Clinical progress of wound management in venous leg ulcers
Han Wang, Qihong Ni, Faming Zhang, Haiyan Ding, Xin Qian, Can Lü
Abstract
Han Wang, Qihong Ni, Faming Zhang, Haiyan Ding, Xin Qian, Can Lü
Abstract
Venous leg ulcer (VLU) is a disease of venous hypertension leading to open skin lesions of lower extremities, which is the terminal stage of chronic venous insufficiency. Considering the high prevalence and recurrence rate, VLU restrain daily activities, impair mental health and even contribute to social isolation of patients. Currently, surgery and compression therapy are wildly used to relieve symptoms and eliminate the etiological factors, however, ulcers remain unhealed even after these treatments in many cases. In this article, we review the clinical progress of treatment for VLU, including the debridement, antibiotics, ulcer dressing, negative pressure wound therapy and skin graft, to provide reference on the therapeutic strategy for different ulcer conditions. Key words: Varicose ulcer; Wound healing
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Venous leg ulcer (VLU) is a disease of venous hypertension leading to open skin lesions of lower extremities, which is the terminal stage of chronic venous insufficiency. Considering the high prevalence and recurrence rate, VLU restrain daily activities, impair mental health and even contribute to social isolation of patients. Currently, surgery and compression therapy are wildly used to relieve symptoms and eliminate the etiological factors, however, ulcers remain unhealed even after these treatments in many cases. In this article, we review the clinical progress of treatment for VLU, including the debridement, antibiotics, ulcer dressing, negative pressure wound therapy and skin graft, to provide reference on the therapeutic strategy for different ulcer conditions. Key words: Varicose ulcer; Wound healing
Key concepts: Medicine, Venous leg ulcer, Varicose Ulcer, Leg ulcer, Compression therapy, Etiology, Debridement (dental), Chronic venous insufficiency