SHAVE THERAPY IS A SIMPLE, EFFECTIVE TREATMENT OF PERSISTENT VENOUS LEG ULCERS

Background: Leg ulcers in deep venous insufficiency, especially the po stthrombotic type, are often resistant to therapy. Objective: The purp ose of this study was to evaluate short-term and long-term effects of shave therapy in persistent or recurrent venous ulcers. Methods: From January 1994 to October 1997, 80 patients with 105 chronic leg ulcers were treated by shave therapy. This method involved removing ulcers to gether with the surrounding lipodermatosclerosis and covering the woun ds with meshed split-skin graft. Fifty-nine patients with 76 ulcers we re examined after 3 months for assessment of shortterm results. The fi rst 18 patients with 26 ulcers from the years 1994 and 1995 were evalu ated for long-term results. Results: The short-term healing rate after 3 months in 59 patients was 79%. Of 8 patients from 1995 (follow-up p eriod, 1 year and 8 months), 7 patients had complete healing and 1 pat ient had a small ulcer. Of 10 patients from 1994 (average follow-up pe riod, 2 years and 8 months), 8 patients had complete healing and 2 pat ients showed small superficial ulcerations within the transplanted are as. From these results, a long-term healing rate of 88% was calculated in 18 patients. Two of the 3 patients with recurrences had stopped co mpression therapy after good short-term results. Conclusion: For patie nts with recalcitrant leg ulcers in deep venous insufficiency and/or p ostthrombosis, shave therapy is a simple, quick, and effective surgica l method with favorable short-term and long-term results.