Hindawi Publishing Corporation Case Reports in Vascular Medicine Volume 2012, Article ID 315147, 2 pages doi:10.1155/2012/315147 Case Report An Alternative Therapy for Recurrent Stasis Ulcers in Chronic Venous Insufficiency: Venocuff Celal Yavuz, Sinan Demirtas, Orkut Guclu, Oguz Karahan, Suleyman Yazici, Ahmet Caliskan, and Binali Mavitas Department of Cardiovascular Surgery, Medical School of Dicle University, 21280 Diyarbakir, Turkey Correspondence should be addressed to Oguz Karahan, oguzk2002@gmail.com Received 15 November 2012; Accepted 5 December 2012 Academic Editors: R. A. Bishara, N. Nighoghossian, and G. L. Tripepi Copyright © 2012 Celal Yavuz et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Chronic venous insufficiency may cause stasis ulcers that significantly impact on the quality of life. Many methods have been described for preventing or treating these ulcers. However, stasis ulcers often recur as a result of continuing venous insufficiency. Here we report a 30-year-old male patient with chronic venous insufficiency. He was admitted to the hospital owing to recurrent stasis ulcers. He had a history of various flavonoid drug usage and compression therapies over the previous six years. Venous Doppler sonography revealed combined saphenofemoral and deep femoral venous insufficiency. Venocuff was applied to the prejunctional and postjunctional parts of the femoral vein and the saphenofemoral junction. The patient was discharged on the postoperative second day, and a low-molecular-weight heparin dressing composed of calcium alginate was applied to the ulcer wound for one week after the operation. The stasis ulcer wound was totally healed after one month. The patient was followed up six months after the operation, and no postoperative complications or new ulceration was observed. Recurrent stasis ulcers are major reasons for hospitalization in patients with chronic venous insufficiency. Venocuff application for reducing venous insufficiency may be a good option for adjunctive ulcer therapy and for preventing recurrences of the problem. 1. Introduction Since early times, chronic venous insufficiency may have caused stasis ulcers that significantly impact the quality of life adversely. Many methods have been described for pre- venting or treating these ulcers. However, stasis ulcers have a tendency to recur owing to continuing venous leakage [1, 2]. Surgical methods such as high ligation, stripping, radiofre- quency ablation, and endovenous laser therapy are widely performed. These are safe and effective procedures that, in experienced hands, can achieve good short- and long-term outcomes for most patients. However, the loss of the saphen- ous vein as a potential bypass graft and possible risk of con- tinuous deep venous reflux are important disadvantages of these procedures [1–3]. Approaches that focus on providing venous valve sufficiency last for a long time. External wrap- ping is one of the available procedures in such cases. The main purpose of this approach is to restore the function of the venous valves that settle between saphenous and deep veins, by extraluminal wrapping of the dilated vein, thereby reducing its diameter and bringing the valve cusps together [3]. Here we report a case of chronic venous insufficiency associated with recurrent nonhealing venous ulcers. 2. Case A 30-year-old male patient with chronic venous insufficiency was admitted to hospital owing to recurrent stasis ulcers, especially on the medial side of his left tibial skin. He had a history of various flavonoid drug usage and compression therapies over the previous six years. Venous Doppler sonog- raphy revealed combined saphenofemoral and deep femoral venous leakage. Venocuff was applied to the prejunctional and postjunctional parts of femoral vein and saphenofemoral junction (Figure 1). The patient was discharged on the post- operative second day and a low-molecular-weight heparin dressing composed of calcium alginate was applied to the ulcer wound for one week after the operation. The stasis ulcer