Plastic Surgery in the Management of the Peripheral Vascular Ulcer

Jacobsson, Sten
September 1978
Angiology;Sep1978, Vol. 29 Issue 9, p661
Academic Journal
The article presents information on implication of plastic surgery in the management of the peripheral vascular ulcer. Surgical treatment of long-standing leg ulcers requires a long and expensive hospital stay. It requires patience both on the part of the patient and the surgeon. Following grafting, the patient must continue bandaging and it is often necessary to surgically treat the incompetent perforator veins, either before treating the ulcer, at the same time, or after. The surgical procedure requires a careful preoperative wound cleansing. A wide and deep excision precedes grafting with meshed split-skin grafts. All wounds should be healed before the patient leaves the hospital. In venous leg ulcers with marked arterial insufficiency, a more cautious approach is advised, with grafting to the wound bed without the wide and deep excision. The patients presenting healing problems are those who also have arteriosclerosis and those who do not cooperate.


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