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Long term results of compression therapy alone versus compression plus surgery in chronic venous ulceration (ESCHAR)
 — randomised controlled trial
Author(s)Manjit S Gohel, Jamie R Barwell, Maxine Taylor
Journal titleBritish Medical Journal, vol 335 no 7610, 14 July 2007
Pagespp 83-87
Sourcehttp://www.bmj.com
KeywordsLeg ulcer ; Therapy ; Surgery ; Clinical surveys ; Longitudinal surveys.
AnnotationThe effect of surgery and compression on healing and recurrence (ESCHAR) study aimed to assess outcomes for patients with chronic leg ulceration. This study of 500 patients (500 legs) with open or recently healed leg ulcers and superficial venous reflux found that healing rates over 3 years were 89% for the compression group and 93% for the compression plus surgery group. Rates of ulcer recurrence at 4 years were 56% for the compression group and 31% for the compression plus surgery group. Thus, surgical correction in addition to compression bandaging does not improve ulcer healing, but reduces the recurrence of ulcers at 4 years, and results in a greater proportion of ulcer-free time. (RH).
Accession NumberCPA-070809201 A
ClassmarkCRT: LO: LKA: 3G: 3J *

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