When is ligation contraindicated for the treatment of venous insufficiency?

Updated: Oct 22, 2018
  • Author: Robert Weiss, MD; Chief Editor: William D James, MD  more...
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Answer

Simple ligation and division of the incompetent vessels is not an effective way of treating failed perforating vessels, because this procedure is associated with a high incidence of early recurrence of reflux when it is applied to the GSV.

Skin grafts do not survive for very long unless the venous insufficiency has been treated, and after the venous insufficiency is ablated, the ulcer usually heals quickly, even without grafting.


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