Duplex Guided Injection Foam Sclerotherapy for Incompetent Perforators Combined with Skin Grafting in Venous Leg Ulcer.
El-Mahdi, A., Youssef, M., Khalifa, W., Mahmoud, B., Elsayed, A. (2024). Duplex Guided Injection Foam Sclerotherapy for Incompetent Perforators Combined with Skin Grafting in Venous Leg Ulcer.. EKB Journal Management System, 17(3), 214-222. doi: 10.21608/asjs.2024.368114
Ahmed Mohamed El-Mahdi; Mahmoud Amir Youssef; Wael Omar Khalifa; Barakat Abd-Elrahem Mahmoud; Ahmed M. A. Elsayed. "Duplex Guided Injection Foam Sclerotherapy for Incompetent Perforators Combined with Skin Grafting in Venous Leg Ulcer.". EKB Journal Management System, 17, 3, 2024, 214-222. doi: 10.21608/asjs.2024.368114
El-Mahdi, A., Youssef, M., Khalifa, W., Mahmoud, B., Elsayed, A. (2024). 'Duplex Guided Injection Foam Sclerotherapy for Incompetent Perforators Combined with Skin Grafting in Venous Leg Ulcer.', EKB Journal Management System, 17(3), pp. 214-222. doi: 10.21608/asjs.2024.368114
El-Mahdi, A., Youssef, M., Khalifa, W., Mahmoud, B., Elsayed, A. Duplex Guided Injection Foam Sclerotherapy for Incompetent Perforators Combined with Skin Grafting in Venous Leg Ulcer.. EKB Journal Management System, 2024; 17(3): 214-222. doi: 10.21608/asjs.2024.368114

Duplex Guided Injection Foam Sclerotherapy for Incompetent Perforators Combined with Skin Grafting in Venous Leg Ulcer.

Ain Shams Journal of Surgery
Volume 17, Issue 3, July 2024, Page 214-222  XML PDF (501.75 K)
Document Type: Original Article
DOI: 10.21608/asjs.2024.368114
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Authors
Ahmed Mohamed El-Mahdi1; Mahmoud Amir Youssef* 2; Wael Omar Khalifa2; Barakat Abd-Elrahem Mahmoud3; Ahmed M. A. Elsayed1
1Vascular Surgery Department, Faculty of Medicine, Helwan University, Egypt
2General Surgery Department, Faculty of Medicine, Helwan University, Egypt
3Plastic Surgery Department, Faculty of Medicine, Helwan University, Egypt
Abstract
of chronic venous insufficiency.
Aim of work: To evaluate the clinical efficacy of duplex-guided foam sclerotherapy combined with skin graft.
Patients and methods: This prospective follow-up (cohort) study was conducted on 20 patients with venous
leg ulcers and incompetent perforator veins who were referred to the Vascular and Plastic Surgery Department at
Helwan University Hospitals.
Results: The mean percentage of healing in the ulcer surface area post-injection was 82.5% after 1 week; this
was reduced to 79.5% and 81.5% after 2 and 4 weeks, respectively. The total mean size of the ulcer was 5.60 ±
14.73 cm². These changes in the size of the ulcer were significantly different (p<0.001). At the last follow-up visit,
17 patients (85%) were still ulcer-free, while three ulcers (15%) recurred. After 6 months, all perforator veins were
ablated in 90% of patients, while multiple perforators showed reflux in two (10%) patients. Half of the patients
encountered complications.
Conclusion: Duplex-guided sclerotherapy with skin grafting is a simple procedure without suffering from
compression therapy or daily dressing. Also, the patient can return home after 1 day with the ability to do daily
work, and the sick leave period is a maximum 1 week. So, the evident success of this procedure and its relative
freedom from serious complications make it one of the most important lines of treatment for venous ulcers,
especially large ulcers.
Keywords
Venous leg ulcer; duplex guided injection sclerotherapy; skin grafting
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