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The NHS spends around 2 per cent of its budget on managing lower limb wounds and there is an urgent need to find more effective treatments.

Our study is the first to show that early surgical treatment of leg ulcers leads to faster healing and the reduced risk of the ulcer coming back compared to current methods. 'Venous leg ulcers cause enormous physical and mental distress to patients as well as having a financial impact on the NHS. Lead author of the study Professor Alun Davies, Professor of Vascular Surgery at Imperial College London and a Consultant Surgeon at Imperial College Healthcare NHS Trust, said: They suggest that this early treatment intervention could save the NHS an estimated £100 million per year. The researchers behind the study, published in JAMA Surgery, suggest that current guidelines on treating leg ulcers should be revised to include early assessment of varicose veins and surgical treatment of leg ulcers to deliver clinical benefits and cost savings for the NHS.

This resulted in faster healing and a reduced risk of the condition coming back compared with current methods of treating patients with compression stockings and delayed surgical interventions. In a clinical trial, led by researchers at Imperial College London and clinicians at Imperial College Healthcare NHS Trust, 450 patients with venous leg ulcers were treated with early surgical interventions. People with enlarged veins known as varicose veins are at high risk of developing venous leg ulcers, as they have persistently high pressure in the veins leading to skin damage. They are open, often painful, sores on the leg that take months to heal and can develop after a minor injury.

Venous leg ulcers are common and distressing, affecting around 1 in 300 adults in the UK.

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