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Abstract

The article presents the definition of venous ulcers as the terminal stage of chronic venous insufficiency. The medical,
socioeconomic, and epidemiological significance of this disease is discussed. The theories of the origin of venous
ulcerations are presented, as well as original etiopathogenic concepts. It has been found that there are two types of venous
ulcers caused by surface and perforator insufficiency (which are less extensive and have satisfactory therapeutic results),
and ulcers due to reflux or obstruction of the deep system (which are accompanied by more severe microcirculatory and
tissue changes and are refractory to most known therapeutic agents). The use of individual therapeutic modalities is
presented (local and general measures, compression bandaging, and medicamentous and surgical therapy). Data on the
results and indications for surgical treatment are also presented (crossectomy, stripping of surface trees, ligation and
other procedures on insufficient perforators, saphenopopliteal anastomosis, femoro-femoral crossover anastomosis,
interposition of venous trees, and other interventions on deep veins). The immediate and remote results of treatment
depend on the etiological assessment of the disease and precise indication criteria.

Keywords: venous ulcers, etiology, diagnosis, clinical state, treatment

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60 DOI: 10.5937/Galmed2306054M