Here - EWMA 2013

E-POSTER PRESENTATIONS
EP 520
COMORBIDITY IN CHRONIC LEG WOUNDS
E-Poster: Leg Ulcer
Elia Ricci 1 , Sonia Ferrero 1 , Eleonora Tonini 1 , Benedetta Bardelli 1 , Monica Bravin 1 ,
Fabrizio Moffa 1 , Roberto Cassino 2
1 Casa di Cura San Luca (Turin, Italy);
2 Vulnera Italian Vulnological Center (Turin, Italy).
Introduction: It is estimated that people in industrialised countries have a 1% chance of
suffering from a leg ulcer at some time in their life. The prevalence of leg ulceration in
Western countries varies from 0,12% to 1,69%, rising up to 3-5% in the population over
65 years of age. Several medical conditions occur commonly in patients who develop
leg ulcers. Besides, coexisting multiple medical conditions are very common among
elderly people.
Objective: To assess incidence of comorbidities in people with leg ulcers, aged 65 and
over.
Methods: Observational study of 100 patients affected by chronic lower limb wounds
(mean age 78,6 years old, 70 women and 30 men), admitted to the San Luca Clinic,
Pecetto Torinese, Italy in a period of 18 months.
Results: The medical condition more frequently associated with chronic leg wounds was
hypertension (74%), followed by type II diabetes (35%), chronic venous insufficiency
(35%), chronic renal failure (34%) and peripheral artheriopathy (33%). The mean
number of pathologies per patient was 5,5.
Conclusion: As a chronic wound is likely to have many underlyling causes, it is very
important to assess the global status of the patient, including comorbid diseases, which
may affect the aetiology, the progression and the recurrence of the wound. Systemic, as
well as local, factors can impair wound healing, playing an important role in patients and
wound prognosis.
E-POSTER: LEG ULCER
EP 521
Comprehensive treatment of venous ulcers in patients with
chronic venous insufficiency
E-Poster: Leg Ulcer
Eugene Krivoshchekov 1 , Irina Dmitrieva 1 , Serik Kirgizbaev 1
1 Samara State Medical University (Samara, Russia).
One of the common complications of venous disease of the lower extremities are venous
trophic disorders.
Purpose: Improve outcomes in patients with chronic venous insufficiency complicated
by trophic ulcers.
Materials and Methods: We observed 112 patients with trophic ulcers. Women were 79
(70.8%) patients, and 33 men (26.5%) patients. The first group of 48 (43.03%) patients
underwent traditional conservative treatment. The second group of 64 (56.9%) who
underwent infusion sulodexide LE 600 1 per day, 20% actovegin 1 time a day, 600
flebodia 1 1 tablet once a day, the system was applied to the ulcer with a negative
pressure with the unit*, overlapping elastic compression hosiery.
The method of using the device*. Superimposed on the ulcer sterile sponge, sealed her
film to puncture the film attached suction port. Created around the clock to 125 mm Hg
pressure The course of treatment is 7 days.
Results: In the first group of significant changes to the germ end of the course the
picture is not revealed. Reduction of pain was observed in 32 (65.6%) patients. The
average hospital stay was 48 days 6. To surgical correction produced 8 patients. The
second group received the favorable indicators bacteriological picture. Decrease in pain
was observed in 53 (83.6%) patients, the average hospital stay was 28 days 5. Prepared
for surgery 28 patients.
Thus, the use of a new treatment regimen to speed up preparations for the surgery.
Reduction of treatment time.
*Viva
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