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Angiology
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0003319709332901v1
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The Difficult Venous Ulcer: Case Series of 177 Ulcers Referred for Vascular Surgical Opinion Following Failure of Conservative Management

S.K. Neequaye, BSc, MSc, MRCS

Nuffield Department of Surgery, Oxford Radcliffe Hospital, Headley Way, Headington, Oxford, United Kingdom, s_neequaye@ yahoo.com

A.D. Douglas, BA BMBCh.

Nuffield Department of Surgery, Oxford Radcliffe Hospital, Headley Way, Headington, Oxford, United Kingdom

D. Hofman, RN, BA (Hons)

Nuffield Department of Surgery, Oxford Radcliffe Hospital, Headley Way, Headington, Oxford, United Kingdom

M. Wolz, BS, JD

Nuffield Department of Surgery, Oxford Radcliffe Hospital, Headley Way, Headington, Oxford, United Kingdom

R. Sharma, BA BMBCh.

Nuffield Department of Surgery, Oxford Radcliffe Hospital, Headley Way, Headington, Oxford, United Kingdom

R. Cummings, BA BMBCh

Nuffield Department of Surgery, Oxford Radcliffe Hospital, Headley Way, Headington, Oxford, United Kingdom

L. Hands, MS FRCS

Nuffield Department of Surgery, Oxford Radcliffe Hospital, Headley Way, Headington, Oxford, United Kingdom

Venous leg ulcers are common, chronic, debilitating, and expensive. Evidence supports use of compression bandaging, with superficial venous surgery in selected cases, but these interventions frequently fail to achieve healing. We describe a series of 152 consecutive referrals from a nurse-led specialist dermatology clinic to a vascular surgical service; a group posing particularly challenging problems. This observational study, with median follow-up of 18 months, describes outcomes in a number of important clinically identifiable subgroups. Its findings may assist service planning and discussion of the surgical role within multidisciplinary ulcer management.

Key Words: venous ulcer • mixed arteriovenous • chronic

This version was published on August 1, 2009

Angiology, Vol. 60, No. 4, 492-495 (2009)
DOI: 10.1177/0003319709332901
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