| Autor: |
Kovačević, Jadranka, Sinožić, Tamara, Suknaić, Slaven, Novačić, Karlo |
| Předmět: |
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| Zdroj: |
Journal of Wound Management; Jul2023, Vol. 24 Issue 2, p306-306, 1/2p |
| Abstrakt: |
Aim: to present a combined treatment of five patients with mixed arterial venous leg ulcers (MAVLU) and influence on wound healing. Treatment of MAVLU is complicated and long due to impossibility of performing compression therapy in full dosage for the correction of venous reflux, which could endanger perfusion. Therefore, endovenous methods are the methods of choice to accelerate wound healing and reducing recurrence. Method: a case series of five patients' treatment from 2019-2022., three women and two man, aged between 59 and 81 years with mixed arterial venous leg ulcer of a duration between 2 to 19 month, in size between 6 and 80 cm² is presented. Results / Discussion: One of the patients already had revascularization prior to first visit, one had saphenectomy due to cardiac bypass and one had revascularization and vein surgery. ABI and venous duplex ultrasound were performed on all patients. All were treated with wound dressings and compression therapy of mild dosage. Four out five patients had endovenous intervention, laser and cyanoacrylate ablation without side effects. Wounds in four patients healed completely, in 8-30 weeks and without recurrence. Wound surface in patient without venous intervention reduced 75% in 12 month. The patient is planned for venous treatment in 2 months to accelerate wound healing and to prevent recurrence. Conclusion: An individual approach to treatment and assessment of the arterial and venous component in wounds of mixed etiology is required. Local treatment, appropriate compression therapy and vascular interventions ensure accelerated wound healing and lower recurrence rate. [ABSTRACT FROM AUTHOR] |
| Databáze: |
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