Varicose ulcer and varicose vein surgery How are we doing?

Úlcera varicosa y cirugía de várices ¿Cómo nos va?

Objective: to describe the characteristics of patients with venous ulcer taken to surgery for varicosafenectomy at the Hospital de San José from January 1 to December 31, 2006. Methods: 23 patients with active UV were considered who were taken to varicosafenectomy in 2006 in the Hospital of San José; the information was taken from the variables of the clinical histories, tabulated in an Excel sheet, making frequency tables and bivariate analysis. Results: cicatrization of the ulcer in 100% with an average time of 1.5 months (0.59) and average follow-up of 2.84 months. No difference was found between the variables analyzed and the healing time. Conclusion: with the present study we can reaffirm the utility of surgery for the management of UV when the cause is superficial venous insufficiency. Abbreviations: UY, varicose ulcer; IVC, chronic venous insufficiency; CEAP, clinical, etiology, anatomy and pathology.

1. Heit JA, Rooke TW, Silverstein MD, Mohr DN, Lohse CM, Petterson TM, O'Fallon WM, Melton LJ 3rd. Trends in the incidente of venous stasis syndrome and venous ulcer: a 25-year population-based study. J Vasc Surg. 2001 May;33(5): 1022-7 .

2. Peter J. Pappas, Brajesh K. Lal, Joaquin J. Cerveira. In: Rutherford, Robert. Vascular Surgery. 6th. Ed. Elsevier Saunders; 2006. p 2220.

3. Nicolaides AN; Cardiovascular Disease Educational and Research Trust; European Society of Vascular Surgery; ,The International Angiology Scientific Activity Congress Organization; International Union of Angiology; Union Internationale de Phlebologie at the Abbaye des Vaux de Cernay. Investigation of chronic venous insufficiency: A consensus statement (France, March 5-9, 1997). Circulation. 2000 Nov 14;102(20):E126-63.

4. Gómez, Luis Felipe. Ulceras de los miembros inferiores. En: Norman D. Pizano. Flebologia Práctica. Colombia. A.H. Robins-Whitehall Laboratorios; 2001. p 36-38.

5. Erickson CA, Lanza DJ, Karp DL, Edwards JW, Seabrook GR, Cambria RA, Freischlag JA, Towne JB. Healing of venous ulcers in an ambulatory care program: the roles of chronic venous insufficiency and patient compliance. J Vasc Surg. 1995 Nov;22(5):629-36.

6. Obermayer A, Geistl K, Walli G, Benesch T. Chronic venous leg ulcers benefit from surgery: long-term results from 173 legs. J Vasc Surg. 2006 Sep;44(3):572-9.

7. Marston W, Johnson G. Venas Varicosa y tromboflebitis superficial. En: Dean R, Yao J, Brewster D. Diagnóstico y tratamiento en cirugía vascular. México: Manual Moderno; 1995. p. 432.

8. Margolis DJ, Knauss J, Bilker W. Medical conditions associated with venous leg ulcers. Br J Dermatol. 2004 Feb;150(2):267-73.