Inclusion Criteria:  iliac vein compression. competent superficial venous system. isolated iliac vein lesion. patent femoropopliteal segment. ulcers located in the gaiter area. age > 12 years patients with ulcers located in the gaiter area, along with the following associated symptoms: leg heaviness, pain, varicose veins, edema, hemosedrin staining, pruritus, venous dermatitis, lipodermatoscelrosis, telangiectasias, corona phlebectatica, atrophie blanche and deformity of the leg.  Exclusion Criteria:  patients with arterial disease in the same limb. patients with history of phlebitis. patients with congenital venous malformation patients with malignancy. patients with raised renal chemistry. patients with skin allergy. diabetic neuropathic ulcer. atypical site of venous ulcer. acute onset DVT. age < 12 years.