By A.-A. Ramelet, J. Hafner, U. Brunner, W. Schmeller, P. Itin, G.B.E. Jemec
A entire advisor to the review and therapy of leg ulcers. assorted facets of venous leg ulcers like epidemiology, exam with Doppler and duplex sonography, venography, useful exams in addition to the most typical sleek classifications are recapitulated. additionally, conservative remedy equipment reminiscent of compression treatment, mobilization of the ankle joint and lymph drainage or assorted surgical strategies for recalcitrant venous ulcers are mentioned. The chapters facing diabetic foot ulcers provide a normal outlook together with sufferer guide, orthopaedic shoes and podiatric care in addition to administration of the diabetic foot an infection, and the symptoms for orthopaedic and vascular interventions.
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Extra info for Management of Leg Ulcers (Current Problems in Dermatology Vol 27)
G. hydrogels, alginates). They may also be employed prophylactically to help prevent friction damage to the skin of patients who are at risk of developing pressure sores. Advantages/Beneﬁts Hydrocolloids are self-adhesive and ﬂexible and allow for easy application even to areas subject to movement such as elbows and ankles. They help in reducing pain and are comfortable to wear. On patients with venous leg ulcers Aubo¨ck 32 they can be applied beneath compression bandages or stockings. However, care has to be taken keeping secondary dressing to a minimum, as it may decrease the permeability of the hydrocolloid and critically inhibit transmission of water vapour.
Also a hydroﬁbre dressing (AquacelTM) in the form of a hydrophilic nonwoven sheet composed entirely of hydrocolloid ﬁbres (sodium carboxymethylcellulose) is available for the management of exuding wounds. Paste, powder and the hydroﬁbre dressing should be covered with a moisture-retentive dressing such as a hydrocolloid sheet or a semipermeable ﬁlm. g. leg ulcers, pressure sores). Hydrocolloids are also indicated for second-degree burns and for the promotion of re-epithelialization at skin donor sites.
Philadelphia, Saunders, 1992, pp 2305–2311. Eaglstein WH: Experiences with biosynthetic dressings. J Am Acad Dermatol 1985;12:434–440. Lock PM: The effect of temperature on mitotic activity at the edge of experimental wounds; in Lundgren A, Soner AB (eds): Symposia on Wound Healing: Plastic, Surgical and Dermatologic Aspects, Mo¨lndal, Sweden, 1980, p 103. Turner TD: Which dressing and why? in Westaby S (ed): Wound Care. London, Heinemann, 1986. Heffernan A, Martin AJ: A comparison of a modiﬁed form of Granuﬂex (Granuﬂex Extra Thin) and a conventional dressing in the management of lacerations, abrasions and minor operation wounds in an accident and emergency department.