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Surgical management of chronic venous insufficiency.
Acta Chir Scand Suppl. 1988; 544:62-8.AC

Abstract

Chronic venous insufficiency is a pathologic condition of the skin and subcutaneous tissues in the lower extremity caused by stasis of the blood flow. Incompetency or failure of the venous valves results in reflux and ambulatory venous hypertension, which is more severe with deep than with superficial venous incompetency. Superficial chronic venous insufficiency (varicose veins) is effectively managed with ligation and stripping of incompetent perforator and superficial veins to restore normal venous physiology. Deep chronic venous insufficiency (postphlebitic leg) presents a widespread pathologic disorder that is refractory to surgical correction. Adjunctive surgical measures such as removal of incompetent perforators or superficial veins to lessen local stasis or skin grafting of ulcers are often indicated in selected cases. The underlying chronic venous insufficiency requires management with elastic compression, elevation of the legs, and exercise for best results.

Authors+Show Affiliations

Department of Surgery, Mayo Clinic, Rochester, Minnesota 55905.

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

3051827

Citation

Löfgren, K A.. "Surgical Management of Chronic Venous Insufficiency." Acta Chirurgica Scandinavica. Supplementum, vol. 544, 1988, pp. 62-8.
Löfgren KA. Surgical management of chronic venous insufficiency. Acta Chir Scand Suppl. 1988;544:62-8.
Löfgren, K. A. (1988). Surgical management of chronic venous insufficiency. Acta Chirurgica Scandinavica. Supplementum, 544, 62-8.
Löfgren KA. Surgical Management of Chronic Venous Insufficiency. Acta Chir Scand Suppl. 1988;544:62-8. PubMed PMID: 3051827.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Surgical management of chronic venous insufficiency. A1 - Löfgren,K A, PY - 1988/1/1/pubmed PY - 1988/1/1/medline PY - 1988/1/1/entrez SP - 62 EP - 8 JF - Acta chirurgica Scandinavica. Supplementum JO - Acta Chir Scand Suppl VL - 544 N2 - Chronic venous insufficiency is a pathologic condition of the skin and subcutaneous tissues in the lower extremity caused by stasis of the blood flow. Incompetency or failure of the venous valves results in reflux and ambulatory venous hypertension, which is more severe with deep than with superficial venous incompetency. Superficial chronic venous insufficiency (varicose veins) is effectively managed with ligation and stripping of incompetent perforator and superficial veins to restore normal venous physiology. Deep chronic venous insufficiency (postphlebitic leg) presents a widespread pathologic disorder that is refractory to surgical correction. Adjunctive surgical measures such as removal of incompetent perforators or superficial veins to lessen local stasis or skin grafting of ulcers are often indicated in selected cases. The underlying chronic venous insufficiency requires management with elastic compression, elevation of the legs, and exercise for best results. SN - 0301-1860 UR - https://www.unboundmedicine.com/medline/citation/3051827/Surgical_management_of_chronic_venous_insufficiency_ DB - PRIME DP - Unbound Medicine ER -