Surgical Management of Venous Stasis Disease: An Update

Kerstein, Morris D.
March 1979
Angiology;Mar1979, Vol. 30 Issue 3, p178
Academic Journal
The article focuses on surgical management of venous stasis disease. The pathophysiology of venous leg ulcers is related to incompetent valves secondary to stasis, intimal disruption, or hypercoagulability. The management of leg ulcers of venous origin begins with patient cooperation. Bed rest, leg elevation and local care should relieve pain and initiate healing. This can be facilitated or managed on an outpatient basis by using an Unna's boot. Superficial varicosities should be ligated and stripped and perforators identified by venography should be ligated and divided subfascially.


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