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Evid Based Nurs 7:113 doi:10.1136/ebn.7.4.113
  • Treatment

Superficial venous surgery plus compression reduced ulcer recurrence in chronic venous leg ulceration


 
 Q In patients with chronic venous leg ulceration, is superficial venous surgery plus compression more effective than compression alone for improving healing and reducing recurrence of ulcers?

METHODS

GraphicDesign:

randomised controlled trial.

GraphicAllocation:

concealed.

GraphicBlinding:

unblinded

GraphicFollow up period:

median follow up was 14 months (range 10–23 mo), comprising time from randomisation to healing (for patients with open ulcers) and from healing to recurrence or 12 months.

GraphicSetting:

3 leg ulcer clinics in Gloucestershire and north Bristol, UK.

GraphicPatients:

500 patients (58% women) who had open venous ulceration (68% of patients) or recently healed (⩽6 mo) venous ulceration (32% of patients) between the knee and malleoli for >4 weeks, ankle brachial pressure index >0.85, and superficial venous reflux alone or mixed …

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