Surgical Treatment of Post Phlebitic Syndrome

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Abstract
Sequelae of deep vein thrombophlebitis, such as post phlebitic syndrome with or without ulceration, can be treated by direct surgery on the valve. Present surgical treatment of stasis ulcer includes removal of the incompetent communicating veins with excision of the ulcer and skin graft. This procedure is usually associated with a high incidence of leg ulcer among the patients with an incompetent deep venous system. Experimental studies to restore venous valve function, such as autogenous vein valve transplant, valvoplasty, homologous vein transplant and synthetic valve procedures, have been tried. It has been shown that the patency rate with autogenous vein graft is higher than with other procedures. The authors have operated on ten patients utilizing autogenous vein valve from the upper extremities to restore a normal functioning venous system of the distal leg. Data on pre- and post-operative, non-invasive, and ascending and descending venography with the results of surgery will be presented and discussed.