Minimally invasive surgery for low extremity varicosis complicated with chronic ulcers / 中国微创外科杂志

Objective To study the minimally invasive surgical treatment for lower extremity varicosis complicated with chronic ulcers. Methods The authors reviewed 58 patients with low extremity varicosis complicated with chronic ulcers characterized by the CEAP (clinical, etiologic, anatomic, pathophysiologic) classification by using duplex ultrasonography. After the location of the perforating veins producing ulcers was marked, minimally invasive operations under local anesthesia were performed. Results Postoperatively, the ulcers healed in 1 month in 49 patients whose lesion surfaces were smaller than 3 cm ? 3 cm and completely cleared up in 2 months in the rest of 9 patients who had relatively larger ulcers. Follow-up observations for 0.5~1.5 years found remarkable improvement of skin color and elasticity in patients with severe cutaneous hyperpigmentation and lipodermatosclerosis. No recurrence was seen. Conclusions Both valvular insufficiency of the great or less saphenous vein and the perforating venous incompetence should be treated simultaneously in patients with lower extremity varicosis complicated with chronic ulcers.

Early surgical treatment for primary lower extremity varicose veins complicated by superficial thrombophlebitis / 中国普通外科杂志

Objective To evaluate the effect of early surgical treatment for primary lower limb varicose veins complicated by thrombophlebitis.Methods The clinical date of 42 patients with primary lower extremity varicose veins complicated by thrombophlebitis treated in 4 years were analyzed retrospectively.The CEAP classification was adopted to establish the diagnoses of the all patieats.In the early stage,high ligation and stripping of the varicase veins were performed.After removal of varicose veins and thrombi,both anti-inflammation therapy and anticoagulant therapy were applied.Results All patients made a good recovery.After surgery,3 patients had skin callous and swelling,and 3 patients had foot nerve paresthesia.But,no serious complications,such as deep venous thrombosis or pulmonary embolism,were observed.The was no recurrence during 2 months to 4 years follow-up.Conclusions Early surgical treatment for primary lower limb varicose veins complicated by superficial thrombophlebitis not only has good results but also helps control of deep venous thrombosis and pulmonary embolism,and other serious complications that can result from superficial venous thrombosis.