Surgical treatment of refractory venous stasis ulcer due to a severe impairment of calf muscle pump function: evaluation by air plethysmography. A case report.

Abstract:

:The authors encountered a forty-nine-year-old man with a lower limb ulcer refractory to intensive conservative therapy. No varicose vein was found anywhere, and the usual phlebographies and foot venous pressure measurement failed to diagnose it as a venous stasis ulcer. A direct phlebography method developed by the authors, in which a thin catheter is inserted into the deep vein, disclosed a reflux of the popliteal vein or a deep muscle branch from which an incompetent perforator arose toward the superficial vein above the ulcer. Air plethysmography (APG) showed a severe impairment of the calf muscle pump function. He underwent a subfascial ligation of two incompetent perforators together with a stripping of the great saphenous vein passing under the ulcer. Postoperatively, this ulcer was cured in an early phase, and the calf muscle pump function showed improvement in the APG.

journal_name

Angiology

journal_title

Angiology

authors

Sugimoto T,Okada M,Fukuoka M,Uematsu M,Yoshida M,Toyama H

doi

10.1177/000331979604701208

subject

Has Abstract

pub_date

1996-12-01 00:00:00

pages

1167-71

issue

12

eissn

0003-3197

issn

1940-1574

journal_volume

47

pub_type

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