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Rivista di Angiologia

Official Journal of the International Union of Angiology, the International Union of Phlebology and the Central European Vascular Forum
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International Angiology 1998 June;17(2):108-12

lingua: Inglese

Venous ­ulcers in chron­ic ­venous insuf­fi­cien­cy: King Khalid University Hospital expe­ri­ence

Al-Salman M. M. S.

From the Department of Surgery, College of Medicine, King Saud University, Riyadh, Saudi Arabia


Background. The pur­pose of this study was to iden­ti­fy the ana­tom­i­cal loca­tion of the ­venous dis­ease in C.V.I. ­patients pre­sent­ed with ­venous ­ulcers in addi­tion to dis­cuss­ing the man­age­ment.
Design. Retrospective study, at King Khalid University Hospital.
Methods. Between January 1991 to January 1997, 90 ­patients (63 ­females, 27 males) with CVI were eval­u­at­ed. The eval­u­a­tion includ­ed his­to­ry, clin­i­cal exam­ina­tion, bi-direc­tion­al ultra­sound con­tin­u­ous wave Doppler, Duplex, ambu­la­to­ry ­venous pres­sure (AVP), ascend­ing and de-scend­ing venog­ra­phy.
Results. Forty eight (48) ­patients (57 limbs) had Stage III with ­venous ­ulcers. Out of these 48 ­patients, fif­teen (15) ­showed deep ­venous ­system involve­ment with deep vein throm­bo­sis (DVT). Thirty three (33) ­patients had ­venous ­reflux in the super­fi­cial or deep ­systems with­out occlu­sion. Out of these 33 ­patients, 24 ­patients had super­fi­cial ­system ­reflux, while the remain­ing 9 ­patients ­revealed deep ­system ­reflux with a com­pe­tent super­fi­cial ­system.
Conclusions. Superficial ­venous incom­pe­tence plays a major role in ­venous ulcer for­ma­tion and that loca­tion and type of ­venous dis­ease ­should be thorough­ly inves­ti­gat­ed as sur­gi­cal exci­sion of the super­fi­cial ­system leads to a long stand­ing recur­rence free peri­od.

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