surgical procedures and management

Apr 15th, 2015
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Chronic leg ulcersChronic leg ulcers-defn. full thickness skin loss present for more than 4weeksslow healing tendency caused by an underlying pathogenetic factor thatneeds to be removed to induce healing.Impact of chronic leg ulcersevery aspect of a persons daily life:painimpaired sleeprestricted mobility and work capacity,strain on personal finances,restricted social activities due to fear of injury and negative bodyimage. Financial burden on the health system(UK, venous leg ulcerationalone has been estimated to cost the NHS 400m a year).Prevalence1% in the adult population35% in the population over 65 years of age Two peak periods in the age of presentation(30-39 and 50-69years).Ryan TJ. The epidemiology of leg ulcers. In. Leg Ulcers: Diagnosis and Treatment (Westerhof W, ed.). Amsterdam: ElsevierSciencePublishers BV, 1993: 1927.GA Rahman1, IA Adigun, A Fadeyi,Annals of African Medicine:2010,Vol.9; 1,pp: 1-4 Epidemiology, etiology, and treatment of chronic leg ulcer: Experience withsixty patientsEtiology Venous disease (50-75%) Malignancy Peripheral arterial disease Infections Mixed venous/arterial Radiation Connective tissue diseases Diabetes mellitus Neuropathy trauma Sickle cell diseaseAfrican situation Trauma - 56.7% Infection - 31.7% vascular causes -3.3% malignancy 3.3% Sickle cell disease(can be u

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