Skip to main content

Venous Ulcers Associated with Superficial Venous Insufficiency

  • Chapter
Vascular Surgery

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 89.00
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Homans J. The etiology and treatment of varicose ulcer of the leg. Surg Gynecol Obstet 1917;24:300–11.

    Google Scholar 

  2. Bauer G. A roentgenological and clinical study of the sequels of thrombosis. Acta Chir Scand 1942;86.

    Google Scholar 

  3. Lees TA, Lambert D. Patterns of venous reflux in limbs with skin changes associated with chronic venous insufficiency. Br J Surg 1993;80:725–8.

    PubMed  CAS  Google Scholar 

  4. Hoare MC, Nicolaides A, Miles C. The role of primary varicose veins in venous ulceration. Surgery 1983;82:450.

    Google Scholar 

  5. Sethia KK, Darke SG. Long saphenous incompetence as a cause of venous ulceration. Br J Surg 1984;71:754–5.

    PubMed  CAS  Google Scholar 

  6. Labropoulos N, Landon P, Jay T. The impact of duplex scanning in phlebology. Dermatol Surg 2002;28:1–5.

    Article  PubMed  Google Scholar 

  7. Wong JK, Duncan JL, Nichols DM. Whole-leg duplex mapping for varicose veins: observations on patterns of reflux in recurrent and primary legs, with clinical correlation. Eur J Vasc Endovasc Surg 2003;25:267–75.

    Article  PubMed  CAS  Google Scholar 

  8. Danielsson G, Eklof B, Grandinetti A, Lurie F, Kistner RL. Deep axial reflux, an important contributor to skin changes or ulcer in chronic venous disease. J Vasc Surg 2003;38:1336–41.

    Article  PubMed  Google Scholar 

  9. Danielsson G, Norgren L, Jungbeck C, Peterson K. Global venous function correlates better than duplex derived reflux to clinical class in the evaluation of chronic venous disease. Int Angiol 2003;22:177–81.

    PubMed  CAS  Google Scholar 

  10. Eklof B, Rutherford RB, Bergan JJ, Carpentier PH, Gloviczki P, et al. Revision of the CEAP classification for chronic venous disorders. A consensus statement. J Vasc Surg 2004;40:1248–52.

    Article  PubMed  Google Scholar 

  11. Rutherford RB, Padberg FT, Jr, Comerota AJ, Kistner RL, Meissner MH, Moneta GL. Venous severity scoring: An adjunct to venous outcome assessment. J Vasc Surg 2000;31:1307–12.

    PubMed  CAS  Google Scholar 

  12. Iannuzzi A, Panico S, Ciardullo AV, Bellati C, Cioffi V, Iannuzzo G, et al. Varicose veins of the lower limbs and venous capacitance in postmenopausal women: relationship with obesity. J Vasc Surg 2002;36:965–8.

    Article  PubMed  Google Scholar 

  13. Brand F, Dannenberg A, Abbott R, Kannel W. The epidemiology of varicose veins: The Framingham study. Am J Prev Med 1988;4:96–101.

    PubMed  CAS  Google Scholar 

  14. Sadick NS. Predisposing factors of varicose and telangiectatic leg veins. J Dermatol Surg Oncol 1992;18:883–6.

    PubMed  CAS  Google Scholar 

  15. Danielsson G, Eklof B, Grandinetti A, Kistner RL. The influence of obesity on chronic venous disease. Vasc Endovasc Surg 2002;36:271–6.

    Google Scholar 

  16. Munkvad S, Jorgensen M. Resistance to activated protein C: a common anticoagulant deficiency in patients with venous leg ulceration. Br J Dermatol 1996;134:296–8.

    Article  PubMed  CAS  Google Scholar 

  17. Bradbury AW, MacKenzie RK, Burns P, Fegan C. Thrombophilia and chronic venous ulceration. Eur J Vasc Endovasc Surg 2002;24:97–104.

    Article  PubMed  CAS  Google Scholar 

  18. Nelson EA, Iglesias CP, Cullum N, Torgerson DJ. Randomized clinical trial of four-layer and shortstretch compression bandages for venous leg ulcers (VenUS I). Br J Surg 2004;91:1292–9.

    Article  PubMed  CAS  Google Scholar 

  19. Holme K, Matzen M, Bomberg AJ, Outzen SL, Holme JB. Partial or total stripping of the great saphenous vein. 5-year recurrence frequency and 3-year frequency of neural complications after partial and total stripping of the great saphenous vein. Ugeskr Laeger 1996;158:405–8.

    PubMed  CAS  Google Scholar 

  20. Dwerryhouse S, Davies B, Harradine K, Earnshaw JJ. Stripping the long saphenous vein reduces the rate of reoperation for recurrent varicose veins: five-year results of a randomized trial. J Vasc Surg 1999;29:589–92.

    Article  PubMed  CAS  Google Scholar 

  21. Clinical evidence, Option: Vein surgery. BMJ 2001;1510.

    Google Scholar 

  22. Barwell JR, Davies CE, Deacon J, Harvey K, Minor J, Sassano A, et al. Comparison of surgery and compression with compression alone in chronic venous ulceration (ESCHAR study): randomised controlled trial. Lancet 2004;363:1854–9.

    Article  PubMed  Google Scholar 

  23. Danielsson G, Arfvidsson B, Eklof B, Kistner RL, Masuda EM, Sato DT. Reflux from thigh to calf, the major pathology in chronic venous ulcer disease: surgery indicated in the majority of patients. Vasc Endovascular Surg 2004;38:209–19.

    Article  PubMed  Google Scholar 

  24. Danielsson G, Eklof B, Kistner RL. What is the role of incompetent perforator veins in chronic venous disease? J Phlebol 2001;1:67–71.

    Google Scholar 

  25. Nelzen O. Prospective study of safety, patient satisfaction and leg ulcer healing following saphenous and subfascial endoscopic perforator surgery. Br J Surg 2000;87:86–91.

    Article  PubMed  CAS  Google Scholar 

  26. Gloviczki P. Subfascial endoscopic perforator vein surgery: indications and results. Vasc Med 1999;4:173–80.

    Article  PubMed  CAS  Google Scholar 

  27. Wittens CH, Bollen EC, Kool DR, van Urk H, Mul T, van Houtte HJ. Good results of subfascial endoscopy as treatment of communicating vein insufficiency. Ned Tijdschr Geneeskd 1993;137:1200–4.

    PubMed  CAS  Google Scholar 

  28. Quiros RS, Kitainik E, Swiatlo MR, Breyter E. Cutaneous complications of the subaponeurotic surgery of the communicating venous system. J Cardiovasc Surg 1967;8:206–8.

    CAS  Google Scholar 

  29. Walsh JC, Bergan JJ, Beeman S, Comer TP. Femoral venous reflux abolished by greater saphenous vein stripping. Ann Vasc Surg 1994;8:566–70.

    Article  PubMed  CAS  Google Scholar 

  30. Stuart WP, Adam DJ, Allan PL, Ruckley CV, Bradbury AW. Saphenous surgery does not correct perforator incompetence in the presence of deep venous reflux. J Vasc Surg 1998;28:834–8.

    Article  PubMed  CAS  Google Scholar 

  31. Sales CM, Bilof ML, Petrillo KA, Luka NL. Correction of lower extremity deep venous incompetence by ablation of superficial venous reflux. Ann Vasc Surg 1996;10:186–9.

    Article  PubMed  CAS  Google Scholar 

  32. Gohel MS, Barwell JR, Wakely C, Minor J, Harvey K, Earnshaw JJ, et al. The influence of superficial venous surgery and compression on incompetent calf perforators in chronic venous leg ulceration. Eur J Vasc Endovasc Surg 2005;29:78–82.

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2006 Springer-Verlag London Limited

About this chapter

Cite this chapter

Danielsson, G., Eklöf, B. (2006). Venous Ulcers Associated with Superficial Venous Insufficiency. In: Geroulakos, G., van Urk, H., Hobson, R.W. (eds) Vascular Surgery. Springer, London . https://doi.org/10.1007/1-84628-211-X_46

Download citation

  • DOI: https://doi.org/10.1007/1-84628-211-X_46

  • Publisher Name: Springer, London

  • Print ISBN: 978-1-85233-963-0

  • Online ISBN: 978-1-84628-211-9

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics