The current standard of care for chronic ulcers depends on the etiology, or cause, for the ulcer. Etiology of the Ulcers can be of venous, arterial, or mixed arteriovenous.
Predominantly, ulcers are of venous origin represent the majority of leg ulcers, with an estimated proportion of 70% to 80% of cases.
Vein and foot clinic offers expert care for the wound management in addition to treating the underlying Vascular pathology involving the vein, venous, and Arterial systems.
Compression bandages reduce ambulatory venous pressure, control edema, and improve venous return.
Generally, the choice of dressing is guided by the ulcer characteristics (for example, wound drainage absorption), patient requirements (ease of application, comfort), and expense.
The ulcer can be a mildly exuding ulcer, a heavily exuding ulcer, a necrotic ulcer, a dry ulcer, an infectious ulcer, or a hemorrhagic ulcer.
Thus, the choice of the dressing is mainly based on clinical presentation of patient and on their absorbent capacity, hydrating ability, adhesive components, and debridement capacity.
Topical negative pressure is used to promote healing of surgical wounds by using suction to drain excess fluid from wounds and to promote the formation of granulation tissue. Therapy involves first placing a foam or open-pored gauze dressing on a wound. A tube attached to a canister at one end and a suction device at the other is then inserted into the dressing, and the area is sealed with a sticky film. The device delivers a controlled negative pressure of -50 to -125 mm Hg, which can be applied constantly or intermittently. Chronic wounds treated with topical negative pressure appear to be ready for secondary closure surgery (mainly grafts) between 1 and 10 days earlier.
Topical Wound Oxygen (TWO2®) therapy allows for targeted treatment, utilizing cyclical pressurized oxygen applied directly to the wound site. TWO2® therapy is indicated for acute or chronic wounds such as Diabetic Foot Ulcers and Venous Leg ulcers.
Recommended Treatment Protocol:
The recommended Extremity Chamber treatment is 90 minutes, 4-5 days per week.