Endoscopic Treatment of Chronic Venous Insufficiency by Interrupting Below Knee Perforating Veins: A Prospective Study
Journal Title: Journal of Medical Science And clinical Research - Year 2016, Vol 4, Issue 1
Abstract
Chronic venous insufficiency (CVI) is a long-term disabling problem. The prevalence of venous ulceration due to chronic venous insufficiency has been estimated to be approximately 0.1 to 0.3%.1 In addition for each patient with frank ulceration, there are up to 30 patients with lipodermatosclerosis.2 Perforating veins which connect deep and superficial venous systems are thought to play an important role in the pathogenesis of these ulcers .The management of ulceration associated with chronic venous insufficiency remains difficult and associated with high failure rates. Cutaneous venous hypertension which occurs as a consequence of primary valvular incompetence is up to 60% of patients3 . Although superficial stripping, deep venous valve repair and valve transfer all have their advocates, the mainstay of therapy has remained mechanical compression. External elastic stockings, worn by compliant patients, contributes to ulcer healing in 85% of cases.4-5 However compliance is difficult to obtain in the elderly and infirm, due to difficulty in applying the stockings as well as poor compliance in hot climates. Most importantly, ulcer recurrence remains an unsolved problem. Even in the best series using non-operative management, ulcer recurrence at a mean followup of 30 months was 33% and all ulcers recurred in non-compliant patients.5
Authors and Affiliations
Dr Jitendra Kumar Kushwaha
Keywords
Related Articles
- EP ID EP213134
- DOI -
- Views 66
- Downloads 0
Psychiatric Co-Morbidities in Individuals with Alcohol Dependence: A Prospective Observational Study
Introduction: Alcohol consumption has been on rise in developing as well as developed world. It is not only associated with pathologies like Peripheral Vascular disease, avascular necrosis of bones, cirrhosis of liver an...
Preoperative Skin Preparation with Chlorhexidine Alcohol and Povidone Iodine: A Comparative Study
Background: Surgical Site Infections are the third most commonly reported nosocomial infections all over the world1 . Patient's skin is a major source of pathogens that cause Surgical Site Infection. PovidoneIodine (5%)...
Platelet Indices and Special Cytochemical Stains (Intensity) Concomitant Effect–Now A Ancillary Technique and Survival Index for Leukemia Patients
Aims & Objective: Our study aims to evaluate the survival index of leukemia patients on the basic of cytochemical staining intensity and platelet count for hematological neoplasm. Concomtant effect of both ancillary tech...
Post Operative Infection in Surgical Wards and Factors Influencing the Infection Rate in Tertiary Care Hospital
A prospective study of 1428 surgical wounds was conducted. All the wounds were examined for presence of infection and those with infection were studied bacteriologic ally. The overall infection rate is 4% (58). Klebsiell...
A Comparative Study of Maximum Anal Dilatation with Fissurectomy and Lateral Anal Sphincterotomy in the Treatment of Fissure in Ano
Aim: To Prospectively assess and evaluate the results of maximum anal dilatation with fissurectomy v/s lateral anal sphincterotomy among the patients with fissure in ano. Materials and Methods: A prospective comparative...