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References (8)
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R. Lim, F. Blaisdell, J. Zubrin, R. Stallone, A. Hall (1970)
Subfascial ligation of perforating veins in recurrent stasis ulceration.American journal of surgery, 119 3
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D. Silver, J. Gleysteen, G. Rhodes, N. Georgiade, W. Anlyan (1971)
Surgical treatment of the refractory postphlebitic ulcer.Archives of surgery, 103 5
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A. Baker, Brit Surg, F. Cockett (1955)
The pathology and treatment of venous ulcers of the legBritish Journal of Surgery, 43
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Edwards JE Edwards EA (1937)
The effect of thrombophlebitis of the venous valveSurg Gynecol Obstet, 65
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R. Linton (1953)
The post-thrombotic ulceration of the lower extremity: its etiology and surgical treatment.Annals of surgery, 138 3
-
Homans J (1916)
The operative treatment of varicose veins and ulcers, based upon a classification of these lesionsSurg Gynecol Obstet, 22
-
P. Field, P. Boxel (1971)
The role of the Linton flap procedure in the management of stasis dermatitis and ulceration in the lower limb.Surgery, 70 6
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T. Sarjeant (1964)
Surgical Anatomy in the Treatment of Venous StasisSurgical Clinics of North America, 44
- Publisher
- American Medical Association
- Copyright
- Copyright © 1973 American Medical Association. All Rights Reserved.
- ISSN
- 0004-0010
- eISSN
- 1538-3644
- DOI
- 10.1001/archsurg.1973.01350160151025
- Publisher site
- See Article on Publisher Site
Abstract
Abstract Eighty-nine patients with chronic venous insufficiency of the lower extremity underwent an extensive subfascial ligation of communicating veins. Eleven patients (13.4%) had an unsatisfactory result; the remainder improved. Contrary to belief by some, our patients who developed stasis phenomena and ulceration upon long-standing varicose veins did in fact have incompetent communicating veins. These patients for the most part had normal deep veins. Patients who developed stasis phenomena and ulceration subsequent to deep thrombophlebitis had incompetent communicating veins and also a high incidence of deep vein abnormalities. A high incidence of failure of operative treatment among patients with fibrous iliac and femoral vein occlusion made us regard this finding as a contraindication to surgical treatment. References 1. Homans J: The operative treatment of varicose veins and ulcers, based upon a classification of these lesions . Surg Gynecol Obstet 22:143-158, 1916. 2. Linton RR: The post-thrombotic ulceration of the lower extremity: Its etiology and surgical treatment . Ann Surg 138:415-433, 1953.Crossref 3. Cockett FB: The pathology and treatment of venous ulcers of the leg . Br J Surg 43:260-278, 1955.Crossref 4. Sarjeant TR: Surgical anatomy in the treatment of venous stasis . Surg Clin North Am 44:1383-1402, 1964. 5. Edwards EA, Edwards JE: The effect of thrombophlebitis of the venous valve . Surg Gynecol Obstet 65:310-320, 1937. 6. Field P, Van Boxel P: The role of the Linton flap procedure in the management of stasis dermatitis and ulceration in the lower limb . Surgery 70:920-926, 1971. 7. Lim RC, et al: Subfascial ligation of perforating veins in recurrent stasis ulceration . Am J Surg 119:246-249, 1970.Crossref 8. Silver D, et al: Surgical treatment of the refractory post-phlebitic ulcer . Arch Surg 103:554-560, 1971.Crossref
Journal
Archives of Surgery – American Medical Association
Published: Apr 1, 1973