Mum, 64, has vascular ulcer for 5 yrs on left inner ankle. venous doppler says incompetent perforations above ulcer. adviced injection. will it work?

Venous ulcers: Controlling venous hypertension with minimally invasive surgical techniques such as; laser, radiofrequency ablation, and ultrasound-guided foam sclerosant injections, have shown success in closing incompetent perforator veins that are frequently found in or near the ulcer bed. This approach will shorten ulcer healing time and reduce recurrence rates as well as patient suffering and expense.

Possible: Proper assessment should have included arterial assessment. Assuming that she adequate flow to heal the ulcer, appropriate debridements and dressings that maintain a moist environment for healing, as well as growth factor such as apligraf should be used. Then, compression hose with 30-40mmhg .Now, if all is done, and if she has saphenous venous reflux this should be ablated before perf orators.

Surgery for Venous: This may be correct. May sure that you are going to a vascular surgeon that works on venous disease frequently. Now some vascular surgeons are just specializing in vein disease. If any doubts, seek an second opinion.

Eliminate reflux.: Venous ulcers are the result of venous hypertension due to reflux (leaking) of the valves in the saphenous system and subsequent leaking of the perforator valves(feeding veins to the ulcer). The first step in the treatment is to close any leaking valves in the saphenous system followed by closing the perforator valves. This can be done by injection but laser closure would be better.

Depends on cause : Short answer possibly along with making sure the arterial blood flow is acceptable for healing the ulcer along with the combination of multilayered compression dressings combined with good wound care products.