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Vol 8, No 1 (2006)
Published online: 2006-03-17
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Surgical treatment of venous ulcer of the calf - long term follow-up of patients admitted to hospital between 1996 and 2005

Krzysztof Ziaja, Grzegorz Biolik, Wacław Kuczmik, Damian Ziaja, Jacek Kostyra, Marek Kazibudzki, Przemysław Nowakowski, Tomasz Ludyga, Krzysztof Szaniewski, Robert Latała, Teresa Kowalewska-Twardela
Chirurgia Polska 2006;8(1):43-48.

open access

Vol 8, No 1 (2006)
Published online: 2006-03-17

Abstract

Background: The frequency of the occurrence venous ulcers of the leg is assessed at 1.1-1.8% in highly industrialized regions. Despite the proper treatment - conservative as well as surgical - and despite following prophylaxis, the frequency of recurrences is estimated at 16-25% in the first year after treatment and on 28-69% two years afterwards. The aim of this study is an analysis of the surgical and conservative treatment of patients hospitalized in our department due to active, recurrent or recalcitrant venous ulcers of the calf during the short and long-term follow-ups.
Material and method: This study was carried out on a group of 44 patients hospitalized in our department between 1996 and 2005 due to venous ulcer of the calf which was either recalcitrant for conservative treatment or recurrent.
Results: Of the 44 of treated patients resistance to treatment was observed in 2 cases. Ulcer recurrence was observed in 48% of patients during the long term follow-up.
Conclusion: Hospital treatment, and surgical especially, is the most effective method of therapy for recalcitrant or recurrent venous ulcers of the calf. Unfortunately this type of treatment does not prevent ulcer recurrence in these cases when further profilaxis has been stopped.

Abstract

Background: The frequency of the occurrence venous ulcers of the leg is assessed at 1.1-1.8% in highly industrialized regions. Despite the proper treatment - conservative as well as surgical - and despite following prophylaxis, the frequency of recurrences is estimated at 16-25% in the first year after treatment and on 28-69% two years afterwards. The aim of this study is an analysis of the surgical and conservative treatment of patients hospitalized in our department due to active, recurrent or recalcitrant venous ulcers of the calf during the short and long-term follow-ups.
Material and method: This study was carried out on a group of 44 patients hospitalized in our department between 1996 and 2005 due to venous ulcer of the calf which was either recalcitrant for conservative treatment or recurrent.
Results: Of the 44 of treated patients resistance to treatment was observed in 2 cases. Ulcer recurrence was observed in 48% of patients during the long term follow-up.
Conclusion: Hospital treatment, and surgical especially, is the most effective method of therapy for recalcitrant or recurrent venous ulcers of the calf. Unfortunately this type of treatment does not prevent ulcer recurrence in these cases when further profilaxis has been stopped.

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Keywords

calf ulcer; recurrent calf ulcer; recalcitrant for treatment venous ulcer of the calf; chronic vein insufficiency; deep vein thrombosis

About this article
Title

Surgical treatment of venous ulcer of the calf - long term follow-up of patients admitted to hospital between 1996 and 2005

Journal

Chirurgia Polska (Polish Surgery)

Issue

Vol 8, No 1 (2006)

Pages

43-48

Published online

2006-03-17

Page views

493

Article views/downloads

1049

Bibliographic record

Chirurgia Polska 2006;8(1):43-48.

Keywords

calf ulcer
recurrent calf ulcer
recalcitrant for treatment venous ulcer of the calf
chronic vein insufficiency
deep vein thrombosis

Authors

Krzysztof Ziaja
Grzegorz Biolik
Wacław Kuczmik
Damian Ziaja
Jacek Kostyra
Marek Kazibudzki
Przemysław Nowakowski
Tomasz Ludyga
Krzysztof Szaniewski
Robert Latała
Teresa Kowalewska-Twardela

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