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Wound bed preparation for skin transplantation in chronic vein ulcers: A clinical case
, 2, 2
Affiliations- Centre of Cardiology and Angiology, Vilnius University Hospital Santaros Klinikos, Vilnius, Lithuania
- Clinic of Cardiac and Vascular Diseases, Institute of Clinical Medicine, Faculty of Medicine, Vilnius University, Vilnius, Lithuania
open access
Abstract
Introduction: Chronic vein ulcer treatment is a clinical challenge for vascular surgeons, which requires a complex approach.
Case presentation: A 75-year-old male patient came to our out-patient clinic with a chronic trophic ulcer for five
years. The patient was previously unsuccessfully treated with zinc-gelatine impregnated bandages. Our treatment plan consisted of systemic antimicrobial therapy, which was prescribed by our clinical pharmacologist,
surgical debridement, phlebectomy, as well as split-thickness skin transplantation. The patient was released from the hospital after 14 days. No signs of infection were seen during the healing time.
Conclusion: A complex approach is recommended while treating chronic vein ulcers. Skin grafting reduces the duration and cost of the treatment.
Abstract
Introduction: Chronic vein ulcer treatment is a clinical challenge for vascular surgeons, which requires a complex approach.
Case presentation: A 75-year-old male patient came to our out-patient clinic with a chronic trophic ulcer for five
years. The patient was previously unsuccessfully treated with zinc-gelatine impregnated bandages. Our treatment plan consisted of systemic antimicrobial therapy, which was prescribed by our clinical pharmacologist,
surgical debridement, phlebectomy, as well as split-thickness skin transplantation. The patient was released from the hospital after 14 days. No signs of infection were seen during the healing time.
Conclusion: A complex approach is recommended while treating chronic vein ulcers. Skin grafting reduces the duration and cost of the treatment.
Keywords
chronic vein ulcers; chronic wounds; wound infection; biofilm; debridement; skin grafting; split-thickness skin graft
About this articleTitle
Wound bed preparation for skin transplantation in chronic vein ulcers: A clinical case
Journal
Issue
Article type
Case report
Pages
116-119
Published online
2020-04-07
Page views
480
Article views/downloads
815
DOI
Bibliographic record
Medical Research Journal 2020;5(2):116-119.
Keywords
chronic vein ulcers
chronic wounds
wound infection
biofilm
debridement
skin grafting
split-thickness skin graft
Authors
Ingrida Ašakienė
Greta Mickeviciute
Rugilė Bražinskaitė
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