Trophic ulcer treatment

How does the procedure work?

The treatment of trophic ulcers is a comprehensive approach. First, an accurate diagnosis is made, and then a treatment strategy is chosen. The patient is informed about the specific form of the disease, as the patient's understanding and participation in the treatment process are necessary for achieving good results. Today, there are several treatment methods: laser surgery, skin grafting surgery, sclerotherapy; local wound care and treatment, as well as physiotherapy, including compression therapy and lymphatic drainage, are also crucial components.

Compression therapy for the treatment of trophic ulcers

In milder cases, when the trophic ulcer has not yet formed and treatment has started promptly, compression therapy is sufficient: in these cases, the swollen leg is bandaged with special elastic bandages, which are kept in place for several days. Between bandage changes, lymphatic drainage procedures are performed, which is a special massage to reduce swelling in the legs. Lymphatic drainage and bandaging procedures are done under the supervision of a doctor. Once the swelling has decreased, the use of venous compression stockings is recommended.

If an ulcer has formed, the ulcer bed is first cleaned of pus and dead tissue, and only then is compression therapy and lymphatic drainage procedures applied.

Skin grafting surgery

In more severe cases, when an ulcer does not heal after adequate treatment or if it is very large, we offer skin grafting or Shave surgery, which provides quick and reliable results.

Skin grafting surgery is a new and internationally recognized method that has gained recognition in recent years. The essence of this surgery is the treatment of diseased skin with healthy skin: the superficial layer of skin is taken from the patient's thigh using a special instrument and applied to the cleaned damaged area on the lower leg. This surgery effectively and successfully heals large tissue defects, even those that have not responded to treatment for years.

The surgery is not complicated and lasts 20-30 minutes; it can be performed on an outpatient basis. After successful ulcer healing, medical compression stockings should be worn for an extended period.

Causes

The condition is more likely to develop if superficial vein disease is not treated in a timely manner. As the disease progresses, deep veins can also be affected. Deep vein insufficiency almost always develops in patients who have had a previous deep vein thrombosis. The condition is more common in smokers, individuals with high blood pressure, those suffering from metabolic disorders such as diabetes, dyslipidemia, and other hereditary or genetically determined factors. The disease is more often seen in people with a sedentary lifestyle or those who have had a heart attack or stroke.