Comparison of venous reflux in the affected and non-affected leg in patients with unilateral venous ulceration
✍ Scribed by Mr A. W. Bradbury; J. Brittenden; P. L. Allan; C. V. Ruckley
- Publisher
- John Wiley and Sons
- Year
- 1996
- Tongue
- English
- Weight
- 283 KB
- Volume
- 83
- Category
- Article
- ISSN
- 0007-1323
No coin nor oath required. For personal study only.
✦ Synopsis
W2 lNY UK
In 54 patients with unilateral leg ulceration of purely determined without reference to the contralateral, venous aetiology the only difference in venous reflux clinically normal, limb. Surgery should be directed at between affected and non-affected legs was with respect to correcting reflux present in the ulcerated limb but not in the popliteal and crural veins. Deep and superficial the unaffected limb. In a minority of patients this entails venous reflux is common in legs without the skin changes superficial venous surgery alone, but in the majority such typical of chronic venous insufficiency. The significance of an approach would, ideally, entail correction of deep venous reflux in an ulcerated leg cannot therefore be venous incompetence.
Although there are several well recognized causes of lower limb ulceration, venous disease is the most common aetiological factor. It is generally accepted that venous ulceration is usually a consequence of venous reflux, and less commonly of obstruction. The relative importance of reflux at different sites in the deep and superficial venous systems remains unclear'-'. The aim of the present study was to clarify this situation by defining a group of patients in whom ulceration was unilateral, in whom venous disease was the only identifiable factor, and in whom no major venous surgery had been performed. The pattern of venous reflux in the affected and non-affected leg was compared with colour flow duplex ultrasonography.