The synthetic surgical treatment of venous ulcer in the lower limb

Objective To study the value of the synthetic surgical treatment of venous ulcer in the lower limb. Methods From June 2002 to August 2004,clinic data of operative treatment for 38 patients (43 limbs) with varicose vein in the lower limb accompanying by venous ulceration were retrospectively analyzed. Anterograde phlebography was performed for all of patients before operation. Superficial vein operation and varicose veins suture around ulcer were undergone in all of sick limbs. At the same time, deep vein valve repair (DVVR) was done in 8 of them, subfascial endoscopic perforator surgery (SEPS) in 17 of them, DVVR and SEPS in 9 of them. Results The symptoms were disappeared and the ulcers were healed in all cases after operation.The eczema or pigmentation of the lower limb,s skin was relieved remarkably. The ulcer of 6 limbs was recurrence on 6 months after operation. These ulcers were healed by SEPS treatment.No ulcer recurrence was found within 1～2 years after operation. Conclusion Venous ulcer of lower limbs results from insufficiency of deep, superficial and perforating venous systems. When the venous ulcer is treated, the insufficiency of every venous system must be corrected at the same time, especially in the insufficiency of perforating venous system.