Journal of the American College of Certified Wound Specialists
Volume 1, Issue 1 , Pages 12-19 , January 2009

Venous Ulcers: New Options in Treatment: Minimally Invasive Vein Surgery

  • Honesto Poblete, MD

      Affiliations

    • Center for Vein Disease, Mt. Sinai School of Medicine, New York, NY, USA
    • Corresponding Author InformationCorresponding author.
    • ,
  • Steven Elias, MD

      Affiliations

    • Center for Vein Disease, Mt. Sinai School of Medicine, New York, NY, USA
    • Center for Vein Disease, Englewood Hospital and Medical Center, Englewood, NJ, USA

References 

  1. Hippocrates: De ulceribus and de carnibus. In:  Adams F editors. The Genuine Works of Hippocrates. London, England: Sydenham Society; 1849;p. 325–336
  2. Beebe HG, Bergan JJ, Bergqvist D, et al. Classification and grading of chronic venous disease in the lower limbs: A consensus statement. Eur J Vasc Endovasc Surg. 1996;12(4):487–491
  3. Eklof B, Rutherford RB, Bergan JJ, et al. Revision of the CEAP classification for chronic venous disorders: Consensus statement. J Vasc Surg. 2004;40(6):1248–1252
  4. Evans CJ, Fowkes FG, Ruckley CV, Lee AJ. Prevalence of varicose veins and chronic venous insufficiency in men and women in the general population: Edinburgh Vein Study. J Epidemiol Community Health. 1999;53(3):149–153
  5. Criqui MH, Jamosmos M, Fronek A, et al. Chronic venous disease in an ethnically diverse population: The San Diego Population Study. Am J Epidemiol. 2003;158(5):448–456
  6. McLafferty RB, Lohr JM, Caprini JA, et al. Results of the national pilot screening program for venous disease by the American Venous Forum. J Vasc Surg. 2007;45(1):142–148
  7. Barwell JR, Davies CE, Deacon J, et al. Comparison of surgery and compression with compression alone in chronic venous ulceration (ESCHAR study): Randomised controlled trial. Lancet. 2004;363(9424):1854–1859
  8. Coleridge Smith PD. Leg Ulcers. 3rd ed. London, England: Oxford University Press; 2005;
  9. Homans J. The operative treatment of varicose veins and ulcers, based on a classification of these lesions. Surg Gynecol Obstet. 1916;22:143–158
  10. Negus D, Friedgood A. The effective management of venous ulceration. Br J Surg. 1983;70:623–627
  11. MacKenzie RK, Ludlam CA, Ruckley CV, Allan PL, Burns P, Bradbury AW. The prevalence of thrombophilia in patients with chronic venous leg ulceration. J Vasc Surg. 2002;35(4):718–722
  12. Nicolaides AN, Hussein MK, Szendro G, Christopoulos D, Vasdekis S, Clarke H. The relation of venous ulceration with ambulatory venous pressure measurements. J Vasc Surg. 1993;17(2):414–419
  13. Elias SM, Frasier KL. Minimally invasive vein surgery: Its role in the treatment of venous stasis ulceration. Am J Surg. 2004;188(suppl 1A):26–30
  14. Marston W. Evaluation and treatment of leg ulcers associated with chronic venous insufficiency. Clin Plast Surg. 2007;34(4):717–730
  15. Cullum N, Nelson EA, Fletcher AW, Sheldon TA. Compression for venous leg ulcers. Cochrane Database Syst Rev. 2001;2:CD000265
  16. Gohel MS, Barwell JR, Taylor M, et al. Long term results of compression therapy alone versus compression plus surgery in chronic venous ulceration (ESCHAR): Randomised controlled trial. BMJ. 2007;335(7610):83
  17. Rautio T, Ohinmaa A, Perala J, et al. Endovenous obliteration versus conventional stripping operation in the treatment of primary varicose veins: a randomized controlled trial with comparison of the costs. J Vasc Surg. 2002;35(5):958–965
  18. Darwood RJ, Theivacumar N, Dellagrammaticas D, Mavor AI, Gough MJ. Randomized clinical trial comparing endovenous laser ablation with surgery for the treatment of primary great saphenous varicose veins. Br J Surg. 2008;95(3):294–301
  19. Puggioni A, Kalra M, Carmo M, Mozes G, Gloviczki P. Endovenous laser therapy and radiofrequency ablation of the great saphenous vein: Analysis of early efficacy and complications. J Vasc Surg. 2005;42(3):488–493
  20. Linton RR. The operative treatment of varicose veins and ulcers, based upon a classification of these lesions. Ann Surg. 1938;107:582–593
  21. Pierik EG, van Urk H, Hop WC, Wittens CH. Endoscopic versus open subfascial division of incompetent perforating veins in the treatment of venous leg ulceration: A randomized trial. J Vasc Surg. 1997;26(6):1049–1054
  22. Gloviczki P, Bergan JJ, Rhodes JM, Canton LG, Harmsen S, Ilstrup DM. Mid-term results of endoscopic perforator vein interruption for chronic venous insufficiency: Lessons learned from the North American subfascial endoscopic perforator surgery registry. The North American Study Group. J Vasc Surg. 1999;29(3):489–502
  23. Ciostek P, Myrcha P, Noszczyk W. Ten years experience with subfascial endoscopic perforator vein surgery. Ann Vasc Surg. 2002;16:480–487
  24. Ting AC, Cheng SW, Ho P, Wu LL, Cheung GC. Clinical outcomes and changes in venous hemodynamics after subfascial endoscopic perforating vein surgery. Surg Endosc. 2003;17(8):1314–1318
  25. Elias SM. Will SEPS be around in the next 5 years?. Miami, FL: Presented at: International Vein Conference; 2005;
  26. Hobbs JT. Surgery and sclerotherapy in the treatment of varicose veins: A random trial. Arch Surg. 1974;109(6):793–796
  27. Thibault PK, Lewis WA. Recurrent varicose veins. Part 2: Injection of incompetent perforating veins using ultrasound guidance. J Dermatol Surg Oncol. 1992;18(10):895–900
  28. Guex JJ. Ultrasound guided sclerotherapy (USGS) for perforating veins (PV). Hawaii Med J. 2000;59(6):261–262
  29. Roka F, Binder M, Bohler-Sommeregger K. Mid-term recurrence rate of incompetent perforating veins after combined superficial vein surgery and subfascial endoscopic perforating vein surgery. J Vasc Surg. 2006;44(2):359–363
  30. van Rij AM, Hill G, Gray C, Christie R, Macfarlane J, Thomson I. A prospective study of the fate of venous leg perforators after varicose vein surgery. J Vasc Surg. 2005;42(6):1156–1162
  31. Fegan WG. Continuous compression technique of injecting varicose veins. Lancet. 1963;2(7299):109–112
  32. Masuda EM, Kessler DM, Lurie F, Puggioni A, Kistner RL, Eklof B. The effect of ultrasound-guided sclerotherapy of incompetent perforator veins on venous clinical severity and disability scores. J Vasc Surg. 2006;43(3):551–556
  33. Guex JJ, Allaert FA, Gillet JL, Chleir F. Immediate and midterm complications of sclerotherapy: Report of a prospective multicenter registry of 12,173 sclerotherapy sessions. Dermatol Surg. 2005;31(2):123–128
  34. Bush RG, Derrick M, Manjoney D. Major neurological events following foam sclerotherapy. Phlebology. 2008;23(4):189–192
  35. Frullini A, Cavezzi A. Sclerosing foam in the treatment of varicose veins and telangiectases: History and analysis of safety and complications. Dermatol Surg. 2002;28(1):11–15
  36. Whiteley MS, Price BA, Scott MJ. Radiofrequency ablation of refluxing great saphenous systems, Giacomini veins, and incompetent perforating veins using VNUS closure and TRLOP technique. Phlebology. 2003;18:52
  37. Chang DW, Levy D, Hayashi RM, et al. Percutaneous catheter treatment of perforating vein incompetence using ultrasound guided radiofrequency ablation. Paper presented at: annual meeting of the Society for Clinical Vascular Surgery, Coral Gables, FL. 2005;
  38. Lumsden A, Chang D, Peden E, et al. Ultrasound-guided percutaneous radiofrequency obliteration of perforating vein incompetence. Paper presented at: annual meeting of the Society for Clinical Vascular Surgery, Las Vegas, NV. March 2006;
  39. Proebstle TM, Herdemann S. Early results and feasibility of incompetent perforator vein ablation by endovenous laser treatment. Dermatol Surg. 2007;33(2):162–168
  40. Kabnick L. Perforator vein treatment. In: Vein Meeting Uncasville, CT. 2006 June.
  41. Elias S, Peden E. Ultrasound-guided percutaneous ablation for the treatment of perforating vein incompetence. Vascular. 2007;15(5):281–289
  42. Murphy R: Comparison of radiofrequency and laser for perforator treatment. Paper presented at: American College of Phlebology. Presented November 2006.
  43. Neglen P. Chronic deep venous obstruction: Definition, prevalence, diagnosis, management. Phlebology. 2008;23(4):149–157
  44. Teebken OE, Puschmann C, Aper T, Haverich A, Mertsching H. Tissue-engineered bioprosthetic venous valve: A long-term study in sheep. Eur J Vasc Endovasc Surg. 2003;25(4):305–312

PII: S1876-4983(08)00007-6

doi: 10.1016/j.jcws.2008.10.004

Journal of the American College of Certified Wound Specialists
Volume 1, Issue 1 , Pages 12-19 , January 2009

Article Tools

* Image Usage & Resolution