Causes of leg ulcer Rx of varicose ulcer

Causes of leg ulcer Rx of varicose ulcer

Causes of leg ulcer Rx of varicose ulcer

Rx of varicose ulcer

A)Conservative Rx

1)elevation of affected limb.
2)vertical leg drainage to reduce n eliminate leg edema
3)passive movements maintain mobility of ankle n foot
4)active movements of calf muscles
5)blue line bandage is applied spirally from toes to knee.
6)antibiotics n analgesics
7)ulcer with yellow base n poor granulation tissue recquire daily dressing.
8)absorbant adherent dressing with spirit application to promote drying n scaling
9)once ulcer is clean Orahesive powder may b applied on surface of ulcer.

B)Surgical Rx

1)incompetent perforators n varicose veins r treated by surgery or sclerotherapy.
2)larger needs split skin graft
3)ascending phlebograph is done to detect incompetent calf perforating veins
4)subfascial ligation of Cocket n Dodd
*incision is made in lower half of leg 2.5 cm behind posterior border of tibia.
*incision deepened till deep fascia is reached n margins r undermined
*deep fascia is incised n lifted up.
*perforating veins r ligated n devided.
5)radical surgical approach
*superfascial varicosities r ligated n stripped with subfascial ligation of perforating veins.
6)by-pass operation
*for iliofemoral occlusion contralateral saphenous vein is passed suprapubically n anastomosed to affected side distal to occlusion
7)excision n skin grafting.