[Shave therapy for surgical treatment of persistent venous ulcer with large superficial dermatoliposclerosis].

Abstract

Ulcers in chronic venous insufficiency, especially in postthrombotic syndrome, are often resistant to compression therapy. They can be treated effectively by the dermatologic surgeon with a fairly simple operative procedure. The removal of the ulcer together with the extensive lipodermatosclerosis by Humby knife (shave-therapy) and immediate grafting with a meshed split skin graft-possibly in combination with ligation of insufficient perforator veins-yields very good success rates. The results in 13 patients (18 legs) with an average follow up period of 11 months (up to 20 months) are reported.

• Authors: W Schmeller, S Roszinski
• Journal: Der Hautarzt; Zeitschrift fur Dermatologie, Venerologie, und verwandte Gebiete (Hautarzt) Vol. 47 Issue 9 Pg. 676-81 (Sep 1996) ISSN: 0017-8470 [Print] Germany
• Vernacular Title: Shave-Therapie zur operativen Behandlung persistierender venöser Ulzera mit grossflächiger Dermatoliposklerose.
• PMID: 8999022 (Publication Type: English Abstract, Journal Article)

Topics

• Aged
• Aged, 80 and over
• Debridement (instrumentation)
• Female
• Follow-Up Studies
• Humans
• Lipomatosis (pathology, surgery)
• Male
• Middle Aged
• Postoperative Complications (pathology, surgery)
• Postphlebitic Syndrome (pathology, surgery)
• Recurrence
• Regional Blood Flow (physiology)
• Reoperation
• Scleroderma, Localized (pathology, surgery)
• Skin (blood supply, pathology)
• Skin Transplantation (pathology)
• Surgical Instruments
• Varicose Ulcer (pathology, surgery)