[Surgical options in the treatment of chronic venous ulcers]. / Chirurgische Therapieoptionen beim chronisch venösen Ulcus cruris.
Ther Umsch
; 68(3): 163-8, 2011 Mar.
Article
em De
| MEDLINE
| ID: mdl-21360463
ABSTRACT
Surgery offers several options in prevention of chronic venous insufficiency and its sequelae. Both the operation on veins with valve dysfunction to reduce reflux and the elimination of obstruction in thrombosed veins aim for the reduction of venous hypertension. Elevated venous pressure, impairment of cutaneous capillaries and a chronic inflammatory process result in sclerosis of skin and subcutaneous tissue and might proceed to the fascia resulting in a chronic compartment syndrome. Non- healing chronic venous ulcers under conservative therapy for more than three months may be treated by vein-surgery, local wound care therapy like shaving and negative pressure treatment and if necessary by lowering of elevated intracompartimental pressure by fasciotomy or even fasciectomy.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Úlcera Varicosa
/
Procedimentos Cirúrgicos Vasculares
/
Procedimentos de Cirurgia Plástica
/
Fasciotomia
Limite:
Humans
Idioma:
De
Revista:
Ther Umsch
Ano de publicação:
2011
Tipo de documento:
Article