Document Detail


Medical and surgical therapy for advanced chronic venous insufficiency.
MedLine Citation:
PMID:  21074036     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Venous ulceration is the most serious consequence of chronic venous insufficiency. The disease has been known for more than 3.5 millennia with wound care centers established as early as 1500 bc. Unfortunately, still today it is a very poorly managed medical condition by most physicians despite that a great deal has been learned about the pathogenesis and treatment for venous ulcerations. We find that many wound care clinics treat the wound and not the cause of the problem. In this article, we review the basic pathophysiology of advanced chronic venous insufficiency and review the most up-to-date information with regard to medical therapy and different options of surgical therapy to address the underlying venous pathology responsible for chronic ulcers.
Authors:
Ronnie Word
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  The Surgical clinics of North America     Volume:  90     ISSN:  1558-3171     ISO Abbreviation:  Surg. Clin. North Am.     Publication Date:  2010 Dec 
Date Detail:
Created Date:  2010-11-15     Completed Date:  2010-12-10     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0074243     Medline TA:  Surg Clin North Am     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1195-214     Citation Subset:  AIM; IM    
Copyright Information:
Copyright © 2010. Published by Elsevier Inc.
Affiliation:
Department of Surgery, Marshfield Clinic, 1000 North Oak Avenue, Marshfield, WI 54449, USA. Word.ronnie@marshfieldclinic.org
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MeSH Terms
Descriptor/Qualifier:
Bandages*
Chronic Disease
Combined Modality Therapy
Drug Therapy, Combination
Female
Humans
Leg Ulcer / etiology,  physiopathology,  therapy
Male
Pentoxifylline / therapeutic use
Prognosis
Risk Assessment
Severity of Illness Index
Skin Transplantation / methods*
Treatment Outcome
Varicose Ulcer / etiology,  physiopathology,  therapy*
Venous Insufficiency / complications*,  diagnosis,  therapy*
Wound Healing / physiology
Chemical
Reg. No./Substance:
6493-05-6/Pentoxifylline

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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