Background Martorell’s ulcer is also a type of ischaemic ulcer occurring in hypertensive patients. The main features of this lesion are the following: location on the lower anteroexterior surface of the lower two thirds of the leg; pain far more severe than is expected given the size of the ulcer; significant arterial or venous disease; female-tomale predominance, association with no-controlled...

Another health economic evaluation, which dealt with a similar question in the USA, indicated with the help of a Markov model cost savings of 5,904 € per patient. Unlike the presented pilot run of the discrete event simulation model these costs refer to the lifetime costs of a venous leg ulcer and are not meant per year. Considering that the average duration of a venous leg ulcer is 8.9 years,7...

BACKGROUND Pathologic analysis of deep tissue obtained during debridement of venous ulcers is often unnoticed in its importance. We previously reported pathologic findings on 139 patients with venous ulcers. The objective of this study was to correlate the pathologic findings in venous ulcers with wound healing to establish a negative margin for debridement. STUDY DESIGN Consecutive patients ...

BACKGROUND Intermittent pneumatic compression (IPC) has been successfully used in the treatment of venous ulcers, although the optimal setting of pressure, inflation and deflation times has not yet been established. The aim of this study was to compare the effect of two different combinations of IPC pump settings (rapid vs slow) in the healing of venous ulcers. MATERIAL/METHODS 104 patients w...

We present the first case of retrograde ablation of the small saphenous vein to treat active venous ulceration. A 73-year-old gentleman with complicated varicose veins of the left leg and a non-healing venous ulcer despite previous successful endovenous treatment to his left great saphenous vein underwent mechanochemical ablation of his small saphenous vein with the ClariVein® system, under loc...

abstract background: the optimal therapy of acute iliofemoral venous thrombosis is still a matter of debate. the purpose of our study was to evaluate the late results of iliofemoral thrombectomy with regard to the prevention of the development of a post thrombotic syndrome (pts). methods: during 2000-2003, 18 patients underwent transfemoral venous thrombectomy for acute iliofemoral venous throm...

Venous leg ulcers are chronic wounds which often persist for many years, despite active treatment, and occur predominantly in people over the age of 60. In recent times, the care of these wounds has shifted from the acute care sector into the community, where wound care services and products aren’t fully subsidised by the government. It is logical to assume that these costs are passed onto the ...

Venous ulcers are still today one of the main socioeconomic problems of medical interest in terms of prevalence, morbidity, and costs to the health service. In the past, various studies have been carried out to identify a systemic pharmacologic treatment able to accelerate venous ulcer healing times, but frequently the results have not been satisfactory. The aim of this study was to evaluate th...

The treatment of deep venous valvular reflux for advanced chronic venous insufficiency (CVI) has been cyclical in nature. During the late 1 960s and early 1 970s there was enthusiasm for ablation of the superficial venous system — saphenous and its branches as well as perforating veins, as the sole management for venous ulcer with deep venous reflux.’ Both the ulcer recurrence rate and wound mo...