Here - EWMA 2013

E-POSTER: LEG ULCER
E-Poster: Leg Ulcer
EP 522
The Use of Topical Oxygen in a Complicated Acute Venous Embolism
and Thrombosis of the Lower Extremity
Francis Derk 1 , Mike Griffiths 2
1 South Texas VA Medical Center (San Antonio, United States);
2 AOTI (Oceanside, United States).
Aim: A 66 yr/o Male underwent a Femoral-Popliteal Bypass for a non healing right
dorsal foot wound. Eight days following the procedure, the patient developed right lower
extremity thrombosis resulting in the formation of deep sub dermal eschars and multiple
wounds. The patient was admitted for leuckocytosis and wound management.
Methods: Post debridement, the patient was discharged and treated at home for 90
mins BID with Topical Wound Oxygen and collagenase ointment dressings.
Results: After 16 weeks all wounds healed completely.
Conclusions/Discussion: Topical Wound Oxygen and collagenase ointment dressings
proved to be very effective in this very unique case study and a viable option in
treatment of ischemic wounds.
Right Pre Bypass Post Bypass
ABI 0.44 0.81
TBI 0.00 0.49
EP 523
E-Poster: Leg Ulcer
Surgical treatment of venous reflux in patients with leg ulcers
– saphenectomy, endolaser ablation, miniphlebectomy,
sclerotherapy – twenty years of experience.
Jaroslaw Kalemba 1,3 , Krasowski Grzegorz 2 , Marek Glinka 3
1 Estmed (Strzelce Opolskie, Poland);
2 Krapkowickie Centrum Zdrowia (Krapkowice, Poland);
3 Szpital Powiatowy im. Pralata Glowatzkiego (Strzelce Opolskie, Poland).
Introduction: Venous leg ulcer should be treated by reducing venous reflux.
Compressiontherapy is a safe way to cure venous ulcers but sometimes it is not enough.
In the case of ulcers not responding for conservative treatment, surgical treatment
should be used before ulcer healing.
Aim: In the study surgical techniques used in the elimination of venous reflux in the
superficial system in patient with venous leg ulcers are discussed basing on our 20 years
of experience.
Methods: In the first part of lecture saphenectomy and miniphlebectomy are discussed.
Second part of the presented study focuses on intravenous ablation of the great
saphenous vein and short saphenous vein. In the third part foam sclerotherapy as a
supplementary method of treatment is described.
Conclusion: Surgical treatment of venous reflux in patients with venous leg ulcers is an
essential method of treatment of this disease.
EWMA 2013
COPENHAGEN
15-17 May · 2013
Danish Wound
Healing Society
297