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consulta cirujano vascular
consulta cirujano vascular

Angiology and Vascular Surgery

Consultants

Venous limb ulcers

úlceras piernas

80% of lower limb ulcer cases of are related to varicose veins and venous insufficiency, hence they are called varicose ulcers.

 

An ulcer is a loss of skin substance characterized by slow and difficult progress , chronic nature, and tendency to relapse.

 

The main cause of lower limb ulcers is usually venous hypertension, which is estimated to account for 75% to 90% of vascular ulcers.

 
 

 
 

Risk factors

  • Age
  • Diabetes
  • Previous venous thrombosis
  • Sedentary lifestyle
  • Obesity
  • Hypertension
  • Family history
  • Pregnancy

Symptoms

  • Leg pain and cramps
  • Varicose veins
  • Dermatitis
  • Venous eczema
  • Lipodermatosclerosis
  • Atrophie blanche

Diagnosis

  • It is very important to determine whether the origin of a vascular ulcer is venous or arterial, as treatment is completely different.
  • It is also essential to establish the degree of the patient’s venous insufficiency.
  • Physical examination of ulcers is usually sufficient for the diagnosis of venous insufficiency, but further investigation such as Doppler ultrasound may also be necessary, as this provides much more information.

Treatment

  • In recent years, treatment of lower limb ulcers has evolved considerably and there are numerous treatment options.
  • Compression, rest and elevation of the leg have traditionally been used to promote venous return.
  • But local treatment should be accompanied by correction of the cause of the ulcer to prevent recurrence. Outpatient treatment such as Microfoam sclerotherapy or surgical treatment may be used to do this.

 

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