Sierra JMÁ, González MB, Chávez AE, Rebollo JJ, Hernández GD, Brea AE, Sotelo FE, Ramírez LV, Fuentes CM

Language: Spanish
References: 10
Page: 21-26
PDF size: 97.61 Kb.

ABSTRACT

Introduction: The venous ulcers are the results of upheavals of chronic venous insufficiency, a very frequent suffering that it requires to improve the alternatives of early closing by the high economic costs and of health.
Objectives: To demonstrate the results of the closing of chronic ulcers venous with systems of compression with elastic bandage.
Methods: To 12 patients with chronic venous ulcers of these 3 with bilateral ulcers without arterial commitment, we applied to them elastic system of compression to 15 venous ulcers of inferior extremities with retirement of the same one to the 7 days for its recollocation. With pursuit during 12 weeks with surveillance photography, measures of size of the ulcer in centimeters and annotation of the conditions of the ulcer, besides to go to the service of nutrition for control of the overweight.
Results: Of 15 ulcers of inferior extremities with average age of 58 years, an anatomical distribution of 7 in right leg (5 in internal face and 2 in external), 8 in left (4 in external face and 4 internal face). Profit the closing of venous ulcer to 12 weeks in 10 cases in 70% and 5 cases 30% was not closed, size average of the ulcer throughout 7.5 cm and to the wide thing of 4.2 cm, an average of healing of 0.4 cm per week to length of the ulcer and 0,3 cm. to the wide thing, in the patients who not profit the closing, the size was greater than 6 cm with abundant secretion during about 4 weeks and edema in percentage 30%.
Conclusions: The therapy with compression system with oxidize of zinc is an alternative for the early closing of chronic ulcers venous, since besides to allow the venous return they improve the conditions of the skin accelerating the closing of the venous ulcers. The patients with ulcer smaller to 5 cm with the system of compression profit its closing to 12 weeks in 100%.

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