medigraphic.com

2017, Number 1

<< Back Next >>

Revista Cubana de Angiología y Cirugía Vascular 2017; 18 (1)

Phlebostatic ulcers

Sosa VOR

Language: Spanish
References: 26
Page: 82-92
PDF size: 76.64 Kb.


ABSTRACT

The phlebostatic ulcers are the most common in the lower limbs and represent the most serious complications of the chronic venous insufficiency. These ulcers are disabling and have a significant social and economic impact. The objective of this paper was to review the most outstanding aspects of the epidemiology, the clinical manifestations and the treatment of the phlebostatic ulcers. The literature search was made in Medline, Cochrane Library, articles published in different web pages, leading journals in the publication of studies about phlebostatic ulcers, Latin American Consensus on Venous Ulcers, Practice Guidelines of the Society for Vascular Surgery and the American Venous Forum. The phlebostatic ulcers are the most frequent in the lower limbs, mainly in females and in patients older than 60 years. They have an impact on the quality of life of patients and on health expenditures. There is not a unique treatment for this type of ulcers, so several therapies or a combination of them is used. The scientific evidences point to the compressive therapies as the first-line method. Despite the technological advances in the treatment of these ulcers, and their great variety, in which the already existing ones and the latest ones complement each other, these ulcers are difficult to be cured and highly recurrent.


REFERENCES

  1. O'Meara S, Cullum N, Nelson EA, Dumville JC. Compression for venous leg ulcers. Cochrane Database of Systematic Reviews 2012. Issue 11. Art. No.: CD000265. doi: 10.1002/14651858.CD000265.pub3. Access: 2015 Sept 17. Available at: http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD000265.pub3/epdf/standa rd

  2. Nettel F, Rodríguez N, Nigro J, González M, Conde A, Muñoa A, et al. Primer Consenso Latinoamericano de Úlceras Venosas. Rev Mex Angiol. 2013;41(3):95- 126.

  3. Jiménez F, Pérez R, Morales MA, Peralta ML. Tratamiento de úlceras venosas en las extremidades inferiores con autoinjertos en sacabocado más compresión contra compresión elástica. Dermatol Rev Mex. 2014;58:501-7.

  4. de Franciscis S, de Sarro G, Longo P, Buffone G, Molinari V, Domenico DM. Hyperhomocysteinaemia and chronic venous ulcers. Int Wound J. 2015;12:22-6.

  5. 5. White J, Ivins N, Wilkes A, Carolan-Rees G, Harding KG. Non-contact low frequency ultrasound therapy compared with UK standard of care for venous leg ulcers: a single-centre, assessor-blinded, randomised controlled trial. Int Wound J. 2015. doi: 10.1111/iwj.12389. Access: 2015 Sept 17. Available at: http://onlinelibrary.wiley.com/doi/10.1111/iwj.12389/pdf

  6. Soria P. La terapia compresiva en las úlceras venosas y en la insuficiencia venosa crónica: revisión narrativa [tesis].Jaén, Andalucía (España): Universidad de Jaén, Facultad de ciencias de la salud; 2015. Acceso: 1 Ener 2016]. Disponible en: http://tauja.ujaen.es/bitstream/109531/1727/1/TFGPabloSoriaVilchez.pdf

  7. Foy E, Conner-Kerr TA. Overview of guidelines for the prevention and treatment of venous leg ulcers: a US perspective [review].J of Multidiscip Healthcare. 2014;7:111-7.

  8. López D, Muñoz L, García S. Estandarización de cuidados en pacientes con úlceras de extremidad inferior de etiología venosa. Rev Nure Inv. 2012;61:1-10.

  9. Samuel N, Carradice D, Wallace T, Smith GE, Chetter IC. Endovenous thermal ablation for healing venous ulcers and preventing recurrence. Cochrane Database of Systematic Reviews. 2013. Issue 10. Art. No.: CD009494. doi: 10.1002/14651858.CD009494.pub2. Access: 2015 Sept 14. Available at: http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD009494.pub2/full

  10. Otero G, Agorio C, Martínez M. Úlceras de miembros inferiores. Características clínico-epidemiológicas de los pacientes asistidos en la unidad de heridas crónicas del Hospital de Clínicas. Rev Méd Urug. 2012;28(3):182-9.

  11. Lopes M, Bonato F. Atención a pacientes con úlcera venosa: percepción de los enfermeros de Estrategia de Salud Familiar. Rev Trimest de Enferm. 2012;11(28):137-46.

  12. Satulovsky RA. Úlceras venosas: Criterios diagnósticos y terapéuticos. Rev Flebo y Linf - Lec Vasc. 2012;18:1117-23.

  13. Pardo R, González E, Lombera A. Manejo del paciente con úlcera de etiología venosa en miembros inferiores. Rev Nuber Científ. 2013;2(9):12-20.

  14. Gómez P. Revisión del tratamiento de las úlceras venosas: terapia compresiva. RqR Enfermería Comunitaria (Revista de SEAPA). 2015;3(1):43-54.

  15. Folchini AC, Martins N, Ura TR, Aparecida C, Maraliz I, Scudeler P, et al. Manifestações Dermatológicas da Insuficiência Venosa Crônica. Cad Bras Med. 2014;27(3):1-58.

  16. Reeder S, Roos KP, Maeseneer M, Sommer A, Neumann HA. Ulcer recurrence after in-hospital treatment for recalcitrant venous leg ulceration. Brit J of Dermat. 2013;168:999-1002.

  17. de la Cruz Y, del Olmos D, Quiñones M, Zulueta A. Comportamiento de las úlceras venosas de los miembros inferiores tratadas con láser de baja potencia. Rev Cubana Angiol Cir Vasc. 2012;13(1). Acceso: 14 Sept 2015. Disponible en: http://bvs.sld.cu/revistas/ang/vol13_1_12/ang03112.htm

  18. O'Meara S, Al-Kurdi D, Ologun Y, Ovington LG, Martyn-St James M, Richardson R. Antibiotics and antiseptics for venous leg ulcers. Cochrane Database of Systematic Reviews. 2014. Issue 1. Art. No.: CD003557. doi: 10.1002/14651858.CD003557.pub5. Access. 14 Septt 2015. Available at: http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD003557.pub5/full

  19. Guarda RI, Valderramas S, Ternoski B, Sanches D, Fernandes A, Meireles SM. La aplicación de microcorriente como tratamiento en las úlceras venosas: un estudio piloto. Rev Latino-Am. Enfermagem. 2012;20(4):1-8.

  20. Nelson EA, Bell-Syer SE. Compression for preventing recurrence of venous ulcers. Cochrane Database of Systematic Reviews. 2014. Issue 9. Art. No.: CD002303. doi: 10.1002/14651858.CD002303.pub3. Access: 17 Septt 2015. Available at: http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD002303.pub3/epdf

  21. Beheshti A, Shafigh Y, Parsa H, Zangivand AA. Comparison of high-frequency and MIST ultrasound therapy for the healing of venous leg ulcers. Adv Clin Exp Med. 2014;23(6):969-75.

  22. O'Donell TF, Passman MA, Marston WA, Ennis WJ, Dalsing M, Kistner RL, et al. Management of venous leg ulcers: Clinical practice guidelines of the Society for Vascular Surgery and the American Venous Forum. J Vasc Surg. 2014;60:3-59.

  23. Hernández MJ, Suárez A, Machado YM, Márquez A, García A. Utilización de la escleroterapia con espuma en úlceras varicosas de miembros inferiors. Rev Cubana Med Gen Integ. 2010;26(3):576-82. Acceso: 14 Sept 2016. Disponible en: http://scielo.sld.cu/pdf/mgi/v26n3/mgi16310.pdf

  24. Marrocco CJ, Atkins MD, Bohannon WT, Warren TR, Buckley CJ, Bush RL. Endovenous Ablation for the Treatment of Chronic Venous Insufficiency and Venous Ulcerations. World J Surg. 2010;34(10):2299-2304.

  25. Mauck FK, Asi N, Undavalli Ch, Elraiyah TA, Mohammed N, Altayar O, et al. Systematic review and meta-analysis of surgical interventions versus conservative therapy for venous ulcers. J Vasc Surg. 2014;60(2):60-70.

  26. Jones JE, Nelson EA, Al-Hity A. Skin grafting for venous leg ulcers. Cochrane Database of Systematic Reviews. 2013;1:CD001737. Access: 2016 Jan 17. Available at: http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD001737.pub4/abstract;jse ssionid=2C71890F27C7CC8C56614160D3B2A6EA.f03t04




2020     |     www.medigraphic.com