The combined algorithm of venous ulcer therapy
| Autor: | Simona Polakovičová, Zonca P, P Labas, M Cambal, Hrbaty B, Janik M |
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| Rok vydání: | 2012 |
| Předmět: |
Male
Economics and Econometrics medicine.medical_treatment Varicose Ulcer Surgical department Diabetes mellitus Compression Bandages Sclerotherapy Materials Chemistry Media Technology Medicine Animals Humans Prospective cohort study Aged Debridement business.industry Maggot Forestry Middle Aged medicine.disease Combined Modality Therapy Therapeutic modalities Larva Combined therapy Female business Algorithm |
| Zdroj: | Bratislavske lekarske listy. 113(5) |
| ISSN: | 0006-9248 |
| Popis: | AIM This prospective study was undertaken to find a new combined algorithm to help patients suffering from long-term chronic non-healing venous ulcers. METHODS A total number of 20 patients suffering from chronic venous ulcers and important co-morbidities such as diabetes mellitus or cardiac failure and not responding to other therapeutic modalities were treated at our surgical department with a combination of compressive sclerotherapy, and maggot debridement therapy (MDT) using larvae of green blowfly Lucilia sericata. RESULTS Using the combined therapy we have achieved a significant clinical effect in 19 patients (95 %). In 1 patient, this effect was only impermanent while 5 patients (25 %) were completely cured. Eleven patients (55 %) benefited despite incomplete healing of the ulcer. With three of our patients we have lost contact. CONCLUSIONS Even though the number of patients in our study is not large, we have achieved remarkable results with the combined algorithm of venous ulcer therapy. We start the healing process with compressive sclerotherapy and when this kind of therapy does not bring about the expected effect, we continue with Maggot debridement therapy. This combination of therapeutic modalities appears to be very effective and efficient (Fig. 2, Ref. 16). |
| Databáze: | OpenAIRE |
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