[Evaluation of efficiency of the sonotherapy in enhancement of venous leg ulcer healing in patients after surgical and conservative treatment].
The aim of the study was to evaluate the application of sonotherapy in enhancement venous leg ulcer healing after conservative and surgical therapy.


METHODS
The 60 patients were included into the study. The 30 patients, who agreed on operation and were accepted by medical team to the surgical treatment, had been included to A and B group. The others, 30 patients were treated conservatively, and had been included to C and D group. The patients in group A and C were additionally treated in use of sonotherapy. The evaluated factors were to estimate the sonotherapy promotes total wound closure and causes any changes of the relative surface, longest and widest dimensions, and volume of tissue defect, pus and granulation degree.


RESULTS
After study in all groups, we noticed a therapeutic effect. Treatment was more efficient in patients after surgical operation than in patients after conservative methods. Beneficial effects of sonotherapy in conservative enhancement of ulcer healing were observed. No impact of sonotherapy after surgical procedure was noticed.


CONCLUSIONS
The sonotherapy is useful and efficient method only in enhancement of venous leg ulcer healing after conservative treatment. In surgically treated patients is not efficient method, because there is no accelerating impact on wound healing. As well conducted surgical operation more efficiently enhance a healing process than conservative pharmacological procedures.
Department of Medical Biophysics, Silesian Medical University, Katowice, Poland.
Andrzej
A
Franek
Ligia
L
Brzezińska-Wcisło
Lech
L
Cierpka
Daria
D
Chmielewska
Patrycja
P
Dolibog
Edward
E
Błaszczak
Jakub
J
Taradaj
D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D007871:Leg Ulcer / Q000601:surgery / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D011182:Postoperative Care / Q000379:methods*; D014464:Ultrasonic Therapy; D014945:Wound Healing
Ocena skuteczności sonoterapii we wspomaganiu gojenia owrzodzeń zylnych goleni u chorych po leczeniu chirurgicznym i zachowawczym.