Surgical management of refractory venous stasis ulceration

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Presentation transcript:

Surgical management of refractory venous stasis ulceration Dolores F. Cikrit, M.D., W.Kirt Nichols, M.D., Donald Silver, M.D.  Journal of Vascular Surgery  Volume 7, Issue 3, Pages 473-478 (March 1988) DOI: 10.1016/0741-5214(88)90465-X Copyright © 1988 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 1 Subfascial dissection continues anteriorly to edge of tibia and posteriorly until the lesser saphenous vein is included in the dissection. Journal of Vascular Surgery 1988 7, 473-478DOI: (10.1016/0741-5214(88)90465-X) Copyright © 1988 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 2 Second plane of dissection is developed in the subcutaneous tissue and extends anteriorly and posteriorly to the previous dissection margins. The fascia and attached subcutaneous tissue are excised. Journal of Vascular Surgery 1988 7, 473-478DOI: (10.1016/0741-5214(88)90465-X) Copyright © 1988 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions