[Surgical options in the treatment of chronic venous ulcers]
Publisher DOI
PubMed ID
21360463
Abstract
Surgery offers several options in prevention of chronic venous insufficiency and its sequelae. Both the operation on veins with valve dysfunction to reduce reflux and the elimination of obstruction in thrombosed veins aim for the reduction of venous hypertension. Elevated venous pressure, impairment of cutaneous capillaries and a chronic inflammatory process result in sclerosis of skin and subcutaneous tissue and might proceed to the fascia resulting in a chronic compartment syndrome. Non- healing chronic venous ulcers under conservative therapy for more than three months may be treated by vein-surgery, local wound care therapy like shaving and negative pressure treatment and if necessary by lowering of elevated intracompartimental pressure by fasciotomy or even fasciectomy.
Date Issued
2011
Publication Type
Article
Language(s)
de
Additional Credits
Journal
Therapeutische Umschau
Publisher
Huber
ISSN
0040-5930
Access(Rights)
metadata.only