Management of venous ulcer disease

BMJ (Online)

Volumn 341, Issue 7782, 2010, Pages 1092-1096

  Van Gent, Wijnand Bert ^a   Wilschut, Esther Dorine ^a   Wittens, Cees ^b  

^a GROENE HART HOSPITAL   (Netherlands)

^b MAASTRICHT UNIVERSITY   (Netherlands)

Author keywords

[No Author keywords available]

Indexed keywords

ABLATION THERAPY; BED REST; CLINICAL EXAMINATION; COMPRESSION THERAPY; CONSERVATIVE TREATMENT; DISEASE CLASSIFICATION; HEALTH CARE COST; HEALTH CARE FINANCING; HUMAN; LEG ULCER; POPULATION RESEARCH; PRIORITY JOURNAL; REVIEW; SKIN SURGERY; VEIN PERFORATION; VEIN RECONSTRUCTION; VENOUS CIRCULATION; WOUND DRESSING;

COMPRESSION BANDAGES; HUMANS; LEG; MEDICAL HISTORY TAKING; PHYSICAL EXAMINATION; VARICOSE ULCER; VENOUS INSUFFICIENCY;

EID: 78449299427     PISSN: None     EISSN: 17561833     Source Type: Journal    
DOI: 10.1136/bmj.c6045     Document Type: Review

References (28)

1. Callam MJ, Ruckley CV, Harper DR, Dale JJ. Chronic ulceration of the leg: extent of the problem and provision of care. BMJ 1985;290:1855-6.
2. Ghauri AS, Taylor MC, Deacon JE, Whyman MR, Earnshaw JJ, Heather BP, et al. Influence of a specialized leg ulcer service on management and outcome. Br J Surg 2000;87:1048-56.
3. Bergan JJ, Schmid-Schönbein GW, Coleridge Smith PD, Nicolaides AN, Boisseau MR, Eklof B. Chronic venous disease. N Engl J Med 2006;355:488-98.
4. Nelzen O. Leg ulcers: economic aspects. Phlebology 2000;15:110-4.
5. Phillips T, Stanton B, Provan A, Lew L. A study of the impact of leg ulcers on quality of life: financial, social, and psychological implications. J Am Acad Dermatol 1994;31:49-53. (Pubitemid 24198162)
6. Purwins S, Herberger K, Debus ES, Rustenbach SJ, Pelzer P, Rabe E, et al. Cost-of-illness of chronic leg ulcers in Germany. Int Wound J 2010;7:97-102.
7. Homans J. The etiology and treatment of varicose ulcer of the leg. Surg Gynecol Obstet 1917;24:300-11.
8. Burnand KG, Whimster I, Naidoo A, Browse NL. Pericapillary fibrin deposition in the ulcer bearing skin of the lower limb: the cause of lipodermatosclerosis and venous ulceration. BMJ 1982;285:1071-2.
9. Etufugh CN, Philips TJ. Venous ulcers. Clin Dermatol 2007;25:121-30.
10. Pappas PJ, Lal BK, Ohara N, Saito S, Zapiach L, Durán WN. Regulation of matrix contraction in CVI patients. Eur J Endovasc Surg 2009;38:518-29.
11. Reichenberg J, Davis M. Venous ulcers. Semin Cutan Med Surg 2005;24:216-26.
12. Coleridge-Smith P, Labropoulos N, Partsch H, Myers K, Nicolaides A, Cavezzi A. Duplex ultrasound investigation of the veins in chronic venous disease of the lower limbs-UIP concensus document. Part I. Basic principles. Eur J Vasc Endovasc Surg 2006;31:83-92. (Pubitemid 43024989)
13. Pierik EG, Toonder IM, van Urk H, Wittens CH. Validation of duplex ultrasonography in detecting competent and incompetent perforating veins in patients with venous ulceration of the lower leg. J Vasc Surg 1997;26:49-52.
14. Wilkinson EJ, Hawke CC. Oral zinc for arterial and venous leg ulcers. Cochrane Database Syst Rev 2000;2:CD001273.
15. O'Meara S, Al-Kurdi D, Ologun Y, Ovington LG. Antibiotics and antiseptics for venous leg ulcers. Cochrane Database Syst Rev 2010;1:CD003557.
16. Nelson EA, Bell-Syer SEM, Cullum NA, Webster J. Compression for preventing recurrence of venous ulcers. Cochrane Database Syst Rev 2000;4:CD002303.
17. O'Meara S, Tierney J, Cullum N, Bland JM, Franks PJ, Mole TC, et al. Four layer bandage compared with short stretch bandage for venous leg ulcers: systematic review and meta-analysis of randomised controlled trials with data from individual patients. BMJ 2009;338:b1.
18. Amsler F, Willenberg T, Blättler W. In search of optimal compression therapy for venous leg ulcers: a meta-analysis of studies comparing diverse [corrected] bandages with specifically designed stockings. J Vasc Surg 2010;51:289.
19. Mayberry JC, Moneta GL, Taylor LM Jr, Porter JM. Fifteen-year results of ambulatory compression therapy for chronic venous ulcers. Surgery 1991;109:575-81.
20. O'Meara S, Cullum NA, Nelson EA. Compression for venous leg ulcers. Cochrane Database Syst Rev 2009;1:CD000265.
21. Palfreyman SSJ, Nelson EA, Lochiel R,Michaels JA. Dressings for healing venous leg ulcers. Cochrane Database Syst Rev 2006;3:CD001103.
22. Gohel MS, Barwell JR, Taylor M, Chant T, Foy C, Earnshaw JJ, et al. Long term results of compression therapy alone versus compression plus surgery in chronic venous ulceration (ESCHAR): randomised controlled trial. BMJ 2007;335:55-6.
23. Tenbrook JA, Iafrati MD, O'Donnell TF, Wolf MP, Hoffman SN, Pauker SG, et al. Systematic review of outcomes after surgical management of venous disease incorporating subfascial endoscopic perforator surgery. J Vasc Surg 2004;39:583-9.
24. Bianchi C, Ballard JL, Abou-Zamzam AM, Teruya TH. Subfascial endoscopic perforator vein surgery combined with saphenous vein ablation: results and critical analysis. J Vasc Surg 2003;38:67-71. (Pubitemid 41123289)
25. Ting AC, Cheng SW, Ho P, Poon JT, Wu LL, Cheung GC. Reduction in deep vein reflux after concomitant subfascial endoscopic perforating vein surgery and superficial vein ablation in advanced primary chronic venous insufficiency. J Vasc Surg 2006;43:546-50.
26. 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;44:359-63.
27. Van Gent WB, Hop WC, van Praag MC, Mackaay AJ, de Boer EM, Wittens CH.Conservative versus surgical treatment of venous leg ulcers: a prospective, randomized, multicenter trial. J Vasc Surg 2006;44:563-71.
28. Nelzen O, Fransson I. True long-term healing and recurrence of venous leg ulcers following SEPS combined with superficial venous surgery: a prospective study. Eur J Vasc Endovasc Surg 2007;34:605-12. (Pubitemid 47500802)