Hemodynamic surgery principles in patients with venous trophic ulcers

Abstract

Venous trophic ulcers of the lower leg, which account for approximately 80% of all lower leg ulcers, are still a relevant surgical problem. Treatment of chronic venous insuffi ciency (CVI) complicated by ulcers requires an individualized approach, as such patients often have a compromised deep venous system, a history of deep vein thrombosis, and clinical signs of postthrombotic syndrome. For such patients, it is often impossible to use stripping or classic ablation techniques, since it is important to maintain adequate venous blood outfl ow from the lower extremities.