This Article Full Text (PDF) References Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Alert me to new issues of the journal Add to Saved Citations Download to citation manager Request Permissions Request Reprints Add to My Marked Citations Citing Articles Citing Articles via Google Scholar Citing Articles via Scopus Google Scholar Articles by Taheri, S.A. Articles by Hoover, E. Search for Related Content PubMed Articles by Taheri, S.A. Articles by Hoover, E. Social Bookmarking                         What's this?

Surgical Treatment of Stasis Venous Ulcers of the Lower Limb

Department of Surgery, Millard Fillmore Hospital, Erie County Medical Center, State University of New York at Buffalo, Buffalo, New York

M.N. Kulaylat

Department of Surgery, Millard Fillmore Hospital, Erie County Medical Center, State University of New York at Buffalo, Buffalo, New York

P.A. Taheri

Department of Surgery, Millard Fillmore Hospital, Erie County Medical Center, State University of New York at Buffalo, Buffalo, New York

E. Hoover

Department of Surgery, Millard Fillmore Hospital, Erie County Medical Center, State University of New York at Buffalo, Buffalo, New York

Ten patients with severe lower extremity stasis venous ulcer refractory to medical therapy were selected to undergo excision of the ulcer and the underly ing muscle fascia and interruption of the incompetent communicating veins with split thickness skin grafting. All patients had evidence of lipodermatosclerosis. Eight patients had a descending venogram that showed grade IV regurgitation and 2 had an ascending venogram that showed patency of the venous system. All patients had venographic evidence of incompetent communicating veins. Biopsies obtained from calf muscle (4) and sural nerve (2) were consistent with neuromyopathy. Thermodilution study performed in 4 patients showed in creased flow to the affected limb with pooling of venous blood. Follow-up (mean thirteen months) showed healing of all ulcers and no ulcer recurrence. The authors suggest that this procedure be reserved for patients with gross and permanent pathologic changes in and around the ulcer when medical therapy fails.

Vascular and Endovascular Surgery, Vol. 26, No. 1, 37-41 (1992)
DOI: 10.1177/153857449202600106


CiteULike    Complore    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter    What's this?