Academic literature on the topic 'Varicose Ulcer, surgery'
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Journal articles on the topic "Varicose Ulcer, surgery"
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Lin, Yun-Nan, Tung-Ying Hsieh, Shu-Hung Huang, Chia-Ming Liu, Kao-Ping Chang, and Sin-Daw Lin. "Management of venous ulcers according to their anatomical relationship with varicose veins." Phlebology: The Journal of Venous Disease 33, no. 1 (2017): 44–52. http://dx.doi.org/10.1177/0268355516676124.
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Background Adequately excising varicose and incompetent perforating veins is necessary for reducing their recurrence rate of venous ulcer. Method In total, 66 venous ulcers (C6) in 1083 legs with primary varicose veins were managed through endoscopic-assisted surgery. In an endoscopic operative view, the nonvaricose, varicose, and incompetent perforating veins were clearly visualized and precisely dissected. The varicose and incompetent perforating veins were divided and completely excised. Result The varicose veins were traced to the base or periphery of the 55 ulcers. Moreover, 89.4% of the ulcers healed within 14 weeks. Kaplan–Meier analysis revealed a five-year recurrence rate of 0.0%, and the satisfaction mean score was 4.6. Conclusion Endoscopic-assisted surgery can be used to radically excise varicose veins complicated with venous ulcers; the surgery yields low recurrence and high satisfaction rates.
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Belczak, Sergio Quilici, Vitor Cervantes Gornati, Ricardo Aun, Igor Rafael Sincos, and Hélio Fragoso. "Treatment of varicose ulcer of the lower limbs by surgery and Unna boot: savings for the Brazilian healthcare system." Einstein (São Paulo) 9, no. 3 (2011): 377–85. http://dx.doi.org/10.1590/s1679-45082011gs1984.
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ABSTRACT Objective: To perform an analysis of the costs of treatment of varicose ulcers by radical surgery of varices and the use of Unna boot. Methods: Fifteen outpatients were selected to receive treatment of varicose ulcers with radical surgery and Unna boot. The total cost of treatment was calculated (hospitalization, surgery, dressings, and outpatient's follow-up visits) and compared to the cost of clinical follow-up with daily simple dressing changes. Results: The proposed treatment was on average 55.71% more economical than the management with daily dressings (approximately US$452.32 versus US$1,021.39). Conclusion: Radical varicose vein surgery associated with the use of the Unna boot proved meaningly less expensive for the public health system than clinical follow-up with daily dressings.
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Ramu, Abhirup H., Priyanka Kenchetty, and Aishwarya K. Chidananda. "Varicose veins: our experience in KVG Medical College and Hospital, Karnataka." International Surgery Journal 8, no. 11 (2021): 3392. http://dx.doi.org/10.18203/2349-2902.isj20214377.
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Background: The varicose veins is the most common vascular disorder of the lower extremities. It affects more than 5% of adult population but in India incidence of varicose veins seems to be far less common because patients come for complications such as pain, oedema, pigmentation and ulceration leading to tip of Iceberg phenomenon. This study will help in finding epidemiology, mode of presentation and effect of surgery on venous ulcers and recurrence. The aims and objectives of the study was to study the incidence of varicose veins according to age, sex and occupation with spectrum of clinical presentation in varicose veins. To determine effect of surgery in healing of varicose ulcers if present and study of recurrence upto 6 months.Methods: This prospective study involved 50 patients admitted in KVG Medical College and Hospital, Sullia with clinical diagnosis of varicose veins. The study period was 18 months inclusive of a 6 month follow up period.Results: Most patients was between 41 to 50 years (26 %.), males (74%), left side involvement in (70%) and farmer by occupation (40%) with pain as most common presenting symptom in (76%). Long saphenous system involvement in (94%). 6 patients out of 50 showed recurrence of varicose veins. 4 patient showed recurrence out of 21 venous ulcer patients.Conclusions: For varicose veins saphenofemoral junction ligation with stripping of vein with perforator ligation showed good outcome. Venous ulcers heal well after surgery with few recurrences.
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Komarova, L. N., and K. U. Nabieva. "Clinical case of venous trophic ulcer treatment." Medical Science And Education Of Ural 22, no. 4 (2021): 94–97. http://dx.doi.org/10.36361/1814-8999-2021-22-4-94-97.
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Introduction. Varicose veins of the lower extremities with clinical form C2 and higher (if we take into account the modern international classification) is a slowly progressive disease. It needs therapy, besause if untreated, some complications can develop, such as: trophic disorders (lipodermatosclerosis, skin hyperpigmentation, trophic ulcers), bleeding from varicose veins with minimal trauma, thrombotic complications (varicothrombophlebitis, deep vein thrombosis, pulmonary embolism). Materials and methods. This article presents a description of a clinical case of an aged patient with a trophic ulcer of the lower third of the left leg against the background of varicose veins of the lower extremities in the saphenous vein system and the presence of concomitant moderate iron deficiency anemia, ischemic heart disease and hypertension. Considering these factors, endovenous radiofrequency ablation of the great saphenous vein and micro-foam echosclerotherapy of incompetent perforating veins of the leg were performed. Results and discussion. Our clinical observation of an aged patient with moderate iron deficiency anemia, ischemic heart disease and hypertension is an example of effective treatment of trophic ulcers against the background of varicose veins of the lower extremities in the saphenous vein system. Without waiting for the complete compensation of the anemia, the patient was operated on with a minimally invasive method, which contributed to the rapid healing of the trophic ulcer. As a result, after 2 weeks, the trophic ulcer decreased by 2 times, and 1 month after surgery and a 14-day course of infusion vascular therapy, the ulcer completely healed. Conclusion. Thus, in patients with an open trophic ulcer, the elimination of reflux (vertical and / or horizontal) at the initial stage of treatment creates ideal conditions for the fastest healing of the ulcer. The combination of minimally invasive methods of treatment (radiofrequency ablation and micro-foam sclerotherapy) and vascular therapy promotes rapid healing of trophic ulcers, shortens the recovery time of the body against the background of comorbid pathology, and provides a good cosmetic effect.
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T, Dr Narayanswamy, Dr Chethan Mali, and Dr Mohammed Daanish Subhan Baig. "Varicose Vein Stripping with Perforator Ligation Combined With Skin Grafting For Treatment of Venous Ulcers." SAS Journal of Surgery 7, no. 12 (2021): 791–95. http://dx.doi.org/10.36347/sasjs.2021.v07i12.010.
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Objective: To demonstrate the possibility of combining two procedures, GSV stripping with perforator ligation for varicose veins and skin grafting, to treat patients with venous ulcers related to reflux in saphenous vein. Combined procedure give early better disease free life and reduces ulcer related morbidity, socio economic burden, heath care burden. Methods: A total of 30 patients were treated during the study period of which of which 22 were male and 08 were females. Among 30 patients 26 had unilateral and 4 had bilateral ulcer. Ulcers were associated with concomitant reflux of the great saphenous vein. All 30 patients underwent GSV stripping with perforator ligation and split skin grafting in same sitting of surgery. The strategy employed began by harvesting skin from the donor area from the same limb. Great saphenous vein ligation with perforator ligation was done and skin graft placed over the varicose ulcer in the same sitting of surgery. Results: In all cases there was improvement of ulcer-related symptoms and healing of the lesion. In 28 cases we achieved full skin grafting viability. In 2 cases there was graft failure due to infection. Conclusion: This combination of procedures is a valid option, with the potential to provide quicker and less expensive treatment. Combined procedure give early better disease free life.
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Guest, M., J. J. Smith, G. Tripuraneni, et al. "Randomized clinical trial of varicose vein surgery with compression versus compression alone for the treatment of venous ulceration." Phlebology: The Journal of Venous Disease 18, no. 3 (2003): 130–36. http://dx.doi.org/10.1258/026835503322381333.
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Objectives: No randomized controlled trials exist to show whether varicose vein surgery improves healing of venous ulcers. In this study we investigated whether superficial venous surgery gave additional benefit to compression therapy in terms of healing rate, time to healing and quality of life of patients with venous ulcers. Methods: A total of 121 consecutive patients with venous ulceration were identified, of which 45 were unfit/unwilling to be included. The remaining 76 (aged 38-89, 39 female) were randomized to receive either four-layer bandaging ( n =39) or superficial venous surgery (long and short saphenous with or without perforator surgery) and four-layer bandaging ( n =37). Ulcer healing and health-related quality of life (HRQL) were assessed. Results: The healing rate was 64% (25/39) in the compression treatment group and 68% (25/37) in the surgical treatment group. This difference was not statistically significant (Pearson 2 P=0.75). There was no significant difference between the time to ulcer healing in the two treatment groups (log rank statistic=0.69, P value=0.41): median time 83 days for surgery vs 98 days for compression. After adjusting for duration of ulcer, size of ulcer and previous deep vein thrombosis, there was still no significant difference between time to healing for the two treatment groups (adjusted hazard ratio=0.79, 95% confidence interval 0.45-1.39). There was no difference in HRQL between the two groups, using the scores of a disease-specific questionnaire (CXVUQ). Conclusions: This study suggests that for venous ulceration, superficial venous surgery gives no additional benefit to compression therapy from the point of view of healing rate and quality of life.
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de Medeiros, Charles Angotti Furtado, and Ana Terezinha Guillaumon. "Great Saphenous Vein Conventional Surgery in Brazil's Outpatients." ISRN Vascular Medicine 2011 (November 17, 2011): 1–2. http://dx.doi.org/10.5402/2011/372450.
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Objective. Evaluate great saphenous vein conventional surgery performed on an outpatient basis. Methods. Retrospective analysis where patients complain varicose veins with saphenofemoral incompetence and great saphenous vein reflux on Doppler ultrasound. These patients were consecutively enrolled to high ligation plus stripping, either to the ankle or only to the knee, or crossectomy alone. Results. Data from 106 surgery outpatients with CEAP clinical classification is as follows: varicose veins (59.5%), edema (15.1%), skin alterations (9.4%), healed ulcer (9.4%), or open ulcer (6.6%). The techniques employed were 66 high ligations plus stripping to the ankle, 28 high ligations plus stripping to the thigh portion, and 12 crossectomy. No major complications were observed. Overall, 18% reported symptoms consistent with saphenous nerve injury. All but one belonged to the stripping to the ankle group. Conclusion. Great saphenous vein conventional surgery performed on outpatients is very safe. Nerve injury is frequent when stripping extends the ankle.
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Li, Hong, Yue Qin, Liquan Wang, et al. "Varicose vein on right tibia, post-traumatic varicose ulcer, and bone exposure: A case report." SAGE Open Medical Case Reports 8 (January 2020): 2050313X2093607. http://dx.doi.org/10.1177/2050313x20936078.
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Varicose ulcer, a severe symptom of chronic venous insufficiency, may be refractory to treatment when accompanied by bone exposure. The lack of a blood supply and fresh granulation tissue on the exposed bone can result in a protracted healing time. A 59-year-old man suffered from varicose veins for 10 years, a varicose ulcer for 1 year, and an exposed right tibia for 40 days after using traditional Chinese medicinal plasters. The patient was treated with conventional high ligation and stripping of the great saphenous vein, segmental endovenous laser ablation, bone drilling, and a free skin graft. Patient outcome is satisfactory 2 years after discharge. We present a rare case of varicose ulcer in association with bone exposure. Tibia drilling with Kirschner wire was used to allow blood flow and provide nutrients for the formation of granulation tissue over the exposed bone and wound healing. Subsequently, free skin grafting was used during reconstructive surgery to replace skin loss on the right calf. Physicians encountering this rare condition in clinical practice should consider our treatment approach as a successful limb-preserving option for these patients.
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Abelyan, Gohar, Lusine Abrahamyan, and Gayane Yenokyan. "A case-control study of risk factors of chronic venous ulceration in patients with varicose veins." Phlebology: The Journal of Venous Disease 33, no. 1 (2017): 60–67. http://dx.doi.org/10.1177/0268355516687677.
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Background/objectives Venous ulcers carry psychological and high financial burden for patients, causing depression, pain, and limitation of mobility. The study aimed to identify factors associated with an increased risk of venous ulceration in patients with varicose veins in Armenia. Methods A case-control study design was utilized enrolling 80 patients in each group, who underwent varicose treatment surgery in two specialized surgical centers in Armenia during 2013–2014 years. Cases were patients with varicose veins and venous leg ulcers. Controls included patients with varicose veins but without venous leg ulcers. Data were collected using interviewer-administered telephone interviews and medical record abstraction. Multiple logistic regression analysis was used to identify the risk factors of venous ulceration. Results There were more females than males in both groups (72.5% of cases and 85.0 % of controls). Cases were on average older than controls (53.9 vs. 39.2 years old, p ≤ 0.001). After adjusting for potential confounders, the estimated odds of developing venous ulcer was higher in patients with history of post thrombotic syndrome (odds ratio = 14.90; 95% confidence interval: 3.95–56.19; p = 0.001), with higher average sitting time (odds ratio = 1.32 per hour of sitting time; 95% confidence interval: 1.08–1.61; p = 0.006), those with reflux in deep veins (odds ratio = 3.58; 95% confidence interval: 1.23–10.31; p = 0.019) and history of leg injury (odds ratio = 3.12; 95% confidence interval: 1.18–8.23; p = 0.022). Regular exercise in form of walking (≥5 days per week) was found to be a protective factor from venous ulceration (odds ratio = 0.26; 95% confidence interval: 0.08–0.90; p = 0.034). Conclusion We found that reflux in deep veins, history of leg injury, history of post thrombotic syndrome, and physical inactivity were significant risk factors for venous ulceration in patients with varicose veins, while regular physical exercise mitigated that risk. Future studies should investigate the relationships between the duration and type of regular exercise and the risk of venous ulceration to make more specific recommendations on preventing ulcer development.
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Kistner, Robert L. "Etiology and Treatment of Varicose Ulcer of the Leg." Journal of the American College of Surgeons 200, no. 5 (2005): 646–47. http://dx.doi.org/10.1016/j.jamcollsurg.2004.10.025.
Full textDissertations / Theses on the topic "Varicose Ulcer, surgery"
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Viarengo, Luiz Marcelo Aiello. "Tratamento de varizes dos membros inferiores com laser endovenoso em pacientes com ulcera em atividade e medida das temperaturas intra e perivenosas durante o procedimento." [s.n.], 2007. http://repositorio.unicamp.br/jspui/handle/REPOSIP/309251.
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Orientadores: Fabio Husemann Menezes, João Poterio Filho<br>Tese (doutorado) - Universidade Estadual de Campinas, Faculdade de Ciencias Medicas<br>Made available in DSpace on 2018-08-09T07:32:33Z (GMT). No. of bitstreams: 1
Viarengo_LuizMarceloAiello_D.pdf: 5372848 bytes, checksum: 053f8a2b3ec69d775d15f4e631b7f2c9 (MD5)
Previous issue date: 2007<br>Resumo: Este estudo foi desenvolvido para avaliar, prospectivamente, os resultados do tratamento de varizes com úlcera em atividade com laser endovenoso (EVL), comparando com um grupo sob tratamento clínico, durante um ano. Foram estudados 52 pacientes consecutivos portadores de varizes com úlcera em atividade há mais de um ano, divididos em dois grupos aleatórios. O Grupo I, tratamento clínico, formado por 25 indivíduos; o Grupo II, tratamento com EVL, constituído por 27 indivíduos. Todos os pacientes foram estudados com ultra-som no início e término do estudo. Os pacientes do Grupo II foram seguidos com ultra-som com 7 dias, 30 dias e a cada 3 meses. As áreas das feridas foram avaliadas a cada 3 meses. O laser utilizado para o tratamento endovenoso das varizes tronculares foi um laser de diodo, com comprimento de onda de 980 nanômetros, com potência nominal de 15W com fibra óptica condutora de laser de 600 microns, introduzida endovenosamente por punção percutânea dirigida por ultra-som e com emprego de anestesia local por infiltração intumescente associado a sedação leve por via oral com 15mg de Midazolam®. As medidas de temperaturas intra e perivenosa foram realizadas com um termômetro digital acoplado ao computador. Em 12 meses, 81,5% das feridas dos pacientes do Grupo II estavam cicatrizadas enquanto no Grupo I apenas 24% estavam cicatrizadas. A recorrência de úlcera foi de 44,4% no Grupo I, sem nenhuma recorrência no Grupo II. A área média das feridas no Grupo I reduziu de 18,04cm² para 13,16cm² ao final de um ano, enquanto no Grupo II reduziu de 22,7cm² para 3,64cm² (p<0,05). A temperatura média registrada foi de 79,3ºC no intravenoso e de 43,0ºC nos tecidos perivenosos. Não houve efeito adverso importante. O tratamento de varizes com laser endovenoso em pacientes com úlcera venosa em atividade mostrou-se seguro, com taxa de cicatrização das feridas superior à dos pacientes com tratamento clínico no prazo de um ano, e não houve recorrência<br>Abstract: Conventional saphenous vein stripping is difficult to be indicated for the treatment of varicose veins in patients classified as CEAP C4, C5 or C6. This study was developed to consecutively evaluate treatment results for varicose veins with active ulcers using endovenous laser (EVL), compared to a groupundergoing clinical treatment, during a year. Fifty-two consecutive patients presenting with varicose veins with active ulcers for more than a year were divided for treatment into two randomized groups: Group I, clinical treatment, composed of 25 subjects, were submitted to elastic or inelastic compression therapy according to individual medical recommendation; Group II, EVL treatment, composed of 27 subjects, were submitted to great and or small saphenous vein ablation with a 980 nm diode endovenous laser, plus the clinical treatment. Intravenous and perivenous temperatures were measured continuously with a digital thermometer connected to a computer during the EVL treatment. All patients were followed for 12 months and studied with ultrasound at the beginning and end of the study. The ulcers¿areas were evaluated initially and at every 3 months. In 12 months, 81.5% of the wounds in patients in Group II and only 24% in patients in Group I had healed. Ulcer recurrence rate was 44.4% in Group I. The average wound area in Group I decreased from 18.04cm² to 13.16cm² at the end of the year. In Group II, the wound area decreased from 22.7cm² to 3,64cm² (p<0,05). Mean intravenous and perivenous temperatures of 79.3ºC and 43.0ºC were recorded. In conclusion, the treatment for varicose veins with endovenous laser (EVL) as described is safe in patients with active ulcers. Wounds healed faster than in patients undergoing clinical treatment alone during a one-year period. There was no ulcer recurrence in patients treated with EVL<br>Doutorado<br>Cirurgia<br>Doutor em Cirurgia
Books on the topic "Varicose Ulcer, surgery"
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Bergan, John, and Peter Gloviczki. Atlas of Endoscopic Perforator Vein Surgery. Springer London, Limited, 2012.
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Peter, Gloviczki, and Bergan John J. 1927-, eds. Atlas of endoscopic perforator vein surgery. Springer, 1998.
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Davies, Suzanne, Alison Kite, and Annette Wye. Vascular surgery. Oxford University Press, 2016. http://dx.doi.org/10.1093/med/9780199642663.003.0021.
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Vascular conditions are common in surgical nursing care and range from varicose veins to more complex arterial disease. This chapter gives the nurse an understanding of the assessment process for vascular conditions, the associated anatomy and physiology, and treatment modalities. The chapter also focuses on specific conditions, including amputation, venous disease, ulcers, and arterial conditions such as abdominal aortic aneurysm, peripheral ischaemia, and carotid disease.
Book chapters on the topic "Varicose Ulcer, surgery"
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Wyatt, Jonathan P., Robert G. Taylor, Kerstin de Wit, Emily J. Hotton, Robin J. Illingworth, and Colin E. Robertson. "Surgery." In Oxford Handbook of Emergency Medicine. Oxford University Press, 2020. http://dx.doi.org/10.1093/med/9780198784197.003.0010.
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This chapter in the Oxford Handbook of Emergency Medicine investigates surgery in the emergency department (ED). It reviews abdominal pain, acute appendicitis, acute pancreatitis, biliary tract problems, peptic ulcer disease, intestinal obstruction, mesenteric ischaemia/infarction, large bowel emergency, anorectal problem, and ruptured abdominal aortic aneurysm. It describes acute limb ischaemia, varicose veins, ureteric colic, and retention of urine, and explores penile problems, prostatitis, and testicular problems. It discusses cellulitis and erysipelas, abscesses, and complications after surgery.
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Thirunavukarasu, R. "Points in Hernia, Varicose Veins, Peptic Ulcer—GOO, Carcinoma Stomach." In Clinical Surgery. Jaypee Brothers Medical Publishers (P) Ltd., 2013. http://dx.doi.org/10.5005/jp/books/12051_2.
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Wilkinson, Ian B., Tim Raine, Kate Wiles, Anna Goodhart, Catriona Hall, and Harriet O’Neill. "Surgery." In Oxford Handbook of Clinical Medicine. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780199689903.003.0013.
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This chapter discusses surgery, including the language of surgery, pre-operative care, consent, prophylactic antibiotics in surgery, sutures, anaesthesia, control of pain, post-op complications, deep vein thrombosis (DVT), swollen legs, stoma care, nutritional support in hospital, parenteral (intravenous) nutrition, diabetic patients, jaundiced patients, patients on anticoagulants, patients on steroids, minimally invasive and day case surgery, lumps in head, neck and skin, breast carcinoma, abdominal masses, acute abdomen, acute appendicitis, obstruction of the bowel, hernias, colorectal carcinoma, gastro-oesophageal carcinomas, bowel ischaemia, gastric surgery and its aftermath, fundoplication for GORD, oesophageal rupture, surgical management of obesity, diverticular disease, perianal problems, haemorrhoids, hepatobiliary surgery, renal stones, urinary tract obstruction, benign prostatic hyperplasia, retroperitoneal fibrosis, urinary tract malignancies, bladder tumours, urinary incontinence, lumps in the groin and scrotum, testes, aneurysms of arteries, thoracic aortic dissection, peripheral arterial disease, varicose veins (VVS), gangrene and necrotizing fasciitis, and skin ulcers.
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Malhotra, Ravinder Singh, K. S. Ded, Arun Gupta, Darpan Bansal, and Harneet Singh. "Upper GI Bleed, Etiology, Role of Endoscopy in Rural Population of Punjab." In Innovations in Data Methodologies and Computational Algorithms for Medical Applications. IGI Global, 2012. http://dx.doi.org/10.4018/978-1-4666-0282-3.ch012.
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Haematemesis and malena are the two most important symptoms of upper gastrointestinal bleeding . The most common cause of upper gastrointestinal bleeding is due to a peptic ulcer. In this paper, the authors research the cause of bleeding. Contrary to previous studies, results favor esophageal varices, e.g., alcoholism or cirrhosis liver post necrotic, as the most common cause of bleeding rather than a peptic ulcer. The authors’ study is based on an observational retrospective protocol with records of 50 consecutive patients with GI bleeding, attending the emergency room from February 2007 until September 2009. Results show that the treatment of UGI bleeding has made important progress since the introduction of emergency endoscopy and endoscopic techniques for haemostasis. The application of specific protocols significantly decreases rebleeding and the need for surgery, whereas mortality is still high. The data highlight the decreasing trend of peptic ulcer as the sole cause of bleeding, as shown in previous literature, ascertaining that varices are now the most common variable.
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Bahar SEZGIN, Seckin, Ozgur KARCIOGLU, Selman YENİOCAK, and Mandana HOSSEINZADEH. "Specific Diagnoses and Management Principles of the Upper Digestive Canal." In Abdominal Pain: Essential Diagnosis and Management in Acute Medicine. BENTHAM SCIENCE PUBLISHERS, 2022. http://dx.doi.org/10.2174/9789815051780122010005.
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Acute abdominal conditions which frequently necessitate emergency interventions and/or surgery include visceral perforations i.e., gastric and duodenal ulcer, bleeding and rarely, ingested foreign bodies causing tissue damage, e.g., button batteries. However, the differential diagnosis (DD) of patients presenting with acute abdominal pain is much broader than this, including many benign conditions as well. Acute gastroenteritis, acute gastritis and peptic ulcer disease are benign and mostly temporary diseases which may be relieved with simple treatments and follow-up. Gastrointestinal bleeding (with or without esophageal varices) may cause hemorrhagic shock unless expedient management is pursued. Ingested foreign bodies can constitute emergency conditions with tissue damage, especially when lodged in a specific site. The most important thing about button batteries is the prevention of their ingestion. Complications increase in direct proportion to time wasted.