الفهرس | Only 14 pages are availabe for public view |
Abstract Aim of the work To discuss different types of leg ulcers, the etiology, the pathology and pathogenesis of each type, then how to reach to a definite diagnosis by discussing the clinical picture, and the investigations which can confirm the diagnosis. Summary Steroids applied topically or given systematically must be forgotten. Malnutrition especially in elderly people must be corrected and vasoconstrictive agents which used locally, systemically or even low temperature must be avoided. There is no such thing as a non-adherent dressing but paraffin guaze cut to the shape of the ulcer, three to four layers thick, is cheap and better than all others. Occlusive dressings aggravate local infection and their place in the management of ulcers has yet to be established. Skin in the best dressing and success rates of up to 90% can be achieved by selecting cases carefully. General advice on weight loss, regular exercise to improve venous return should be given. Adequate graduated compression is sufficient to heal most venous ulcers and should heal 80-90% of venous ulcers that are <10cm2 within three months. |