How about leg ulcers? Local treatment of lower leg ulcers of venous etiology with Negative pressure wound therapy

Česká verzia

Authors: Koutná Markéta; Blechová Kamila; Šaková Rita
Authors place of work: Geriatrická klinika 1. lékařské fakulty Univerzity Karlovy a Všeobecné fakultní nemocnice v Praze
Published in the journal: Geriatrie a Gerontologie 2023, 12, č. 2: 88-93
Category: Review Article

Summary

Negative pressure therapy (Negative pressure wound therapy, Vacuum Assisted Closure, Topical negative pressure, etc.) has been used in the treatment of complicated and non-healing wounds in the Czech Republic for more than 20 years. Initially, the indication for „negative pressure“ was more used for extensive complicated surgical wounds, post-traumatic wounds, pressure ulcers of the 3rd and 4th degree or to solve defects in diabetic foot syndrome. With the development of device technology, including the offer of disposable devices, negative pressure therapy is also used for less complicated wounds. However, the treatment of lower limb ulcerations of venous etiology is less commonly used. In the wound healing clinic at the Geriatric Clinic (General University Hospital in Prague 2), patients with venous insufficiency limb ulcers account for more than 70 % of all etiologies. Treatment of extensive defects with the use of therapeutic agents can take several years. The use of negative pressure therapy has become another option to speed up the healing of defects. The paper presents questions that must be solved individually for each patient during negative pressure therapy. We demonstrate the development and results of treatment with the use of wound healing agents and negative pressure therapy on case study of a patient with a diagnosis of leg ulceration of venous etiology.

Keywords:

negative pressure wound therapy – leg ulcer – NPWT – ulceration – venous etiology

Zdroje

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