Case Study #2
42 year old shopkeeper, with a job requiring standing upto 15 hours per day, developed
significant superficial varicosities in the right leg, finally leading to a non
healing ulcer above the right medial malleolus. Compression bandage therapy proved
to be of no benefit. He finally underwent endovenous laser treatment to close the
dilated and incompetent great saphenous vein and the associated incompetent perforators.
Following this compression stockings (Class II) were prescribed, along with Plermin
ointment locally to assist wound healing. Within one month, there was complete resolution
and healing of the ulcer along with eradication of his superficial varicosities.
Ultrasound examination confirmed closure of all the previously incompetent perforator