Venous Ulcers
Identifieur interne : 002F92 ( Main/Exploration ); précédent : 002F91; suivant : 002F93Venous Ulcers
Auteurs : J. A. Caprini [États-Unis] ; H. Partsch [Autriche] ; R. Simman [États-Unis]Source :
- The Journal of the American College of Clinical Wound Specialists [ 2213-5103 ] ; 2013.
Abstract
Venous leg ulcers are the most frequent form of wounds seen in patients. This article presents an overview on some practical aspects concerning diagnosis, differential diagnosis and treatment. Duplex ultrasound investigations are essential to ascertain the diagnosis of the underlying venous pathology and to treat venous refluxes. Differential diagnosis includes mainly other vascular lesions (arterial, microcirculatory causes), hematologic and metabolic diseases, trauma, infection, malignancies. Patients with superficial venous incompetence may benefit from endovenous or surgical reflux abolition diagnosed by Duplex ultrasound. The most important basic component of the management is compression therapy, for which we prefer materials with low elasticity applied with high initial pressure (short-stretch bandages and Velcro-strap devices). Local treatment should be simple, absorbing and not sticky dressings keeping adequate moisture balance after debridement of necrotic tissue and biofilms are preferred. After the ulcer is healed compression therapy should be continued in order to prevent recurrence.
Url:
DOI: 10.1016/j.jccw.2013.11.001
PubMed: 26236636
PubMed Central: 4511547
Affiliations:
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Simman</name><affiliation wicri:level="1"><nlm:aff id="aff4">Division of Plastic and Reconstructive Surgery, Wright State University Boonshoft School of Medicine, Dayton 45435, OH, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Division of Plastic and Reconstructive Surgery, Wright State University Boonshoft School of Medicine, Dayton 45435, OH</wicri:regionArea><wicri:noRegion>OH</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="aff5">Department of Pharmacology and Toxicology, Wright State University Boonshoft School of Medicine, Dayton 45435, OH, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Pharmacology and Toxicology, Wright State University Boonshoft School of Medicine, Dayton 45435, OH</wicri:regionArea><wicri:noRegion>OH</wicri:noRegion></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">26236636</idno><idno type="pmc">4511547</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4511547</idno><idno type="RBID">PMC:4511547</idno><idno type="doi">10.1016/j.jccw.2013.11.001</idno><date when="2013">2013</date><idno type="wicri:Area/Pmc/Corpus">004836</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">004836</idno><idno type="wicri:Area/Pmc/Curation">004835</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">004835</idno><idno type="wicri:Area/Pmc/Checkpoint">001E62</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">001E62</idno><idno type="wicri:Area/Ncbi/Merge">007701</idno><idno type="wicri:Area/Ncbi/Curation">007701</idno><idno type="wicri:Area/Ncbi/Checkpoint">007701</idno><idno type="wicri:Area/Main/Merge">002F97</idno><idno type="wicri:Area/Main/Curation">002F92</idno><idno type="wicri:Area/Main/Exploration">002F92</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Venous Ulcers</title><author><name sortKey="Caprini, J A" sort="Caprini, J A" uniqKey="Caprini J" first="J. A." last="Caprini">J. A. Caprini</name><affiliation wicri:level="1"><nlm:aff id="aff1">Department of Surgery, Division of Vascular Surgery, NorthShore University HealthSystem, Evanston, IL, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Surgery, Division of Vascular Surgery, NorthShore University HealthSystem, Evanston, IL</wicri:regionArea><wicri:noRegion>IL</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="aff2">Department of Surgery, The University of Chicago Pritzker School of Medicine, Chicago, IL 60637, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Surgery, The University of Chicago Pritzker School of Medicine, Chicago, IL 60637</wicri:regionArea><wicri:noRegion>IL 60637</wicri:noRegion></affiliation></author><author><name sortKey="Partsch, H" sort="Partsch, H" uniqKey="Partsch H" first="H." last="Partsch">H. Partsch</name><affiliation wicri:level="1"><nlm:aff id="aff3">Department of Dermatology, Medical University of Vienna, Austria</nlm:aff><country xml:lang="fr">Autriche</country><wicri:regionArea>Department of Dermatology, Medical University of Vienna</wicri:regionArea><wicri:noRegion>Medical University of Vienna</wicri:noRegion></affiliation></author><author><name sortKey="Simman, R" sort="Simman, R" uniqKey="Simman R" first="R." last="Simman">R. Simman</name><affiliation wicri:level="1"><nlm:aff id="aff4">Division of Plastic and Reconstructive Surgery, Wright State University Boonshoft School of Medicine, Dayton 45435, OH, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Division of Plastic and Reconstructive Surgery, Wright State University Boonshoft School of Medicine, Dayton 45435, OH</wicri:regionArea><wicri:noRegion>OH</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="aff5">Department of Pharmacology and Toxicology, Wright State University Boonshoft School of Medicine, Dayton 45435, OH, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Pharmacology and Toxicology, Wright State University Boonshoft School of Medicine, Dayton 45435, OH</wicri:regionArea><wicri:noRegion>OH</wicri:noRegion></affiliation></author></analytic><series><title level="j">The Journal of the American College of Clinical Wound Specialists</title><idno type="eISSN">2213-5103</idno><imprint><date when="2013">2013</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>Venous leg ulcers are the most frequent form of wounds seen in patients. This article presents an overview on some practical aspects concerning diagnosis, differential diagnosis and treatment. Duplex ultrasound investigations are essential to ascertain the diagnosis of the underlying venous pathology and to treat venous refluxes. Differential diagnosis includes mainly other vascular lesions (arterial, microcirculatory causes), hematologic and metabolic diseases, trauma, infection, malignancies. Patients with superficial venous incompetence may benefit from endovenous or surgical reflux abolition diagnosed by Duplex ultrasound. The most important basic component of the management is compression therapy, for which we prefer materials with low elasticity applied with high initial pressure (short-stretch bandages and Velcro-strap devices). Local treatment should be simple, absorbing and not sticky dressings keeping adequate moisture balance after debridement of necrotic tissue and biofilms are preferred. After the ulcer is healed compression therapy should be continued in order to prevent recurrence.</p></div></front></TEI><affiliations><list><country><li>Autriche</li><li>États-Unis</li></country></list><tree><country name="États-Unis"><noRegion><name sortKey="Caprini, J A" sort="Caprini, J A" uniqKey="Caprini J" first="J. A." last="Caprini">J. A. Caprini</name></noRegion><name sortKey="Caprini, J A" sort="Caprini, J A" uniqKey="Caprini J" first="J. A." last="Caprini">J. A. Caprini</name><name sortKey="Simman, R" sort="Simman, R" uniqKey="Simman R" first="R." last="Simman">R. Simman</name><name sortKey="Simman, R" sort="Simman, R" uniqKey="Simman R" first="R." last="Simman">R. Simman</name></country><country name="Autriche"><noRegion><name sortKey="Partsch, H" sort="Partsch, H" uniqKey="Partsch H" first="H." last="Partsch">H. Partsch</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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