[Skillful care for chronic vascular wounds].
In vascular medicine, wound care requires pluridisciplinary expertise and nursing skill. Care must be perfectly adapted to each individual patient, the specificities of each particular wound, and the underlying vascular disease. The goal is to achieve wound healing. Inappropriate care can retard healing or even aggravate the wound. The skin should be cleaned with water a non-allergic detergent and should concern the entire limb in addition to the wound itself. Fibrin or necrosis detersion is an important step that can be painful. Different tools are available. The skin around the wound should be hydrated and protected, focusing on fragile areas, such as the tibial crest and heals, in order to prevent the development of new wounds. Other more complex interventions include tenosynovectomy, bone gouging and reduction of the necrotic toe that when properly performed can prevent a new passage in the operating room. If the ischemia becomes critical, the foot should be held warm with a carded cotton, taking care to separate the toes with dry dressings in order to preserve the healthy tissue and avoid induced wounds. Finally, compression bands are indispensable in cases with edema or venous hyperpressure. A skillful banding technique is essential, especially for legs with complex morphology.
Service de médecine vasculaire, groupe hospitalier Paris-Saint-Joseph, 185, rue Raymond-Losserand, 750674 Paris cedex 14, France. Electronic address: chantalderugy@gmail.com.
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Goullet de Rugy
Service de médecine vasculaire, groupe hospitalier Paris-Saint-Joseph, 185, rue Raymond-Losserand, 750674 Paris cedex 14, France. Electronic address: ilazareth@hpsj.fr.
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Lazareth
Service de médecine vasculaire, groupe hospitalier Paris-Saint-Joseph, 185, rue Raymond-Losserand, 750674 Paris cedex 14, France.
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You
Service de médecine vasculaire, groupe hospitalier Paris-Saint-Joseph, 185, rue Raymond-Losserand, 750674 Paris cedex 14, France.
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Stansal
Service de médecine vasculaire, groupe hospitalier Paris-Saint-Joseph, 185, rue Raymond-Losserand, 750674 Paris cedex 14, France.
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Priollet
D001424:Bacterial Infections / Q000517:prevention & control / Q000628:therapy; D001458:Bandages; D002908:Chronic Disease; D058128:Compression Bandages; D003902:Detergents; D006365:Heel; D006801:Humans; D007871:Leg Ulcer / Q000382:microbiology / Q000601:surgery / Q000628:therapy*; D009336:Necrosis; D013977:Tibia; D014647:Varicose Ulcer / Q000628:therapy*; D014945:Wound Healing
D003902:Detergents
Compression; Leg ulcer; Prevention; Prévention; Soin infirmier; Ulcère de jambe; Wound care