Venous Stasis Ulcer Treatment
Venous stasis ulcers usually occur along the inner aspect of the leg around the ankle. They are associated with brownish discoloration of the calf and ankles, swelling of the lower legs and clots in the deep veins. There are many reasons for venous ulcers to form but, most commonly, they are due to leaking valves (reflux) in the saphenous vein system or perforating vein system. This is usually treated by first performing a comprehensive venous ultrasound, followed by sealing the leaking valves with a combination of laser/radio frequency closure and/or ultrasonic directed perforator sclerotherapy. Frequently compression bandages (Unna Boots) are applied to aid in healing. Less frequently a procedure called SEPS (subfascial endoscopes perforator surgery) is done to tie the leaking perforator veins.