Sottiurai VS.
Comparison of surgical modalities in the treatment of recurrent venous ulcer.
Int Angiol 1990 Oct-Dec;9(4):231-5

Department of Surgery, Louisiana State University Medical Center, New Orleans 70112-2822.

Recurrent leg ulcer secondary to superficial and deep venous valve incompetence
that are refractory to non-surgical treatment can be healed with the following
surgical modalities. Perforator ligation and saphenous vein stripping (PLSVS)
healed 4/16 (25%) of the ulcer. PLSVS and correction of deep venous valve
incompetence healed 14/16 (87.5%) of the ulcer (p less than 0.005). The mean
follow-up was 32 months (8-62 mon). This prospective comparison of the 2 surgical
treatments (PLSVS versus PLSVS and correction of deep venous valve) demonstrated
that disassociation of the superficial from the deep venous system with PLSVS and
correction of the deep valve (valvuloplasty, transposition or valve transplant)
produced promising results in the treatment of recurrent venous ulcer. Adjunctive
usage of elastic stocking and intermittent compression pneumatic boot to reduce
swelling in the paraoperative period improved long term result in venous
reconstructive surgery.