Venous Ulcers

Venous ulcers (stasis ulcersvaricose ulcers, or ulcus cruris) are wounds that are thought to occur due to improper functioning of venous valves, usually of the legs. They are the major cause of chronic wounds, occurring in 70% to 90% of chronic wound cases. Venous ulcers develop mostly along the medial distal leg, and can be very painful.

Venous Ulcer
Venous Ulcer

Elastic compression stockings

Compression Stocking
Compression Stocking

Compression Stocking
Compression Stocking
  • Provide graduated compression
  • Produce local changes in microvascular haemodynamics
  • Minimal effect on the deep vein dynamics
  • Do not cure hypertension but protect skin from the effects
  • Occlusive arterial disease is a relative contraindication

Surgery for venous ulcer

The main aims of surgery are:

  • Cure venous hypertension
  • Heal the venous ulcer.

Combination of venous surgery and compression is helpful

Surgical options for venous ulcer are:

  • Superficial vein stripping + high ligation
  • Interruption of perforators
  • Skin grafting
  • Free flap rotation
  • Sclerotherapy
  • Thrombolysis, dilatation or stenting.

Complications of venous ulceration –

  • Rarely Marjolin’s ulcer may develop.
    Marjolin's ulcer
    Marjolin’s ulcer

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