Wound bed preparation for skin transplantation in chronic vein ulcers: A clinical case
, 2, 2
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 ulcerschronic woundswound infectionbiofilmdebridementskin graftingsplit-thickness skin graft
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