[Surgical options in the treatment of chronic venous ulcers]

Stellmes, Arno; Derungs, Urs; Schmidli, Jürg; Widmer, Matthias K (2011). [Surgical options in the treatment of chronic venous ulcers]. Therapeutische Umschau, 68(3), pp. 163-8. Bern: Huber 10.1024/0040-5930/a000145

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Surgery offers several options in prevention of chronic venous insufficiency and its sequelae. Both the operation on veins with valve dysfunction to reduce reflux and the elimination of obstruction in thrombosed veins aim for the reduction of venous hypertension. Elevated venous pressure, impairment of cutaneous capillaries and a chronic inflammatory process result in sclerosis of skin and subcutaneous tissue and might proceed to the fascia resulting in a chronic compartment syndrome. Non- healing chronic venous ulcers under conservative therapy for more than three months may be treated by vein-surgery, local wound care therapy like shaving and negative pressure treatment and if necessary by lowering of elevated intracompartimental pressure by fasciotomy or even fasciectomy.

Item Type:	Journal Article (Further Contribution)
Division/Institute:	04 Faculty of Medicine > Department of Cardiovascular Disorders (DHGE) > Clinic of Heart Surgery
UniBE Contributor:	Stellmes, Arno, Derungs, Urs, Schmidli, Jürg, Widmer, Matthias
ISSN:	0040-5930
Publisher:	Huber
Language:	German
Submitter:	Factscience Import
Date Deposited:	04 Oct 2013 14:20
Last Modified:	27 Feb 2024 14:29
Publisher DOI:	10.1024/0040-5930/a000145
PubMed ID:	21360463
URI:	https://boris.unibe.ch/id/eprint/6627 (FactScience: 211625)