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[Venous ulcus cruris-Surgical treatment]

Benjamin Juntermanns1,2, Knut Kröger3, Peter Waldhausen4,3

  • 1MVZ für Gefäßmedizin Krefeld, Luisenplatz 6-8, 47799, Krefeld, Deutschland. benjamin.juntermanns@helios-gesundheit.de.

Der Hautarzt; Zeitschrift Fur Dermatologie, Venerologie, Und Verwandte Gebiete
|May 13, 2022
PubMed

Insights

Venous ulcus cruris, a chronic condition caused by venous insufficiency, affects 400,000 in Germany and requires treatment. Spontaneous healing is unlikely, necessitating interventions like compression therapy or surgery.

Area of Science:

  • Vascular Surgery
  • Dermatology
  • Wound Healing

Background:

  • Venous ulcus cruris is a chronic condition causing significant patient burden.
  • An estimated 400,000 individuals in Germany are affected.
  • It is invariably linked to underlying chronic venous insufficiency (CVI).

Purpose of the Study:

  • To outline the current understanding and treatment strategies for venous ulcus cruris.
  • To emphasize the chronic nature and management challenges of this condition.

Main Methods:

  • Review of conservative treatment modalities including compression therapy and exudate management.
  • Description of surgical interventions: open or endovenous ablation for venous reflux, ulcer surgery, fascia surgery, and reconstructive techniques like negative pressure wound therapy and skin grafting.

Main Results:

  • Venous ulcus cruris does not spontaneously heal without intervention.
  • Effective management requires addressing the underlying CVI and wound care.
  • Treatment encompasses both conservative and surgical approaches.

Conclusions:

  • Venous ulcus cruris management is complex, requiring a multi-faceted approach.
  • Addressing chronic venous insufficiency is crucial for successful treatment outcomes.
  • Comprehensive treatment plans integrate conservative measures with advanced surgical techniques.

Keywords:
Compression therapyNegative pressure wound therapySkin transplantationUlcer shavingUlcus cruris

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