Venous Ulcer

Complications of venous ulceration –

Rarely Marjolin’s ulcer may develop.

Elastic compression stockings


Mid-thigh compression stockings both legs

  • Provide graduated compression
  • Produce local changes in microvascular haemodynamics
  • Minimal effect on the deep vein dynamics
  • Do not cure hypertension but protect skin from the effects
  • Occlusive arterial disease is a relative contraindication
 

Surgery for venous ulcer

The main aims of surgery are:

  • Cure venous hypertension
  • Heal the venous ulcer.
 

Combination of venous surgery and compression is helpful

Surgical options for venous ulcer are:

  • Superficial vein stripping + high ligation
  • Interruption of perforators
  • Skin grafting
  • Free flap rotation
  • Sclerotherapy
  • Thrombolysis, dilatation or stenting.

 

High tie shown        Stripping in thigh from groin to knee

Sclerohterapy

Phlebectomies via a cosmetic pin hole technique

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