Chronic Venous Ulcers An End Of Long Term Suffering

摘要

Chronic venous leg ulcers still represent a problem for an increasingly number of population1, 2. Many of patients usually undergo several operations without remarkable improvement over a long time. Post phlebitis ulcers accompany the post phlebitic Syndrome represent one of the problematic cases. In this study the authors tried to know the real reasons of development of these ulcers, then they could find out an easy solution for treating them. Patients: This study included 65 cases of chronic resistant venous ulcers. Place: These cases were treated over the period from September 2001 until September 2007 in three places, University Malaya Medical Center, UniMAS (Sarawak General Hospital), and University Technology Mara (Selayang Hospital), Malaysia.The technique which we used was based upon venous hypo-vascularization of the skin of the leg before any attempt to deal with the ulcer.Results: Results showed very good and successful healing of these ulcers in a short time evaluated by 2 to 3 weeks after surgery.Most of the cases had very long history of having these ulcers ranging from 3 to 9 years and of average 4 years.Surgery for Chronic venous leg ulcers now facilitated the perfect and effective closure which is sound and complete without recurrence if compared with other techniques as compression bandage and other methods3. Introduction Chronic venous insufficiency and its accompanying venous hypertension have been termed the post-thrombotic syndrome, but it is now known that primary valvar incompetence, not just prior thrombosis, is an important cause of venous leg ulcer. 3 Lees et al 1993 4 , and Labropoulos et al 1994 6 related development of ulcer to presence of reflux of blood from the deep system to the superficial system through incompetent perforators. 4,6 Ahmad et al 2007 8 studied deep vein thrombosis and its consequences on development of ulceration as a part of post thrombotic syndrome. 8