Arterial Disease Ulcers, Part 2

Weir, Gregory; Smart, Hiske; Marle, J. Van; Cronjé, Frans J.; Sibbald, R. Gary

doi:10.1097/01.asw.0000453881.34345.08

Cited by 9 publications

(17 citation statements)

References 85 publications

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“…The goals in the treatment of AUs are to relieve pain, establish adequate circulation and prevent amputation . The only effective way to heal these ulcers is to provide an increase in blood supply.…”

Section: Treatmentmentioning

confidence: 99%

Lower‐extremity ulcers: diagnosis and management

2015

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Chronic wounds of the lower extremities are occurring with increasing prevalence. They affect millions of individuals annually, representing both a significant health risk and a large economic burden. Chronic wounds are associated with increased mortality and substantial morbidity due to infection, pain, limitation of daily activities, and psychosocial consequences. To manage these wounds effectively, clinicians must be able to diagnose and manage their aetiology. Diagnosis starts with determining whether the wound is one of the four most common chronic wounds: venous leg ulcers, diabetic foot ulcers, pressure ulcers and arterial ulcers. Moreover, despite many recent advances in wound care, the challenge of managing chronic wounds is complicated by the lack of consistently accepted diagnostic methods and wound-care standards. We present a comprehensive yet condensed approach to managing lower-extremity ulcers, from diagnosis to basic management.

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Section: Treatmentmentioning

confidence: 99%

Lower‐extremity ulcers: diagnosis and management

2015

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“…28,30 To date, increasing studies have shown that NPWT has positive effects on promoting chronic wound healing. [31][32][33][34] Based on accumulated studies about NPWT and skin grafting for chronic wounds, [22][23][24][25][26] NPWT combined with autologous skin grafting has become a common method in clinical practice for treating chronic wounds. In our study, almost all patients obtained satisfactory wound healing by NPWT-assisted debridement and autologous scalp grafting.…”

Section: Discussionmentioning

confidence: 99%

“…[17][18][19][20][21] Cumulative studies have confirmed that NPWT combined with skin transplantation can effectively treat chronic wounds, including diabetic ulcers, pressure ulcers, arterial insufficiency ulcers, and venous ulcers. [22][23][24][25][26] In this study, 40 patients with long-term chronic wounds were included, and their chronic wounds have lasted for at least 60 years. Long-term difficult-to-heal wounds may not heal well due to a poor blood supply, excessive hyperplasia of fibrous tissue, severe bacterial infection, and aging of granulation tissue.…”

Section: Introductionmentioning

confidence: 99%

A Wound Treatment Strategy for “Super Long-Term Difficult-to-Heal Wounds”: A Single-Center Retrospective Study

Zhang

Han

et al. 2020

The International Journal of Lower Extremity Wounds

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Chronic wounds are a challenge for clinicians. Treating chronic wounds in elderly patients is difficult due to comorbidities and poor immunity, tissue renewal, and regeneration. This study shared the therapeutic experiences of 40 patients with super long-term difficult-to-heal wounds and to describe the effects of negative pressure wound therapy (NPWT)-assisted debridement and autologous scalp grafting. Elderly patients with chronic wounds for more than 60 years who underwent NPWT-assisted debridement and autologous scalp grafting between 2015 and 2017 were retrospectively analyzed. Forty patients were identified and analyzed. Among all patients, the average wound area was 56 (interquartile range 30-90) cm2. The wound infection rate was 82.1%, and that before the first autologous scalp grafting was 51.3%. The average total number of surgeries was 3, and the number of times the NPWT device was replaced was once. A total of 97.4% of patients had one autologous scalp grafting performed. The transplanted scalp survived completely in 97.4% of patients. One hundred percent of patients had no postoperative complications and healed. The average wound healing time was 34.5 ± 10.1 days. This study showed that NPWT-assisted debridement and autologous scalp grafting have the advantages of high survival rate of the skin and decreased wound recurrence and may be a suitable treatment for super long-term difficult-to-heal wounds in elderly patients.

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“…Infection control should aim at reducing the bio-burden at the first visit to reduce the risk of critical colonisation converting to deeper infection. 1,20 Recommendation 5 Agreement: 82%…”

Section: Compression Bandages Are Contra-indicated In Acute Deep Vein...mentioning

confidence: 99%

“…Activities of daily living are limited in patients with leg ulcers. 1,[18][19][20] Factors that affect this include pain, odour, impaired mobility, decreased activity, time lost during dressing changes and social isolation.…”

Section: B Activities Of Daily Livingmentioning

confidence: 99%