Venous stasis ulceration. Effectiveness of subfascial ligation
W. C. Johnson, E. T. O'Hara, C. Corey, W. C. Widrich and D. C. Nabseth
Forty-seven extremities with recurrent venous ulceration were treated by
subfascial ligation of incompetent perforating veins. The limbs were
observed for an average of 8.5 years (range, 0.5 to 13 years). The risk for
recurrence was 22%, 41%, and 51% at 1, 3, and 5 years, respectively.
Patients with bilateral ulceration or prior venous ligation were at the
highest risk for recurrence, while those with prior excision of prominent
varicose veins had a reduced risk. There has been no loss of limbs or life
secondary to this venous problem during the 398 cumulative years of
observation.
