.1007/s00268-014-2935-y

Cited by 10 publications

(8 citation statements)

References 25 publications

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“…All these strategies help to eliminate venous reflux, reduce superficial venous compression and promote ulcer healing. A variety of treatments have been used to eliminate total superficial vein reflux in treating venous ulcers, and good results have been achieved 28 .…”

Section: Discussionmentioning

confidence: 99%

Comparison of combined compression and surgery with high ligation-endovenous laser ablation-foam sclerotherapy with compression alone for active venous leg ulcers

Liu

Zheng

et al. 2019

Sci Rep

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We aimed to assess the ulcer healing time and recurrence rates after treatment with compression therapy (CT) with or without high ligation-endovenous laser ablation-foam sclerotherapy (HL-EVLA-FS) in people with active venous leg ulcers (VLUs). A retrospective cohort study was conducted with 350 patients with active VLUs treated by compression with or without HL-EVLA-FS in our hospital from 2013 to 2017. The primary outcome was the ulcer healing time; secondary outcomes were the 12-month recurrence rates, the relationship between recurrence and venous reflux, and the complications of the two treatments. In total, 193 patients (200 limbs) underwent compression plus HL-EVLA-FS, and 157 patients (177 limbs) underwent CT alone. The ulcer healing time was shorter in the compression plus HL-EVLA-FS group than in the CT alone group (Hazard Ratio [HR] for ulcer healing, 1.845 [95% CI, 1.474–2.309], P = 0.0001). The 12-month ulcer recurrence rates were significantly reduced in the compression plus HL-EVLA-FS group (HR for ulcer recurrence, 0.418 [95% CI, 0.258–0.677], P = 0.0001). Calf perforator vein reflux (CPVR) and isolated superficial venous reflux (ISVR) were risk factors for ulcer recurrence. The combined operation with CT resulted in faster healing of VLUs, a lower ulcer recurrence rate and lower VCSS values after intervention than CT alone.

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Section: Discussionmentioning

confidence: 99%

Comparison of combined compression and surgery with high ligation-endovenous laser ablation-foam sclerotherapy with compression alone for active venous leg ulcers

Liu

Zheng

et al. 2019

Sci Rep

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“…Reflux is considered the dominant pathology in CVI. [13,14] Lower extremity venous reflux causes superficial venous hypertension, especially around the ankle, resulting in skin swelling, pigmentation, and nutritional disorders, culminating in skin damage and ulceration. The venous system of the lower extremity includes the superficial venous system, the deep venous system, and the penetrating venous system.…”

Section: Discussionmentioning

confidence: 99%

“…Kanchanabat et al achieved good results by eliminating reflux to cure refractory venous ulcers. [14]…”

Section: Discussionmentioning

confidence: 99%

Factors related to the size of venous leg ulcers

Liu

Zheng²,

Ye³

et al. 2019

Medicine

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“…[11] Venous ulcer could be satisfactory treated by the total removal of the periulcer reflux. [12] Correction of reflux of the superficial and perforator system remains useful even with the advent of endovenous laser treatment. Anatomical failures are known to occur in endovenous laser ablation and radiofrequency ablation.…”

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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Total Superficial Vein Reflux Eradication in the Treatment of Venous Ulcer

Abstract: Venous ulcer could be satisfactory treated by the total removal of the peri-ulcer reflux.

Cited by 10 publications

References 25 publications

Comparison of combined compression and surgery with high ligation-endovenous laser ablation-foam sclerotherapy with compression alone for active venous leg ulcers

Comparison of combined compression and surgery with high ligation-endovenous laser ablation-foam sclerotherapy with compression alone for active venous leg ulcers

Factors related to the size of venous leg ulcers

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

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