Venous Insufficiency: Wound Management.

Autor: Iceton JB; Stanford University School of Medicine, 300 Pasteur Dr Rm A32, Boswell Bldg MC 5308, Stanford, CA, 94305, USA., Haro A; Stanford University School of Medicine, 300 Pasteur Dr Rm A32, Boswell Bldg MC 5308, Stanford, CA, 94305, USA., Lau J; Stanford University School of Medicine, 300 Pasteur Dr Rm A32, Boswell Bldg MC 5308, Stanford, CA, 94305, USA., Fukaya E; Stanford University School of Medicine, 300 Pasteur Dr Rm A32, Boswell Bldg MC 5308, Stanford, CA, 94305, USA. efukaya@stanford.edu.
Jazyk: angličtina
Zdroj: Current cardiology reports [Curr Cardiol Rep] 2024 Oct 24. Date of Electronic Publication: 2024 Oct 24.
DOI: 10.1007/s11886-024-02140-4
Abstrakt: Purpose of Review: Venous leg ulcers (VLUs) are one of the most common forms of chronic wounds and with nearly half the people having recurrent episodes, this significantly impacts a patient's quality of life. As such, VLU is a chronic disease that requires lifelong maintenance and awareness. A correct diagnosis of VLU is essential for management.
Recent Findings: VLUs can be of mixed etiology and treatment should be aimed at optimizing the underlying venous hypertension based on its cause. If there is an anatomical venous reflux contributing to the non-healing of the VLU, early treatment of incompetent veins can improve healing rates. All aspects contributing to the patient's ongoing venous hypertension should be addressed to provide appropriate treatment. This can include venous interventions but also through conservative measures. Patient education and their engagement in their own care is essential for good outcomes.
(© 2024. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.)
Databáze: MEDLINE