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- Title
INTERDISCIPLINARY APPROACH OF CHRONIC VENOUS DISEASE MAXIMIZES THE POST-OPERATIVE HEALING RATE OF VENOUS ULCERS.
- Authors
Borz, Paul-Cristian; Borodi, Paul-Gabriel; Tuca, Patricia-Alexandra; Borz, Cristian
- Abstract
Introduction: CVD (chronic venous disease) is known as an inflammatory, evolutive and disabling condition that affects the lower extremities. Because it is a general disorder, it has a major socioeconomic impact, due to its wide prevalence. The cost of CVD includes the diagnostic tools, therapeutic approaches and loss of working days. In Romania one of three individuals suffer from varicose veins. Objectives: We present a case report of a patient with CVD, stage C6 (active venous ulcer), who was treated by an interdisciplinary approach (angiologist and surgeon). Material and methods: Fifty-two-year-old female patient presented in our department with varicose veins and acute ankle ulcer. Prior to surgery, the patient underwent a Duplex eco Doppler. The findings helped us to specify the etiology, the pathophysiology and to point out the reflux veins, performing this way a mapping of the varicose veins. Based on the angiology examination, the surgeon could deal with all problem points. The operative technique consisted in resection of the saphenofemoral junction, stripping of the large saphenous vein, removal of the dilated collaterals and ligation of the perforating veins, previously marked on the skin by the angiologist. Results: The healing process of the ulcer began from the first postoperative day with obvious reduction in size of the ulcer after 5 days and a complete healing after 4 weeks. Conclusion: With the use of the duplex scan in a patient with severe chronic venous insufficiency, we can deal precisely with the reflux sources accounted by the saphenofemoral junctional valve and the incompetent perforating veins. In this way we assure the complete healing of the ulcer. A tailored treatment requires the understanding of the pathophysiology of the disease.
- Subjects
ROMANIA; HEALING; DISABILITIES; ULCERS; SAPHENOUS vein; CHRONIC diseases; VENOUS insufficiency; VARICOSE veins
- Publication
Acta Medica Marisiensis, 2019, Vol 65, p25
- ISSN
2068-3324
- Publication type
Article