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Saphenofemoral ligation as a safe and effective alternative for the treatment of chronic venous leg ulcer.
Saudi Med J. 2004 Feb; 25(2):172-6.SM

Abstract

OBJECTIVE

To evaluate the effectiveness and safety of isolated saphenofemoral junction ligation for the treatment of chronic venous leg ulcer in comparison to traditional stripping procedure.

METHODS

Thirty six patients (28 men and 8 women) with mean age of 42.3 +/- 8.7, presented with a venous leg ulcer. After taking a full history, they underwent examination for presence of edema, cellulitis or local ulcer infection. The site and size of ulceration were recorded and ankle-brachial pressure index (ABPI) was measured. Venous color Doppler ultrasonography was performed and venous valvular incompetence was assessed using Valsalva test and calf compression. Patients were divided into 2 groups. Group I, (n=10) assigned for long saphenous stripping, while group II, (n=26) assigned for saphenofemoral ligation and divided combined with ligation of major tributaries under local infiltration anesthesia. Mean operative time, postoperative complications and hospital stay were recorded. The study was carried out in Benha University Hospital, Egypt and Armed Forces Hospital, Khamis Mushayt, Southern Region, Kingdom of Saudi Arabia, between January 2000 and December 2001.

RESULTS

The mean operative time and the hospital stay were significantly (p<0.05) reduced in group II compared to group I. The postoperative complications were significantly (x2=7.5, p<0.05) reduced in group II. Ulcer healing started after 3 months in group II and 6 months in group I, but, by 12 months, group II had a significant (x2=6.7, p<0.05) number of healed ulcers (n=22, 84.6%), compared to group I (n=7, 70%).

CONCLUSION

The isolated ligation of saphenofemoral junction is a minimally invasive, safe and effective modality for treatment of chronic leg ulcer, and being easily performed under local anesthesia and considered to be a satisfactory procedure for treatment of leg ulcer in patients who are unfit for general anesthesia.

Authors+Show Affiliations

Department of General Surgery, Benha Faculty of Medicine, Zagazig University, Egypt.No affiliation info available

Pub Type(s)

Clinical Trial
Controlled Clinical Trial
Journal Article
Multicenter Study

Language

eng

PubMed ID

14968212

Citation

El-Hafez, Emad A., and Mohamed I. Seleem. "Saphenofemoral Ligation as a Safe and Effective Alternative for the Treatment of Chronic Venous Leg Ulcer." Saudi Medical Journal, vol. 25, no. 2, 2004, pp. 172-6.
El-Hafez EA, Seleem MI. Saphenofemoral ligation as a safe and effective alternative for the treatment of chronic venous leg ulcer. Saudi Med J. 2004;25(2):172-6.
El-Hafez, E. A., & Seleem, M. I. (2004). Saphenofemoral ligation as a safe and effective alternative for the treatment of chronic venous leg ulcer. Saudi Medical Journal, 25(2), 172-6.
El-Hafez EA, Seleem MI. Saphenofemoral Ligation as a Safe and Effective Alternative for the Treatment of Chronic Venous Leg Ulcer. Saudi Med J. 2004;25(2):172-6. PubMed PMID: 14968212.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Saphenofemoral ligation as a safe and effective alternative for the treatment of chronic venous leg ulcer. AU - El-Hafez,Emad A, AU - Seleem,Mohamed I, PY - 2004/2/18/pubmed PY - 2004/9/24/medline PY - 2004/2/18/entrez SP - 172 EP - 6 JF - Saudi medical journal JO - Saudi Med J VL - 25 IS - 2 N2 - OBJECTIVE: To evaluate the effectiveness and safety of isolated saphenofemoral junction ligation for the treatment of chronic venous leg ulcer in comparison to traditional stripping procedure. METHODS: Thirty six patients (28 men and 8 women) with mean age of 42.3 +/- 8.7, presented with a venous leg ulcer. After taking a full history, they underwent examination for presence of edema, cellulitis or local ulcer infection. The site and size of ulceration were recorded and ankle-brachial pressure index (ABPI) was measured. Venous color Doppler ultrasonography was performed and venous valvular incompetence was assessed using Valsalva test and calf compression. Patients were divided into 2 groups. Group I, (n=10) assigned for long saphenous stripping, while group II, (n=26) assigned for saphenofemoral ligation and divided combined with ligation of major tributaries under local infiltration anesthesia. Mean operative time, postoperative complications and hospital stay were recorded. The study was carried out in Benha University Hospital, Egypt and Armed Forces Hospital, Khamis Mushayt, Southern Region, Kingdom of Saudi Arabia, between January 2000 and December 2001. RESULTS: The mean operative time and the hospital stay were significantly (p<0.05) reduced in group II compared to group I. The postoperative complications were significantly (x2=7.5, p<0.05) reduced in group II. Ulcer healing started after 3 months in group II and 6 months in group I, but, by 12 months, group II had a significant (x2=6.7, p<0.05) number of healed ulcers (n=22, 84.6%), compared to group I (n=7, 70%). CONCLUSION: The isolated ligation of saphenofemoral junction is a minimally invasive, safe and effective modality for treatment of chronic leg ulcer, and being easily performed under local anesthesia and considered to be a satisfactory procedure for treatment of leg ulcer in patients who are unfit for general anesthesia. SN - 0379-5284 UR - https://www.unboundmedicine.com/medline/citation/14968212/Saphenofemoral_ligation_as_a_safe_and_effective_alternative_for_the_treatment_of_chronic_venous_leg_ulcer_ DB - PRIME DP - Unbound Medicine ER -