Protocol for the successful treatment of venous ulcers

Harold Brem, Robert Kirsner, Vincent Falanga

Research output: Contribution to journalArticle

94 Citations (Scopus)

Abstract

Venous ulcers affect up to 2.5 million patients per year in the United States. Although not usually fatal, these chronic wounds severely affect patients' quality of life because of impaired mobility and substantial loss of productivity. Although venous ulcers are typically small initially, they are often undertreated, progressing to larger ulcers that are associated with more serious complications requiring more complex treatments. In this report we detail the pathogenesis of venous ulcers together with potential complications, including exudate, erythema, cellulitis, dermatitis, pain, and possible malignancy. The clinician's regimen should always include a wide range of treatment modalities to ensure comprehensive care and effective wound closure. The treatment modalities and specific protocol for venous ulcers are discussed, and include topical dressings, antibiotics, debridement, compression therapy, and cellular therapy. These treatment modalities, in combination with early recognition and regular monitoring using digital photography and planimetry measurements, will ensure rapid healing and minimize complications and cost.

Original languageEnglish
JournalAmerican Journal of Surgery
Volume188
Issue number1 SUPPL. 1
DOIs
StatePublished - Jul 1 2004

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Varicose Ulcer
Clinical Protocols
Therapeutics
Cellulitis
Photography
Wounds and Injuries
Dermatitis
Exudates and Transudates
Debridement
Erythema
Bandages
Ulcer
Quality of Life
Anti-Bacterial Agents
Costs and Cost Analysis
Pain
Neoplasms

ASJC Scopus subject areas

  • Surgery

Cite this

Protocol for the successful treatment of venous ulcers. / Brem, Harold; Kirsner, Robert; Falanga, Vincent.

In: American Journal of Surgery, Vol. 188, No. 1 SUPPL. 1, 01.07.2004.

Research output: Contribution to journalArticle

Brem, Harold ; Kirsner, Robert ; Falanga, Vincent. / Protocol for the successful treatment of venous ulcers. In: American Journal of Surgery. 2004 ; Vol. 188, No. 1 SUPPL. 1.
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