Category Archives: Venous Ulcers

Pathogenesis of the venous ulcer

Venous ulcers are an infrequent complication of prolonged venous hypertension and are a considerable burden to health resources. Approximately 10% are painless and do not interfere with the patient’s quality of life. Treating the superficial venous reflux often results in a cure but re-ulceration is possible in the absence of interference from deep axial reflux… Read More »

Shaving venous ulcers

Recalcitrant ulcers in the ambulant patient are those which do not heal after all the conventional treatments have been exhausted. These include the abolition of reflux sources and the diligent use of compression bandaging. In these cases there are two invasive options: shaving and fasciectomy. Shaving involves tangential paring of the ulcer down to fresh… Read More »