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Cutis Oct 2021
Topics: Humans; Leg; Leg Ulcer; Ulcer
PubMed: 34847011
DOI: 10.12788/cutis.0391 -
Dermatology Nursing Oct 1996The number of patients with leg ulcers in the United States is increasing. The most common causes of leg ulcers are venous insufficiency, arterial disease, neuropathy,... (Review)
Review
The number of patients with leg ulcers in the United States is increasing. The most common causes of leg ulcers are venous insufficiency, arterial disease, neuropathy, or a combination of these problems. It is important for dermatology health care professionals to understand the diagnosis and management of leg ulcers in this growing patient population.
Topics: Bandages; Humans; Leg Ulcer; Nursing Assessment; Risk Factors; Skin Care
PubMed: 9069833
DOI: No ID Found -
Phlebology Mar 2016Patients with chronic leg ulcers have severely impaired quality of life and account for a high percentage of annual healthcare costs. To establish the cause of a chronic... (Review)
Review
Patients with chronic leg ulcers have severely impaired quality of life and account for a high percentage of annual healthcare costs. To establish the cause of a chronic leg ulcer, referral to a center with a multidisciplinary team of professionals is often necessary. Treating the underlying cause diminishes healing time and reduces costs. In venous leg ulcers adequate compression therapy is still a problem. It can be improved by training the professionals with pressure measuring devices. A perfect fitting of elastic stockings is important to prevent venous leg ulcer recurrence. In most cases, custom-made stockings are the best choice for this purpose.
Topics: Chronic Disease; Education, Medical, Continuing; Humans; Leg Ulcer; Precision Medicine; Quality of Life; Stockings, Compression
PubMed: 26916772
DOI: 10.1177/0268355516632436 -
Enfermedades Infecciosas Y... May 2019
Topics: Aged; Humans; Leg Ulcer; Male; Mucormycosis; Rhizopus
PubMed: 30389263
DOI: 10.1016/j.eimc.2018.09.005 -
The American Journal of Medicine Apr 2024
Topics: Humans; Leg Ulcer; Leg; Lower Extremity; Ulcer
PubMed: 37984774
DOI: 10.1016/j.amjmed.2023.11.002 -
Advances in Skin & Wound Care Jan 2023To summarize randomized clinical trials addressing patient-centered outcomes of individuals with a venous leg ulcer. (Review)
Review
GENERAL PURPOSE
To summarize randomized clinical trials addressing patient-centered outcomes of individuals with a venous leg ulcer.
TARGET AUDIENCE
This continuing education activity is intended for physicians, physician assistants, nurse practitioners, and nurses with an interest in skin and wound care.
LEARNING OBJECTIVES/OUTCOMES
After participating in this educational activity, the participant will:1. Summarize the results of the review of randomized controlled trials addressing patient-centered outcomes of individuals with a venous leg ulcer.2. Identify the limitations of the research analyzed for the review.
Topics: Humans; Wound Healing; Varicose Ulcer; Recurrence; Patient-Centered Care; Leg Ulcer
PubMed: 36537769
DOI: 10.1097/01.ASW.0000902496.57391.80 -
British Journal of Community Nursing Dec 2023Clinical guidelines aim to consolidate and incorporate the latest evidence and opinion to improve patient outcomes and reduce variations in practice.
BACKGROUND
Clinical guidelines aim to consolidate and incorporate the latest evidence and opinion to improve patient outcomes and reduce variations in practice.
AIMS AND METHODS
This article will examine the evolution of clinical guidelines and recommendations in leg ulcer assessment and management, from the seminal Royal College of Nursing clinical guideline (1998) to the current Leg Ulcer Recommendations from the National Wound Care Strategy Program (2023). The evolving definitions of leg ulcers will be discussed, as well as the multidisciplinary approach needed to manage the underlying aetiology of this condition.
FINDINGS AND CONCLUSION
A national appetite for improving leg ulcer assessment and treatment, is being informed by clinical guidelines and recommendations. The cornerstones of assessment and management remain constant, although some fundamental elements around ankle brachial pressure index ranges, historically used to aid diagnosis of leg ulcer aetiology, have been omitted in the recent recommendations.
Topics: Humans; Varicose Ulcer; Leg Ulcer; Ankle Brachial Index
PubMed: 38019662
DOI: 10.12968/bjcn.2023.28.Sup12.S22 -
Zentralblatt Fur Chirurgie Oct 2015Martorell hypertensive ischaemic leg ulcer (HYTILU) represents an important differential diagnosis of painful leg ulcerations. Stenotic subcutaneous arteriolosclerosis... (Review)
Review
Martorell hypertensive ischaemic leg ulcer (HYTILU) represents an important differential diagnosis of painful leg ulcerations. Stenotic subcutaneous arteriolosclerosis in patients with long-standing arterial hypertension finally leads to skin infarction. The typical histological changes are very similar in Martorell HYTILU and calciphylaxis. This raises the hypothesis that the two entities may have a common pathogenesis. Martorell HYTILU presents as an extremely painful ulcer that is regularly located at the laterodorsal lower leg or at the Achilles tendon. Because of its inflammatory and violaceous wound edges and its tendency to progression, clinicians unaware of the diagnosis Martorell HYTILU might misdiagnose pyoderma gangrenosum or necrotising cutaneous vasculitis start an immunosuppressive treatment and avoid surgical diagnostic and therapeutic procedures. Instead, necrosectomy and split skin grafting are the treatment of choice for Martorell HYTILU.
Topics: Debridement; Diagnosis, Differential; Humans; Hypertension; Ischemia; Leg; Leg Ulcer; Surgical Flaps
PubMed: 25333521
DOI: 10.1055/s-0034-1382898 -
Phlebology Sep 2019
Review
Topics: Compression Bandages; Humans; Leg Ulcer; Monitoring, Physiologic; Pressure
PubMed: 30674236
DOI: 10.1177/0268355519825590 -
The International Journal of Lower... Dec 2020Leg ulcers caused by venous diseases are effectively assessed by Doppler ultrasonography. The examination provides clear anatomical and physiological information for the... (Review)
Review
Leg ulcers caused by venous diseases are effectively assessed by Doppler ultrasonography. The examination provides clear anatomical and physiological information for the diagnosis, treatment planning, and real-time guiding during the surgical treatment. Diagnostic Doppler ultrasonography assesses deep, superficial, and perforator veins, starting from patency assessment by direct visualization and simply compression test. The internal flow can be assessed by pulse wave analysis, which is used for rule out downstream flow obstruction and valvular incompetence. The venous valve function of deep, superficial, and perforator systems can be evaluated by measuring the time of the retrograde flow after flow augmentation performing in the upright position. At the end of the study, the venous map will be obtained and this map will guide clinicians to target treatment where the culprit is. The ultrasound technology has made a big shift in the treatment in the venous disease. In recent years, after the evolution and wide availability of ultrasound, newer treatment modalities have emerged for venous treatment. These include endovenous thermal ablation, endovenous adhesive closure, and ultrasound-guided foam sclerotherapy. Patients no longer require general anesthesia or hospitalization. Therefore utilization of duplex ultrasound has also surged and played an essential role in both diagnosis and therapy in venous ulcer. This article has dedicated to reviewing basic anatomy, the technique in diagnosis, and treatment.
Topics: Humans; Leg Ulcer; Sclerotherapy; Surgery, Computer-Assisted; Ultrasonography, Doppler, Duplex; Varicose Ulcer
PubMed: 32772886
DOI: 10.1177/1534734620947087