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A patient in a rehabilitation facility presented with gluteal skin ulcers and dark purple foot lesions.
Chronic wounds are common and are often incorrectly treated. Common lower extremity wounds include arterial, diabetic, pressure, and venous ulcers. The mainstay of treatment is the TIME principle: tissue debridement, infection control, moisture balance, and edges of the wound. After these general measures have been addressed, treatment is specific to the ulcer type.
Venous leg ulcers are the most common type of chronic lower extremity ulcers. They typically have an irregular shape and well-defined borders, and often occur over bony prominences. Symptoms include limb heaviness, pruritus, pain, and edema. Other suggestive findings include telangiectasias, corona phlebectatica, atrophie blanche, lipodermatosclerosis, and inverted champagne-bottle deformity of the lower leg. Compression therapy is standard care. Exercise, dressings, pentoxifylline, and endovenous intereventions may also be helpful.
The goals of laceration repair are to achieve hemostasis and optimal cosmetic results without increasing the risk of infection. Learn the best techniques for wound preparation and repair, including suture and other closure options.
Studies show that infection was prevented in 1 in 36 patients and none were harmed. Find out more.
Infection rates in patients undergoing uncomplicated minor skin surgery were not different when sterile gloves, rather than simply clean gloves, were worn. A previous study similarly found no difference in infection rates between sterile and nonsterile gloves in patients undergoing uncomplicated laceration repair in the emergency department.
Topical silver should not be used for treatment of nonburn wounds because it does not hasten healing. Medical-grade topical honey can be used to reduce healing time for partial-thickness burns, but it produces no effect on lacerations, surgical wounds, chronic wounds, or vascular ulcers. Topical ant...
Venous ulcer, also known as stasis ulcer, is the most common etiology of lower extremity ulceration, affecting approximately 1 percent of the U.S. population. Possible causes of venous ulcers include inflammatory processes resulting in leukocyte activation, endothelial damage, platelet aggregation, ...
Mar 1, 2007 Issue
Effectiveness of Dressings for Healing Venous Leg Ulcers [Cochrane for Clinicians]
No single dressing or type of dressing appears to be superior to others in the complete healing of ulcers or in healing rate.
Appropriately administered antibiotic prophylaxis reduces the incidence of surgical wound infection. Prophylaxis is uniformly recommended for all clean-contaminated, contaminated and dirty procedures. It is considered optional for most clean procedures, although it may be indicated for certain patie...