Venous Ulcers

Dr. Cynthia K. Shortell is a Professor of Surgery, Chief of Vascular and Endovascular Surgery, and Executive Vice Chair for the Department of Surgery at Duke University Medical Center. With Dr. John Bergan, Dr. Shortell was an editor for the 1st edition of Venous Ulcers book. For decades, Dr. Shortell has worked relentlessly to advance the management of patients with venous ulcers as well as in education and research. Dr. Shortell served as the Director of Duke University Vein Center, the Leader of Duke University Congenital Vascular Anomalies Team, the Medical Director of Duke University Vascular Non-Invasive Laboratory, Chair for Appointments, Tenure and Promotions Committee at Duke Medical Center, and Director of the Vascular Surgery Fellowship Program at Duke University School of Medicine. Nationally, Dr. Shortell holds distinguished recognition as Associate Editor of the Journal of Vascular Surgery and is an elected member of many national and international societies and organizations, including the Society for Vascular Surgery, the American Venous Forum, the American College of Phlebology, and the International Society of Surgery.

SECTION I.
ETIOLOGY AND INITIAL EVALUATION OF THE PATIENT WITH CHRONIC VENOUS INSUFFICIENCY
Inflammation and the Pathophysiology of Chronic Venous Disease: Molecular Mechanisms
Microcirculation in Chronic Venous Insufficiency
Epidemiology of Venous Ulcers
Lower Extremity Ultrasound Evaluation and Mapping for evaluation of chronic venous disease
Hypercoagulable States Associated with Chronic Venous Insufficiency
The Chronically Swollen Leg: Finding the Cause - Theory and Practice
SECTION II.
NON-OPERATIVE MANAGEMENT OF CHRONIC VENOUS INSUFFICIENCY
Compression Therapy of Chronic Venous Insufficiency
Wound Healing Adjuvant Therapy and Treatment Adherence
Negative Pressure Dressings in Venous Ulcers
Deep Venous Thrombosis and Prevention of the Post-Thrombotic Syndrome
SECTION III.
THERAPUTIC PROCEDURES FOR CHRONIC VENOUS INSUFFICIENCY
Results Comparing Compression Alone vs. Compression and Surgery in Treating Venous Ulceration
Superficial Surgery and Perforator Interruption in the Treatment of Venous Leg Ulcers
Endovascular Techniques for Superficial Vein Ablation in Treatment of Venous Ulcers
Treatment of Chronic Venous Insufficiency with Foam Sclerotherapy
Foam Treatment of Venous Leg Ulcers, the Initial Experience
Foam Treatment of Venous Leg Ulcers, a Continuing Experience
Ultrasound Guidance for Endovenous Treatment
Repair of Venous Valves in Severe Chronic Venous Insufficiency
SECTION IV.
SPECIAL TOPICS
Treatment of venous and combined ulcers with free tissue transfer for limb salvage
Diagnosis and Treatment of Major Venous Obstruction in Chronic Venous Insufficiency
The Venous Ulcer and Arterial Insufficiency
Topical negative pressure techniques in chronic leg ulcers
A Treatment Algorithm for Venous Ulcer: Current Guidelines
EPILOGUE