Treatment of Venous Ulcers.
Underlying the pathogenesis of venous ulceration is venous hypertension. Therefore, the use of multilayered compression therapy is the gold standard in the treatment of a venous ulcer. As treatment progresses, an important determinant of response is wound assessment, which should be performed on initial visit and subsequently thereafter. Among the methods to assess improvement are digital photography and planimetry, which are objective methods to measure response to treatment and rate of wound healing. Lack of improvement over a 2- to 4-week period is predictive of eventual lack of response to therapy and suggests the need for adjunctive methods to achieve success, such as oral pentoxifylline, tissue-engineered skin, or skin grafting.
De Araujo
Tami S
TS
University of Miami/ Veterans Administration Medical Center, Department of Dermatology, 1201 NW 16th Street,Miami,FL 33125,USA. Rkirsner@med.miami.edu.
Hexsel
Camile Luiza
CL
Kirsner
Robert S
RS