OUTCOME OF COMBINED SURGICAL TREATMENT IN CASE OF CHRONIC VENOUS LEG ULCER- A PROSPECTIVE STUDY
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2018, Vol 7, Issue 15
Abstract
BACKGROUND Venous leg ulcers are the most serious type of chronic venous incompetence. Chronic leg ulcers (CLU) affect 0.6% - 3% of those aged over 60 years, increasing to over 5% of those aged over 80 years. CLU is a common cause of morbidity and its prevalence in the community ranges from 1.9% to 13.1%. Treatment and recurrence prevention methods remain under discussion and research. Aims and Objectives- To evaluate the effect of combined surgical treatment in outcome of venous leg ulcers. MATERIALS AND METHODS The study was descriptive. Patients hospitalised with venous leg ulcer in the Department of General Surgery were included in the study. The study group comprised of 50 patients subjected to treatment for leg ulcerations including 35 men and 15 women, aged above 30 yrs. The treatment method included superficial surgery which involved SFJ and SPJ disconnection with stripping and avulsion and split thickness skin grafting (STSG) over the prepared venous ulcer. RESULTS Amongst patients evaluated at discharge, the healing of the transplant was as follows- In case of 35 patients 90% - 100%, in 6 patients 75% - 89%, in 4 patients 50% - 74% and in 5 patients less than 50%. CONCLUSION Combined surgery is an effective method in treatment of venous leg ulcers. Earlier qualification for this type of surgery will improve patient outcome.
Authors and Affiliations
Manjunath Honnavalli Rudrappa, Vasudev Murthy Kumar
Keywords
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- EP ID EP414397
- DOI 10.14260/jemds/2018/411
- Views 73
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