Document Detail


Standardised method of surgical treatment of chronic leg ulcers.
MedLine Citation:
PMID:  16019749     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Healing and recurrence rates were compared in leg ulcers of different aetiology in 385 patients with 406 chronic leg ulcers. Standard treatment was excision of the ulcer followed by meshed split-skin grafting and correction of superficial venous insufficiency in the area. The median age of the patients was 75 years (range 16-95). After one year 345 patients with 357 leg ulcers were alive. Overall healing rate was 64% (227 in 357 legs) after one year. The best results were achieved in traumatic ulcers (31 in 36 ulcers) and worst for the arterial ulcers (4 in 20 ulcers). Recurrence rate in venous and venous/ischaemic ulcers was 14% (33 in 235 legs) and 8% (n=3) in the traumatic ulcers. Vasculitic ulcers tend to recur 59% (n=10), but the graft does relieve pain.
Authors:
Mikael Bitsch; Ditte Marie Saunte; Michael Lohmann; Per E Holstein; Bo Jørgensen; Finn Gottrup
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Scandinavian journal of plastic and reconstructive surgery and hand surgery / Nordisk plastikkirurgisk forening [and] Nordisk klubb for handkirurgi     Volume:  39     ISSN:  0284-4311     ISO Abbreviation:  Scand J Plast Reconstr Surg Hand Surg     Publication Date:  2005  
Date Detail:
Created Date:  2005-07-15     Completed Date:  2005-11-29     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8707869     Medline TA:  Scand J Plast Reconstr Surg Hand Surg     Country:  Sweden    
Other Details:
Languages:  eng     Pagination:  162-9     Citation Subset:  IM    
Affiliation:
Copenhagen Wound Healing Center, Bispebjerg Hospital, University Hospital, Denmark. MB21@bbh.hosp.dk
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Aged, 80 and over
Anti-Bacterial Agents / administration & dosage
Chronic Disease
Humans
Leg Ulcer / surgery*
Middle Aged
Recurrence
Surgical Procedures, Operative / methods
Wound Healing
Chemical
Reg. No./Substance:
0/Anti-Bacterial Agents

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


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