Contents Cps PDF
Contents Cps PDF
Contents Cps PDF
WOUND SURGERY
Volume 34 Number 4 October 2007
Contents
Preface xi
Mark S. Granick
stimulation of wound healing pathways through shear stress mechanisms. The overall
success of negative pressure wound therapy has led to a multitude of clinical
applications, which are discussed in this article.
Evaluation and Treatment of Leg Ulcers Associated with Chronic Venous Insufficiency 717
William Marston
The successful management of patients who have leg ulcers related to chronic venous
disease requires optimal management of the wound bed, elimination of edema with
compression, and correction of venous hypertension whenever possible. Healing of the
wound itself requires compression, debridement, bacterial control, and stimulation of
the wound bed. Prevention of ulcer recurrence is most effective if the patient is amenable
to correction of the venous insufficiency. This is most successful when the superficial or
perforator veins are the primary source. Quality diagnostic studies are critical in
determining the anatomy and hemodynamic importance of various venous abnormal-
ities and can guide appropriate interventional treatment. Venous corrective procedures
usually can be performed using minimally invasive endovenous methods, which are
associated with fewer complications and more rapid recovery than are major surgical
techniques.
viii Contents
Index 765