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- W2107244625 abstract "The purpose of this study was to evaluate the long-term effects of shave therapy in non-healing venous leg ulcers. Forty-one patients with 75 recalcitrant leg ulcers caused by primary deep vein incompetence or post-thrombotic syndrome were operated by shave therapy (removal of ulcer and surrounding lipodermatosclerosis with a Schink skin-grafting knife and covering of the wounds with meshed split-thickness skin grafts). After an average follow-up period of 2 years and 5 months all patients were evaluated for long-term results. The healing rate of ulcers classified as non-healing was 67% (50 of 75 ulcers). The healing rate was 76% for ulcers associated with primary deep vein incompetence and 58% for ulcers associated with post-thrombotic syndrome (p = 0.08). Even in cases with recurrence (33%) these ulcers were strikingly reduced by 80-90% of their original size. Hypaesthesia was noticed in 38% of the transplanted areas. In non-healing venous leg ulcers due to deep venous insufficiency shave therapy yields favourable long-term results. Because it is only a symptomatic treatment which does not reduce the pathological refluxes, continuous compression of the lower leg is important." @default.
- W2107244625 created "2016-06-24" @default.
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- W2107244625 date "2000-09-20" @default.
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- W2107244625 title "Surgical Removal of Ulcer and Lipodermatosclerosis Followed by Split-Skin Grafting (Shave Therapy) Yields Good Long-term Results in Non-healing Venous Leg Ulcers" @default.
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- W2107244625 doi "https://doi.org/10.1080/000155500750012144" @default.
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