A CLINICAL STUDY ON CHRONIC VENOUS INSUFFICIENCY WITH CHRONIC NON HEALING VENOUS ULCER IN A RETROVIRAL POSITIVE PATIENT

2021 ◽  
Vol 10 (12) ◽  
Keyword(s):  
Clinical Study ◽  
Chronic Venous Insufficiency ◽  
Venous Insufficiency ◽  
Venous Ulcer ◽  
Positive Patient

scholarly journals Differential diagnosis and treatment of edema of lower extremities

2019 ◽  
Vol 2 (27) ◽  
pp. 35-41
Author(s):  
N. V. Orlova
Keyword(s):  
Differential Diagnosis ◽  
Clinical Study ◽  
Hydrostatic Pressure ◽  
Osmotic Pressure ◽  
Chronic Venous Insufficiency ◽  
Venous Insufficiency ◽  
Capillary Permeability ◽  
Lower Extremities ◽  
Search Algorithms ◽  
Colloidal Osmotic Pressure

The article gives a definition, classification and mechanisms for the development of edema (increased hydrostatic pressure, increased capillary permeability, decreased colloidal osmotic pressure). The main diseases accompanied by edematous syndrome are considered, diagnostic search algorithms are given. The clinic and treatment of edema of the lower extremities due to lymphatic and venous insufficiency are separately discussed. The data of a clinical study of the effectiveness of drugs based on diosmin and hesperidin in the treatment of chronic venous insufficiency are presented.

The Beneficial Augmentative Effect of Micronised Purified Flavonoid Fraction (MPFF) on the Healing of Leg Ulcers: An Open, Multicentre, Controlled, Randomised Study

1999 ◽  
Vol 14 (4) ◽  
pp. 151-157 ◽  
Author(s):  
W. Gliński ◽  
B. Chodynicka ◽  
J. Roszkiewicz ◽  
T. Bogdanowski ◽  
B. Lecewicz-Toruń ◽  
...  
Keyword(s):  
Chronic Venous Insufficiency ◽  
Venous Insufficiency ◽  
Venous Ulcer ◽  
Control Group ◽  
Cure Rate ◽  
Randomised Study ◽  
Venous Ulcers ◽  
The Mean ◽  
Flavonoid Fraction ◽  
The Cost

Objective: To determine the increase in healing rate of venous ulcer in patients receiving a micronised purified flavonoid fraction (MPFF) as supplementation to standard local care. Design: A randomised, open, controlled, multicentre study. Setting: Departments of Dermatology and University Outpatients Clinics. Patients: One hundred and forty patients with chronic venous insufficiency and venous ulcers. Intervention: Patients received standard compressive therapy plus external treatment alone or 2 tablets of MPFF daily in addition to the above treatment for 24 weeks. Main outcome measure: Healing of ulcers and their reduction in size after 24 weeks of treatment. Results: The percentage of patients whose ulcers healed completely was found to be markedly higher in those receiving MPFF in addition to standard external and compressive treatment than in those treated with conventional therapy alone (46.5% vs 27.5%; p<0.05, OR = 2.3, 95% CI 1.1–4.6). Ulcers with diameters <3 cm were cured in 71% of patients in the MPFF group and in 50% of patients in the control group, whereas ulcers between 3 and 6 cm in diameter were cured in 60% and 32% of patients ( p<0.05), respectively. The mean reduction in ulcer size was also found to be greater in patients treated with MPFF (80%) than in the control group (65%) ( p<0.05). The cost-effectiveness ratio (cost per healed ulcer) in the MPFF group was €1026.2 compared with €1871.8 in the control group. Conclusions: These results indicate that MPFF significantly improves the cure rate in patients with chronic venous insufficiency.

Subcutaneous fasciotomy and eradication of superficial venous reflux for chronic and recurrent venous ulcers: mid-term results

2011 ◽  
Vol 26 (5) ◽  
pp. 197-202 ◽  
Author(s):  
J T Christenson ◽  
C Prins ◽  
G Gemayel
Keyword(s):  
Ulcer Healing ◽  
Chronic Venous Insufficiency ◽  
Venous Insufficiency ◽  
Subcutaneous Tissue ◽  
Skin Grafting ◽  
Venous Ulcer ◽  
Venous Disease ◽  
Ulcer Recurrence ◽  
Venous Ulcers ◽  
Mid Term Results

Objective Increased intramuscular and subcutaneous tissue pressures are often found in patients with severe chronic venous insufficiency venous ulcer disease. Additional subcutaneous para-tibial fasciotomy promotes early ulcer healing. This study evaluates the mid-term effect of eradication of superficial reflux with additional fasciotomy in patients with increased tissue pressures. Method Between January 2006 and June 2009, 58 patients underwent fasciotomy. Tissue pressures (intramuscular and subcutaneous) were measured. Sixty-nine limbs with 91 venous ulcers were treated. Mean duration of the venous ulcer was 3.4 years. Underlying disease was post-thrombotic syndrome (PT) in 19 patients (33%, 24 limbs, 27 ulcers) and non-post-thrombotic (non-PT) severe chronic venous insufficiency in 39 (67%, 45 limbs, 64 ulcers). All patients were C6 at the time of surgery. Preoperative tissue pressures were 23.5 ± 6.1 mmHg (intramuscularly) and 9.8 ± 3.2 mmHg (subcutaneously). Results Ninety ulcers (99%) healed postoperatively (42 with and 48 without skin grafting). Tissue pressures significantly decreased following surgery and remained low at three months postoperatively. Ten ulcers in six patients recurred six to 20 months postoperatively (11%), resulting in 86.4 actuarial freedom from venous ulcer recurrence at three years following surgery. Four patients (1 non-PT and 3 PT) had re-fasciotomy; all healed initially but two ulcers (2 patients, PT) recurred at 11 and 12 months. Those patients underwent re-fasciotomy, one healed and one recurred six months later. Conclusion Eradication of superficial reflux with additional subcutaneous fasciotomy for chronic and recurrent venous ulcer improves ulcer healing or success of skin grafting. Mid-term results are excellent particularly in patients with non-PT disease. Recurrence is more frequently seen in patients with PT syndrome. In patients with ulcer recurrence and high tissue pressures, re-fasciotomy can be helpful to promote healing, particularly in patients with primary venous disease.

scholarly journals Clinical and Pathogenetic Aspects of Complex Treatment of Decompensated Forms of Chronic Venous Insufficiency of the Lower Extremities

2021 ◽  
Vol 11 (1) ◽  
pp. 87-91
Author(s):  
Vladimir Izosimov ◽  
Serhiy Hryvenko ◽  
Yuriy Baranovskiy ◽  
Yuriy Artemov ◽  
Andrej Dovgan ◽  
...  
Keyword(s):  
Clinical Assessment ◽  
Postoperative Period ◽  
Chronic Venous Insufficiency ◽  
Inpatient Treatment ◽  
Venous Insufficiency ◽  
Lower Extremities ◽  
Venous Ulcer ◽  
Complex Treatment ◽  
Pharmacological Correction

The article presents a clinical assessment of the effectiveness of the author's method of pharmacological correction in the complex treatment of patients with trophic ulcers of venous origin in the lower extremities. Based on the analysis of the data obtained, we found that the use of the proposed method of drug correction in the complex treatment of chronic venous ulcer ensures the effectiveness of treatment, a reduction in the duration of inpatient treatment, and the reliability of rehabilitation in the postoperative period.

Physical Therapy in Patients with Chronic Venous Insufficiency

Phlebologie ◽  
2000 ◽  
Vol 29 (02) ◽  
pp. 48-53 ◽  
Author(s):  
M. Jünger ◽  
Anke Steins
Keyword(s):  
Physical Therapy ◽  
Chronic Venous Insufficiency ◽  
Venous Insufficiency ◽  
Ulcus Cruris ◽  
Chronisch Venöse Insuffizienz ◽  
Venöse Insuffizienz ◽  
Venöse Stauung ◽  
Venöse Drainage

ZusammenfassungWenn Maßnahmen der physikalischen Therapie wie rezeptpflichtige Kompressionsstrümpfe und ein angeleitetes ambulantes Gefäßtraining in einem frühen Stadium begonnen werden, können die Beschwerden des Patienten gelindert, die Gelenkbeweglichkeit und venöse Drainage verbessert und behindernde Stauungserkrankungen wie die Dermatolipofasziitis und das Ulcus cruris vermieden werden. Hat eine chronische venöse Stauung einmal zu einer Atrophie der Gelenkkapsel, Sprunggelenksversteifung und Muskelatrophie des Unterschenkels geführt, sind teure Therapiemaßnahmen einschließlich einer professionellen Krankengymnastik unumgänglich. Unseren eigenen Erfahrungen nach ist eine krankengymnastische Behandlung am wirksamsten, wenn sie in Kombination mit einer biomechanischen Stimulation erfolgt. Sobald der Steppergang des Patienten behoben wurde, können herkömmliche Gehübungen nach und nach das physiologische Gangbild wiederherstellen. Nach erfolgreicher Physiotherapie tragen ein ambulantes Gefäßtraining und eine optimierte Kompressionsbehandlung bei Patienten mit fortgeschrittener chronisch venöser Insuffizienz entscheidend zum langfristigen Therapieerfolg bei. Vergleichbar dem Koronarsport werden Gefäßtrainingsprogramme von den öffentlichen Kassen übernommen. Zusammen mit einer Kompressionsbehandlung stellen sie eine wirksame und kosteneffektive Basistherapie für die chronisch venöse Insuffizienz dar.

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