Wound care in venous ulcers.

Abstract:

:Wound dressings: ulcer dressings should create and maintain a moist environment on the ulcer surface. It has been shown that in an ulcer with a hard crust and desiccated bed, the healing process is significantly slowed and sometimes completely blocked so favouring infection, inflammation and pain. In contrast a moist environment promotes autolytic debridement, angiogenesis and the more rapid formation of granulation tissue, favours keratinocytes migration and accelerates healing of wounds. Apart from these common characteristics, wound dressings are completely different in other aspects and must be used according to the ulcer stage. In necrotic ulcers, autolytic debridement by means of hydrogel and hydrocolloids or with enzymatic paste is preferred. In case of largely exuding wounds alginate or hydrofibre are indicated. When bleeding occurs alginate is indicated due to its haemostatic power. Where ulcers are covered by granulation tissue, polyurethane foams are preferred. When infection coexists antiseptics are necessary: dressing containing silver or iodine with large antibacterial spectrum have proved to be very effective. In the epithelization stage polyurethane films or membranes, thin hydrocolloids or collagen based dressings are very useful to favour advancement of the healing wound edge. Despite these considerations, a Cochrane review failed to find advantages for any dressing type compared with low-adherent dressings applied beneath compression. Surgical debridement and grafting of wounds, negative wound pressure treatment: surgical and hydrosurgical debridement are indicated in large, necrotic and infected wounds as these treatments are able to get rid of necrotic, infected tissue very quickly in a single surgical session, thereby significantly accelerating wound bed preparation and healing time. Negative wound pressure treatment creating a negative pressure on ulcer bed is able to favour granulation tissue and shorten healing time. In case of hard-to-heal leg ulcers such as large, deep, infected and long-lasting venous ulcers, sharp debridement and skin grafting may favour and shorten ulcer healing.

journal_name

Phlebology

journal_title

Phlebology

authors

Mosti G

doi

10.1177/0268355513477015

subject

Has Abstract

pub_date

2013-03-01 00:00:00

pages

79-85

eissn

0268-3555

issn

1758-1125

pii

28/suppl_1/79

journal_volume

28 Suppl 1

pub_type

杂志文章,评审
  • Predicting superficial venous incompetence with strain gauge plethysmography.

    abstract:BACKGROUND:With currently available effective interventional methods to treat superficial venous insufficiency, it becomes particularly important to have a simple and reliable method to evaluate the location and severity of venous reflux. To date, there are few studies that evaluated plethysmography with and without to...

    journal_title:Phlebology

    pub_type: 杂志文章

    doi:10.1258/phleb.2011.011001

    authors: Skeik N,Kalsi H,Wysokinski WE,Heaser TV,Wennberg PW

    更新日期:2012-04-01 00:00:00

  • Correlation of haemodynamics and ankle mobility with clinical classes of clinical, aetiological, anatomical and pathological classification in venous disease.

    abstract:OBJECTIVES:To correlate venous haemodynamic parameters of lower limbs and amplitude of ankle mobility with the clinical, aetiological, anatomical and pathological classification (CEAP) for venous disease. METHODS:Two hundred and eighty-four lower limbs of 142 Caucasian women were evaluated and distributed in six group...

    journal_title:Phlebology

    pub_type: 杂志文章

    doi:10.1258/phleb.2007.007039

    authors: Cavalheri G Jr,de Godoy JM,Belczak CE

    更新日期:2008-01-01 00:00:00

  • Detection of varicose vein recurrence by duplex ultrasound: intra- and interobserver reproducibility.

    abstract::In a long-term follow-up study comparing saphenofemoral ligation and stripping with endovenous laser ablation, the groin is examined yearly by duplex ultrasound (DUS) to detect postoperative varicose vein recurrence. Clear criteria are needed for the uniformity of DUS observations. Physicians taking care of the follow...

    journal_title:Phlebology

    pub_type: 杂志文章,随机对照试验

    doi:10.1258/phleb.2011.011106

    authors: Gauw SA,Pronk P,Mooij MC,Gaastra MT,Lawson JA,van Vlijmen-van Keulen CJ

    更新日期:2013-03-01 00:00:00

  • Thromboembolic complications of endovenous thermal ablation and foam sclerotherapy in the treatment of great saphenous vein insufficiency.

    abstract:OBJECTIVE:We assessed the incidence of venous thromboembolism following treatment of great saphenous insufficiency by endovenous thermal ablation or foam sclerotherapy using meta-analysis of published randomized controlled trials and case series. METHODS:Medline, Embase, Cochrane, and Clinical Trials Registry database...

    journal_title:Phlebology

    pub_type: 杂志文章,meta分析,评审

    doi:10.1177/0268355514529948

    authors: Dermody M,Schul MW,O'Donnell TF

    更新日期:2015-06-01 00:00:00

  • Transilluminated powered phlebectomy: a clinical report.

    abstract::Twenty-one patients with varicose vein incompetence of the legs have been treated with the TriVex system (Smith & Nephew, Andover, MA, USA). The technique is designed for treatment of local varicosities to provide a good cosmetic result (remaining varicosities and pigmentation) and less morbidity (pain and loss of wor...

    journal_title:Phlebology

    pub_type: 杂志文章

    doi:10.1258/phleb.2008.008003

    authors: Akesson H

    更新日期:2008-01-01 00:00:00

  • Confluence of the right internal iliac vein into a compressed left common iliac vein.

    abstract::The authors describe the abnormal confluence of the right internal iliac vein into a left common iliac vein compressed by the overlying right common iliac artery. The prevalence of this combination of abnormalities, evaluated in cadavers and in living subjects by CT, was 0.9%. The possible obstacle to venous pelvic re...

    journal_title:Phlebology

    pub_type: 杂志文章

    doi:10.1177/0268355515586098

    authors: Caggiati A,Amore M,Sedati P

    更新日期:2016-03-01 00:00:00

  • Compression to prevent the postthrombotic syndrome.

    abstract::Summary We give an overview on the current literature concerning compression in the prevention of postthrombotic syndrome, including our own investigations of the hemodynamic changes over time in female and male patients. We also describe the evaluation of a combined reflux-occlusion score to predict occurrence of new...

    journal_title:Phlebology

    pub_type: 评审

    doi:10.1177/0268355514529212

    authors: Jeanneret C,Aschwanden M,Staub D

    更新日期:2014-05-01 00:00:00

  • The European burden of primary varicose veins.

    abstract:BACKGROUND:The treatment of varicose veins has been demonstrated to improve quality of life, alleviate symptoms of depression and treat the complications of venous disease. This study aims to show the studies which contain information regarding the prevalence and distribution of venous disease. Then using the populatio...

    journal_title:Phlebology

    pub_type: 杂志文章,评审

    doi:10.1177/0268355512475118

    authors: Moore HM,Lane TR,Thapar A,Franklin IJ,Davies AH

    更新日期:2013-03-01 00:00:00

  • Ultrastructure of internal jugular vein defective valves.

    abstract:OBJECTIVES:To study the ultrastructure of intraluminal defects found in the internal jugular vein by using a scanning electron microscopy. METHODS:Using a scanning electron microscopy, intraluminal septa and/or defective valves blocking the flow in the distal internal jugular vein of seven patients were studied togeth...

    journal_title:Phlebology

    pub_type: 杂志文章

    doi:10.1177/0268355514541980

    authors: Zamboni P,Tisato V,Menegatti E,Mascoli F,Gianesini S,Salvi F,Secchiero P

    更新日期:2015-10-01 00:00:00

  • Pain in the aftermath of minimal invasive treatment for unilateral incompetence of the great saphenous vein.

    abstract:OBJECTIVES:Assessment of postprocedural pain after minimal invasive treatment of unilateral incompetence of the great saphenous vein. METHODS:A total of 85 patients treated with endovenous laser ablation (1470 nm) in combination with foam sclerotherapy and evulsions reported postprocedural pain on a visual analogue sc...

    journal_title:Phlebology

    pub_type: 杂志文章

    doi:10.1177/0268355520930639

    authors: Bossart S,Amsler F,Romer-Schenk G,Duchini S,Willenberg T

    更新日期:2020-10-01 00:00:00

  • Does prescription of medical compression prevent development of post-thrombotic syndrome after proximal deep venous thrombosis?

    abstract:AIM:The aim of this review is to try to explain the controversy by critical analysis of previously published randomized controlled trials on the value of elastic compression stockings in the treatment of acute proximal deep vein thrombosis in prevention of post-thrombotic syndrome, which forms the scientific basis for ...

    journal_title:Phlebology

    pub_type: 杂志文章,评审

    doi:10.1177/0268355515585437

    authors: Perrin M,Eklöf B

    更新日期:2016-04-01 00:00:00

  • Re-modelling of venous thrombosis.

    abstract::Venous thromboembolism is one of the most common causes of morbidity and mortality in modern societies. The entirety of events involved in venous thrombus formation and resolution remains to be elucidated. Temporal relation between the initial cellular insult, thrombus formation and resolution is critical for institut...

    journal_title:Phlebology

    pub_type: 杂志文章,评审

    doi:10.1177/0268355513476638

    authors: Malgor RD,Labropoulos N

    更新日期:2013-03-01 00:00:00

  • Diagnostic imaging of pelvic congestive syndrome.

    abstract::Many female patients are affected by chronic pelvic pain and a significant number of referrals to the gynecology department result in a clinical suspicion of pelvic congestion syndrome. Additionally, patients referred to the vascular surgery department for venous disease can also present with complaints of a persisten...

    journal_title:Phlebology

    pub_type: 杂志文章,评审

    doi:10.1177/0268355514568063

    authors: Arnoldussen CW,de Wolf MA,Wittens CH

    更新日期:2015-03-01 00:00:00

  • Importance of patient-reported outcomes in chronic venous disorders.

    abstract::The assessment of outcomes following treatment for chronic venous disease has been greatly improved over the last three decades. The personal opinion of the physician based on assessment of his own results has been replaced by more objective assessment based on well-defined criteria. The author describes and compares ...

    journal_title:Phlebology

    pub_type: 杂志文章,评审

    doi:10.1258/phleb.2012.012s20

    authors: Guex JJ

    更新日期:2012-03-01 00:00:00

  • Two-year follow-up of first human use of cyanoacrylate adhesive for treatment of saphenous vein incompetence.

    abstract:OBJECTIVES:To evaluate the safety and effectiveness of endovenous cyanoacrylate-based embolization of incompetent great saphenous veins. METHODS:Incompetent great saphenous veins in 38 patients were embolized by cyanoacrylate bolus injections under ultrasound guidance without the use of perivenous tumescent anesthesia...

    journal_title:Phlebology

    pub_type: 临床试验,杂志文章

    doi:10.1177/0268355514532455

    authors: Almeida JI,Javier JJ,Mackay EG,Bautista C,Cher DJ,Proebstle TM

    更新日期:2015-07-01 00:00:00

  • Compression for the management of venous leg ulcers: which material do we have?

    abstract::Compression therapy is the most important basic treatment modality in venous leg ulcers. The review focusses on the materials which are used: 1. Compression bandages, 2. Compression stockings, 3. Self-adjustable Velcro-devices, 4. Compression pumps, 5. Hybrid devices. Compression bandages, usually applied by trained s...

    journal_title:Phlebology

    pub_type: 评审

    doi:10.1177/0268355514528129

    authors: Partsch H

    更新日期:2014-05-01 00:00:00

  • Non-infected, non-haematic fluid collections after endovenous laser ablation of the saphenous veins: a noteworthy complication.

    abstract:OBJECTIVES:To describe an uncommon complication after endovenous laser ablation (EVLA) of the saphenous veins and its percutaneous management. METHODS:Symptomatic greater saphenous vein reflux was successfully treated by EVLA using standard technique. Local pain, redness and swelling around the prior percutaneous acce...

    journal_title:Phlebology

    pub_type: 杂志文章

    doi:10.1258/phleb.2007.007041

    authors: Janne D'Othée B,Ghiorse D

    更新日期:2008-01-01 00:00:00

  • Treatment of severe chronic venous insufficiency with ultrasound-guided foam sclerotherapy: a two-year series in a single center in Brazil.

    abstract:OBJECTIVES:To portray the initial experience at a public health center of the Federal District of Brazil in the treatment of chronic venous insufficiency with ultrasound-guided foam sclerotherapy in patients in advanced stages of the disease. METHOD:Eighty-seven reports of patients in C5 and C6 stages, according to CE...

    journal_title:Phlebology

    pub_type: 临床试验,杂志文章

    doi:10.1177/0268355513517225

    authors: Neto FC,de Araújo GR,Kessler IM,de Amorim RF,Falcão DP

    更新日期:2015-03-01 00:00:00

  • Superficial vein ablation for the treatment of primary chronic venous ulcers.

    abstract:OBJECTIVE:This retrospective study was undertaken to review our experience with ablation of superficial veins with significant reflux, using VNUS ClosureFAST RF (radiofrequency) or laser 980 nm, in patients with primary chronic venous ulcers, and also determine its effects in ulcer healing and ulcer recurrence. METHOD...

    journal_title:Phlebology

    pub_type: 杂志文章

    doi:10.1258/phleb.2010.010058

    authors: Sufian S,Lakhanpal S,Marquez J

    更新日期:2011-10-01 00:00:00

  • Pelvic congestion syndrome: chronic pelvic pain caused by ovarian and internal iliac varices.

    abstract::Chronic pelvic pain is a common and disabling condition affecting women of childbearing age. A specific diagnosis for the condition is often difficult, and referred pain from the abdominal viscera, neurogenic and psychogenic factors have all been implicated, as have pelvic conditions such as endometriosis, pelvic infl...

    journal_title:Phlebology

    pub_type: 杂志文章,评审

    doi:10.1258/026835507780807248

    authors: Liddle AD,Davies AH

    更新日期:2007-01-01 00:00:00

  • Direct oral anticoagulants for the treatment of Mondor's disease not responding to low-molecular weight heparin.

    abstract::Mondor's disease is a rare condition and usually treated with low-molecular weight heparin and non-steroidal anti-inflammatory drugs. Because of paucity of cases and for the usually spontaneous resolution, there is not a standard treatment strategy and the use of oral anticoagulation in controversial. We reported the ...

    journal_title:Phlebology

    pub_type: 杂志文章

    doi:10.1177/0268355520925022

    authors: Serrao A,Lucani B,Baldacci E,Fiori L,Chistolini A

    更新日期:2020-10-01 00:00:00

  • Modified Tessari Tourbillon technique for making foam sclerotherapy with silicone-free syringes.

    abstract::The longevity of foam made using sodium tetradecyl sulphate and gas (air or a CO2:O2 mixture) is increased significantly if silicone-free syringes are used over the normal syringes containing silicone oil lubrication. However, the plungers in silicone-free syringes start sticking after several passages when making foa...

    journal_title:Phlebology

    pub_type: 杂志文章

    doi:10.1177/0268355514554476

    authors: Whiteley MS,Patel SB

    更新日期:2015-10-01 00:00:00

  • Foam sclerotherapy techniques: different gases and methods of preparation, catheter versus direct injection.

    abstract:INTRODUCTION:Foam sclerotherapy has gained a great popularity among phlebologists worldwide, although a major lack of homogeneity in the material used to produce sclerosant foam (SF) and to inject SF has been reported. AIMS:To highlight the literature data and a few personal clinical and experimental outcomes concerni...

    journal_title:Phlebology

    pub_type: 杂志文章,评审

    doi:10.1258/phleb.2009.009061

    authors: Cavezzi A,Tessari L

    更新日期:2009-12-01 00:00:00

  • Is there a continuing role for traditional surgery?

    abstract::Despite recent NICE guidance there remains a definite role for surgery in the management of varicose veins. A lot of the available evidence that has driven the transformation of care towards endovenous treatments is of good quality yet published by enthusiasts. No endovenous studies have reported long term results as ...

    journal_title:Phlebology

    pub_type: 杂志文章

    doi:10.1177/0268355515589248

    authors: Coughlin PA,Berridge DC

    更新日期:2015-11-01 00:00:00

  • Mechanochemical tumescentless endovenous ablation: final results of the initial clinical trial.

    abstract:OBJECTIVE:The purpose of this study was to assess the safety and efficacy of the ClariVein(®) system that employs mechanochemical ablation of the great saphenous vein (GSV). METHOD:Patients eligible for ablation of the GSV underwent micropuncture access with only local anaesthesia to insert a 4 or 5 Fr sheath. The Cla...

    journal_title:Phlebology

    pub_type: 临床试验,杂志文章

    doi:10.1258/phleb.2011.010100

    authors: Elias S,Raines JK

    更新日期:2012-03-01 00:00:00

  • Surgery in patients with vascular malformations of the head and neck: value of coagulation disorders.

    abstract:OBJECTIVES:The surgical treatment of congenital vascular malformations always bears the risk of severe bleeding. The aim of this study was to investigate the prevalence of haemostatic abnormalities in patients with congenital vascular malformations of the head and neck which could additionally complicate the complex su...

    journal_title:Phlebology

    pub_type: 杂志文章

    doi:10.1258/phleb.2008.008019

    authors: Wiegand S,Eivazi B,Karger R,Al Kadah B,Sesterhenn AM,Werner JA

    更新日期:2009-02-01 00:00:00

  • Cross-sectional study on heredity and venous disorders: the end of the dominant maternal heredity dogma?

    abstract:OBJECTIVE:To evaluate the heredity factor of the chronic venous disorders and odds ratio linked to maternal or paternal heredity. METHODS:Cross-sectional epidemiological study conducted in daily practice of medical practitioners on all patients consulting them. The practitioners described the venous status of all pati...

    journal_title:Phlebology

    pub_type: 杂志文章

    doi:10.1177/0268355514560601

    authors: Crebassa V,Roucaute T,Guex JJ,Allaert FA

    更新日期:2016-02-01 00:00:00

  • Preoperative determination of anatomic variations of the small saphenous vein for varicose vein surgery by three-dimensional computed tomography venography.

    abstract:OBJECTIVE:To define the anatomical variations of small saphenous vein (SSV) for varicose vein (VV) surgery by three-dimensional computed tomography venography (3D-CTV) and to analyse the impact of this preoperative evaluation on surgical outcomes. METHODS:A total of 120 consecutive limbs with SSV insufficiency having ...

    journal_title:Phlebology

    pub_type: 杂志文章

    doi:10.1258/phleb.2011.011023

    authors: Kim SY,Park EA,Shin YC,Min SI,Lee W,Ha J,Kim SJ,Min SK

    更新日期:2012-08-01 00:00:00

  • Compression with 23 mmHg or 35 mmHg stockings after saphenous catheter foam sclerotherapy and phlebectomy of varicose veins: A randomized controlled study.

    abstract:OBJECTIVES:To compare two different medical compression stockings after varicose vein treatment. PATIENTS AND METHODS:A randomized single-blind controlled study on two compression regimes after saphenous catheter foam sclerotherapy + phlebectomy was performed. After pads and 5 mmHg contention sock, 23 mmHg (group A, S...

    journal_title:Phlebology

    pub_type: 杂志文章,随机对照试验

    doi:10.1177/0268355518776127

    authors: Cavezzi A,Mosti G,Colucci R,Quinzi V,Bastiani L,Urso SU

    更新日期:2019-03-01 00:00:00

  • A randomized clinical trial of the effects of saphenous and perforating veins radiofrequency ablation on venous ulcer healing (VUERT trial).

    abstract:OBJECTIVES:To investigate whether radiofrequency endovenous ablation (RFA) of saphenous and perforating veins increases venous leg ulcer (VLU) healing rates and prevents ulcer recurrence. METHOD:This prospective, open-label, randomized, controlled, single-center trial recruited 56 patients with VLU divided into: compr...

    journal_title:Phlebology

    pub_type: 杂志文章

    doi:10.1177/0268355520951697

    authors: Puggina J,Sincos IR,Campos W Jr,Porta RMP,Dos Santos JB,De Luccia N,Puech-Leão P,Collares FB,da Silva ES

    更新日期:2020-09-14 00:00:00