Wound, Ostomy and Continence Nurses Society (WOCN) Practice Exam

What procedure may be used for severe LEVD cases?

1. Surgical obliteration of damage veins

2. Increased rest

3. Use of topical steroids only

4. Administration of narcotics

The correct answer is: Surgical obliteration of damage veins

In severe cases of lower extremity venous disease (LEVD), the procedure of surgical obliteration of damaged veins is often indicated. This surgical intervention targets the underlying causes of venous insufficiency by removing or closing off the impaired veins, thus improving venous return, alleviating symptoms, and preventing further complications such as ulcers or chronic edema. Surgical obliteration, which may include techniques such as ligation and excision or endovenous laser treatments, directly addresses the structural deficiencies within the venous system. It is vital for cases where conservative management like compression therapy, rest, or topical treatments has failed to produce significant improvements. Conversely, simply increasing rest, using topical steroids only, or administering narcotics may provide symptomatic relief but do not treat the underlying venous problems leading to severe LEVD. These alternatives focus on managing symptoms rather than correcting the anatomical or functional issues of the veins. Therefore, in the context of severe cases, surgical intervention is the preferred approach.