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Wound Care Management for Venous Ulcers

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Current Management of Venous Diseases

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Abstract

This chapter discusses the evaluation and management of venous ulcers. Successful treatment of venous ulcers depends upon following essential steps as based on current evidence in order to maximize success. These steps include confirming adequate arterial perfusion, eliminating edema, treating infection and biofilm, addressing venous reflux, alleviating venous obstruction, and reducing the impact of host risk factors and comorbidities. Such factors as reduction in obesity, improvement in calf muscle pump dysfunction, elimination of smoking, reduction of standing, and maximizing nutrition remain paramount to healing. Comprehensive wound centers may be better poised to offer this care in a coordinated fashion that helps incorporate a more patient-centric approach.

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Authors and Affiliations

  1. Division of Vascular Surgery, Oregon Health and Science University, OP11, 3181 SW Sam Jackson Park Rd, Portland, OR, 97239, USA

    Sheena K. Harris MD, Dale G. Wilson MD & Robert B. McLafferty MD, MBA

  2. Veterans Affairs Portland Health Care System, 3710 SW US Veterans Hospital Rd. P3-OC, Portland, OR, 97239, USA

    Robert B. McLafferty MD, MBA

Authors
  1. Sheena K. Harris MD
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  2. Dale G. Wilson MD
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  3. Robert B. McLafferty MD, MBA
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Correspondence to Robert B. McLafferty MD, MBA .

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Editors and Affiliations

  1. Section of Vascular Surgery, Department of Surgery, Yale School of Medicine, New Haven, Connecticut, USA

    Cassius Iyad Ochoa Chaar

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Harris, S.K., Wilson, D.G., McLafferty, R.B. (2018). Wound Care Management for Venous Ulcers. In: Chaar, C. (eds) Current Management of Venous Diseases . Springer, Cham. https://doi.org/10.1007/978-3-319-65226-9_34

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  • DOI: https://doi.org/10.1007/978-3-319-65226-9_34

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