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

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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?


Embedded ImageDesign:

randomised controlled trial.

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Embedded ImageFollow 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.

Embedded ImageSetting:

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

Embedded ImagePatients:

500 patients (58% women) who had open venous ulceration (68% of patients) or recently healed (⩽6 mo) …

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  • For correspondence: Dr J R Barwell, Department of Vascular Surgery, Cheltenham General Hospital, Cheltenham, UK.

  • Sources of funding: National Health Service Executive South and West Research and Development Directorate; Southmead Hospital Research Foundation; Surgical Club of the southwest of England.