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The treatment of venous ulcers of the lower extremities.

Venous hypertension from failure of proper venous valve function in the veins of thelower extremities causes changes over time in the microcirculation of the skin of the distal extremity. These changes set the stage for the development of a chronic nonhealing ulceration, which typically occurs at th...

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Published in:Baylor University Medical Center Proceedings Vol. 20; no. 4; pp. 363 - 367
Main Author: Whiddon LL
Format: diagnostic images pictorial Journal Article
Published: Taylor & Francis Ltd Oct2007
Online Access:View this record in EBSCOhost
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      dt: Oct2007
      vid: 20
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      pub: Taylor & Francis Ltd
      place: Philadelphia, Pennsylvania
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        10.1080/08998280.2007.11928324
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        atl: The treatment of venous ulcers of the lower extremities.
      aug:
        au: Whiddon LL
        affil: Southwest Vein Institute, Dallas, Texas.
      sug:
        subj:
          Lower Extremity
          Venous Ulcer Therapy
          Ankle
          Hypertension, Renovascular Therapy
          Injections, Subcutaneous
          Laser Therapy
          Minimally Invasive Procedures
          Radiosurgery
          Recurrence Prevention and Control
          Time Factors
          Venous Ulcer Etiology
          Venous Ulcer Ultrasonography
          Wound Healing
      ab: Venous hypertension from failure of proper venous valve function in the veins of thelower extremities causes changes over time in the microcirculation of the skin of the distal extremity. These changes set the stage for the development of a chronic nonhealing ulceration, which typically occurs at the ankle. The mainstay of treatment has been conservative, with compression dressings and elevation of the extremity. However, results have been less than satisfactory because of delay in healing and high recurrence rates after successful healing. Elimination of the venous hypertension should be the goal of therapy using more recent minimally invasive surgical techniques, including ablation of incompetent truncal veins with laser or radiofrequency energy and use of ultrasound-guided foam sclerosant injections to close incompetent perforator veins that are frequently found in or near the ulcer bed. This approach will shorten ulcer healing time and reduce recurrence rates as well as patient suffering and expense.
      pubtype: Academic Journal
      doctype:
        diagnostic images
        pictorial
        Journal Article
      ougenre: Article
    language: English
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