Surgical management of venous leg ulcers

INTRODUCTION The management of chronic venous leg ulcers must include three strategies: (i) treatment of the underlying disease whenever possible and indicated (e.g., surgical treatment of superfi cial venous refl ux due to varicose veins); (ii) local wound care; and (iii) compression therapy (especially in the presence of deep venous refl ux and/or edema).