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The International Journal of Lower Extremity Wounds
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The Venous Ulcer and the Superficial Venous Reflux

Giorgio Guarnera, MD

Department of Vascular Surgery and Pathology, Istituto Dermopatico dell’Immacolata - IRCCS, Rome, Italy

The management of venous ulcers must take into account the many aspects of the pathology and, overall, the hemodynamic patterns of reflux and the clinical pictures correlated. The most frequent model is represented by a superficial venous reflux that may be successfully treated by surgery with a very high percentage of ulcer healing. Compared to compression therapy, surgery allows a minor percentage of recurrence. Sclerotherapy may represent a valid alternative. The meaning and the treatment of incompetent perforating veins is controversial, but the poor results of conservative treatment justify the disconnection of large perforators in addition to ablation of saphenous reflux.

Key Words: venous ulcer • primary varicose veins • perforating veins incompetence • duplex scanning

The International Journal of Lower Extremity Wounds, Vol. 3, No. 4, 198-200 (2004)
DOI: 10.1177/1534734604272076
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