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Comparison of Surgery and Compression with Compression Alone in Chronic Venous Ulceration (ESCHAR study): Randomised Controlled Trial

Mayo Medical School and Gonda Vascular Center, Mayo Clinic, Minneapolis, MN.

The authors conducted a study to assess healing and recurrence rate of venous leg ulceration after treatment with compression. with or without surgery, in patients with leg ulceration. Pati ents with isolated superficial venous reflux and mixed superficial and deep reflux were allocated to compression treatment alone or in combination with superficial venous surgery. Compression consisted of multilayer compression bandaging until healing and then class 2 stockings. Healing rates were similar in the both groups, but 12-month ulcer recurrence rates were significantly reduced in the compression and surgery group. The authors concluded that most patients with chronic venous ulceration will benefit from the addition of simp.e venous surgery.

Key Words: venous leg ulceration • compression! superficial • venous surgerj

Perspectives in Vascular Surgery and Endovascular Therapy, Vol. 17, No. 3, 275-1-276 (2005)
DOI: 10.1177/153100350501700324


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