Abstract
The venous ulcers of the lower extremities caused by venous occlusion or venous valve incompetence are refractory to treat and liable to recur. For the past 10 years, 12 cases of venous ulcers with varicose veins of lower extremities were subjected to surgery. Preoperative evaluation by Doppler blood flowmeter and venography revealed that all cases had the valve incompetence of superficial and perforating veins, and the deep veins were all patent. At surgery the ulcer and severe lesions of stasis dermatitis were excised, and the skin grafting was added to the stripping and ligation. Postoperative complications included an edema of the cruris, wound infection at the grafting site, peripheral neuralgia and decreased sense of the foot in one case each. However the complications were all improved at the discharge from hospital. All ulcers were cured in the follow-up periods of 8 months to 9 years the average of 6.1 years, and all cases returned to the former jobs including standing works. The results of surgical therapy for venous ulcers were favorable depending on detection of the cause and choice of the appropriate operation. There was no problem on the concomitant operation of the resection of the ulcer, skin grafting and vein stripping, by paying attention to the infection.
