BacksJround : Leg ulcer caused by chronic venous insul'llciency (CVI) remain a theraputtc dilemma. (CVI) effects roughly 3-4% of USA popula­tion and 10% of these patients ulti­mately have venous ulceration. (CVU) is one off the major problems com­monly encountered in medical prac­tice/ a d occur in more than 50% of the vectimes of DVT within 10 years of the orginal attack.
Objectives : To assess the effec­tiveness of different modalities of treatment of chronic venous leg ulcer.
Patients and methods : A total of 40 patients with 40 limbs of chronic venous leg ulcer were randomly as­signed to one of two groups as follow­ing (group-A) 20 patients with 20
limbs, ]6 male 4 female mean age 40 years, 6 post phlebitic and 14 were primary managed conservatively by leg elevation, ulcer depridement, anti­biotics according to culture and sen-setivity, venotonic medication, four layer elastic complessioll bandage with weekly dressing, their hospital stay rallges between 3-4 weeks.(group-B) 20 patients with 20 limbs, 15 males female, mean age 40 years, I post phlebitic and 19 were pri­mary managed surgically by Tren-dlenburge's operation, stripping of LSV and/ol SSV, subfascial perfora­tors ligation, partial skin graft, their hospital stay ranges between 1-2 weeks.
Results : After one year follow up (group-A); 19 (95%) patients showed complete ulcer healing and 6 (3 0%)