A Comparative Study on Rate of Healing of Venous Ulcers with or without Superficial Venous Surgery
Journal Title: International Journal of Medical Research Professionals - Year 2017, Vol 3, Issue 2
Abstract
Introduction: Chronic venous ulceration leads to a high morbidity and financial burden to the individuals. Certain studies pointed out that superficial venous surgery should not be attempted when the venous ulcer is active. Aim: To determine the ability of superficial venous surgery to heal active venous ulcers in lower limbs . Material and Methods: Prospective study of 100 patients with active venous ulcers in lower limb with isolated superficial venous system incompetence were subdivided into a surgical group (a1,b1) and conservative group (a2 b2) based on the maximum diameter 0.1-2 and 2.1 to 5 cms respectively. Patients in the surgical arm, underwent trendelenburg operation with multiple perforator surgery under local anaesthesia. Results: The ulcers in subgroup (a1) healed within one week, whereas those in (a2 took 3 weeks for healing. The control group finding was 3 weeks and 5 weeks for (b1 ) and (b2). Ulcers around the medial malleolus healed more rapidly than the ulcers around the lateral malleolus and dorsum. Conclusion: Superficial venous surgery in case of isolate venous reflux is able to promote ulcer healing faster than the conservative method with less complication rates. The healing rate was correlative with the ulcer size.
Authors and Affiliations
Arun. S, Rashmi Ravindran
Keywords
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- EP ID EP543863
- DOI 10.21276/ijmrp.2017.3.2.030
- Views 76
- Downloads 0
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