Management of venous ulcer disease

  title={Management of venous ulcer disease},
  author={Wijnand B van Gent and Esther D Wilschut and Cees H. A. Wittens},
  journal={BMJ : British Medical Journal},
#### Summary points A venous leg ulcer represents the severe end of the spectrum of chronic venous disease. [] Key Method#### Sources and selection criteria We searched PubMed and the Cochrane Library with the medical subject headings ”venous leg ulcers”, “venous leg ulcer”, “venous ulcers”, and “leg ulcers” combined …

Diagnosis and management of venous leg ulcers

This clinical update, aimed at non-specialists, provides information on the diagnosis and management of venous leg ulcers, and offers multidisciplinary team support.


A case of 52 year old female treated outside for more than one year period as diabetic ulcer but made the diagnosis of atypical venous ulcer is reported, being presented for its rarity.

Chronic venous leg ulcer treatment: Future research needs

  • G. LazarusM. Valle J. Zenilman
  • Medicine
    Wound repair and regeneration : official publication of the Wound Healing Society [and] the European Tissue Repair Society
  • 2014
An imperative from the assessment is that future research evaluating interventions for chronic venous ulcers meet quality standards, and advanced wound dressings were considered to have the highest priority for future research, followed by venous surgery and antibiotics.

Chronic Leg Ulcers: Epidemiology, Aetiopathogenesis, and Management

The researchers are inventing newer modalities of treatments for patients with chronic leg ulceration, so that they can have better quality life and reduction in personal financial burden.

Venous ulcers of the lower extremity: Definition, epidemiology, and economic and social burdens.

  • B. Lal
  • Medicine
    Seminars in vascular surgery
  • 2015
The recurrent nature of venous ulcers underscore the need for treatment of the underlying pathophysiology, that is, ambulatory venous hypertension produced by venous valve reflux alone or in conjunction with venous obstruction.

Clinical and aetiological study of chronic lower limb ulcers

Lower extremity ulcer is most common in the authors' population due to their chronicity and this problem affects adults, who are in their prime working age, not only from lower and middle strata but also from upper class.

Venous ulcers of the lower limb: Where do we stand?

  • S. S. Chatterjee
  • Medicine
    Indian journal of plastic surgery : official publication of the Association of Plastic Surgeons of India
  • 2012
The different modalities like sclerotherapy, ligation and stripping of superficial varicose veins, endoscopic subfascial perforator ligation, endovenous laser or radiofrequency ablation have similar long-term results, although short-term recovery is best with radiofrequency and foam scler Therapy.

A comprehensive study of clinical features and management of ulcers of the lower limb

The incidence of ulceration is rising as a result of ageing population and increased risk factors for atherosclerotic occlusion such as smoking, obesity, and diabetes.

Effect of Pycnogenol on the Healing of Venous Ulcers.

Clinico-epidemiological study of chronic leg ulcers in a tertiary care referral center from Tamil Nadu, India

Chronic leg ulcers are very common in elderly patients and venous ulcer being the most common, and Doppler is an effective tool for the assessment of disease severity of venous Ulcer and aided in offering the adequate management of the disease.



Leg Ulcers: Economic Aspects

The cost implications of chronic leg ulcers are insufficiently studied but there is no doubt that managing patients with leg ulcer management takes a substantial proportion of the health care budget.

Fifteen-year results of ambulatory compression therapy for chronic venous ulcers.

A nonoperative approach to venous stasis ulceration of the lower extremity, consisting of initial bedrest, ulcer cleansing, dressing changes, and ambulatory elastic compression stocking therapy, has

Cost‐of‐illness of chronic leg ulcers in Germany

Deeper‐going cost‐of‐illness‐studies and cost‐benefit analyses are necessary if management of chronic wounds is to be improved and QoL was strikingly reduced in most patients.

Antibiotics and antiseptics for venous leg ulcers.

The intervention regimen used was intensive, involving daily dressing changes, and so these findings may not be generalisable to most everyday clinical settings, and there is some evidence to suggest that cadexomer iodine generates higher healing rates than standard care.

Dressings for healing venous leg ulcers.

The type of dressing applied beneath compression has not been shown to affect ulcer healing and current evidence does not suggest that hydrocolloids are more effective than simple low adherent dressings used beneath compression.

Compression for preventing recurrence of venous ulcers.

Not wearing compression was associated with recurrence in both studies identified in this review, circumstantial evidence of the benefit of compression in reducing recurrence and patients should be offered the strongest compression with which they can comply.

Chronic ulceration of the leg: extent of the problem and provision of care.

A postal survey in two health board areas in Scotland, encompassing a population of about one million, identified 1477 patients with chronic ulcers of the leg, where the median age of the women was 74 and of the men 67.

Long term results of compression therapy alone versus compression plus surgery in chronic venous ulceration (ESCHAR): randomised controlled trial

Surgical correction of superficial venous reflux in addition to compression bandaging does not improve ulcer healing but reduces the recurrence of ulcers at four years and results in a greater proportion of ulcer free time.