| Sclerotherapy with a ligation of incompetent veins for a stasis ulcer due to varix cruris: minimal invasive therapy for varix cruris. | |
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MedLine Citation:
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PMID: 10552333 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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A retrospective analysis was performed on 11 patients (mean age 50 years), consisting of 8 men and 3 women, with a stasis ulcer due to varix cruris who underwent sclerotherapy with a ligation of incompetent veins on an outpatient basis. The follow-up ranged from 26 to 76 months (mean 53 months). The ulcers healed in 14 to 128 days (mean 41 days) after this procedure except in 1 patient. Three patients healed within 1 month and 7 others within 2 months. Only 1 patient needed over 2 months to heal. A recurrence of the ulcer was observed in 1 case 59 days after healing, and incompetent perforating veins were newly identified. This patient required an additional endoscopic subfascial division of the perforating veins and is now in the process of healing. No deterioration of the ulcer was observed. Thrombophlebitis and faintness were observed in 1 patient each. Neither pulmonary embolism nor deep venous thrombosis was observed. In conclusion, sclerotherapy with a ligation of any incompetent veins was found to be a safe and effective treatment for a stasis ulcer due to varix cruris; however, long-term observation will be required to confirm the effectiveness of this procedure. To successfully use combination therapy with less or minimally invasive procedures, a precise diagnosis of vein incompetency is crucial. |
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Authors:
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Y Takeda; T Agui; K Tanaka; M Okuzawa; N Tanigawa |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Surgery today Volume: 29 ISSN: 0941-1291 ISO Abbreviation: Surg. Today Publication Date: 1999 |
Date Detail:
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Created Date: 1999-12-07 Completed Date: 1999-12-07 Revised Date: 2006-08-03 |
Medline Journal Info:
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Nlm Unique ID: 9204360 Medline TA: Surg Today Country: JAPAN |
Other Details:
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Languages: eng Pagination: 1154-7 Citation Subset: IM |
Affiliation:
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Department of General and Gastroenterological Surgery, Osaka Medical College, 2-7 Daigakucho, Takatsuki, Osaka 569-8686, Japan. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Ambulatory Surgical Procedures Combined Modality Therapy Female Follow-Up Studies Humans Ligation / methods Male Middle Aged Retrospective Studies Sclerotherapy / methods* Surgical Procedures, Minimally Invasive Treatment Outcome Varicose Ulcer / diagnosis, therapy* Wound Healing / physiology |
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