Abstract
Objective: Incompetent perforator veins (IPVs) are encountered frequently during ultrasound assessment of the venous system in chronic venous disease (CVD). The total number of IPVs increases substantially with the severity.1,2 Some studies have shown that concomitant treatment of truncal and perforator incompetence improves ulcer healing,3,4 yet a Cochrane review was unable to determine the potential benefits of perforator surgery in venous ulcer management due to poor quality evidence.5 This study aims to establish the exact role of concomitant IPV and truncal reflux treatment in patients with CVD.
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