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The first edition of Leg Ulcers by David Negus was published in 1991. Since then, developments in the management of venous disorders and, in particular, of venous ulceration, have continued apace. Prominent among these has been the development of duplex ultrasound scanning, which now enables the diagnosis and treatment of venous ulceration to be undertaken with a sound knowledge of the underlying anatomy. Treatment options now include PIN stripping of the long saphenous vein, endoscopic perforating vein interruption and ultrasound-guided foam sclerotherapy.
All of these developments, and more, are covered in this comprehensive guide to the management of this unpleasant and often socially unacceptable disorder. The book covers a wide diversity of subjects with authority and detail, including the relationship between venous ulcers and primary venous insufficiency as well as post-thrombotic syndrome, risk factors for deep vein thrombosis, recent advances in wound healing and microcirculatory changes in venous ulceration.
Written by a team of internationally recognised experts, this third edition of Leg Ulcers contains comprehensive reviews of the relevant literature and provides advice for those faced with difficult diagnostic and therapeutic problems, whatever their clinical setting.
Table of Contents: Historical background Epidemiology the extent of the problem The blood vessels of the lower limb: applied anatomy Venous return from the lower limb: muscle pumps, normal and disordered function Venous thrombosis: etiology, pathology, diagnosis, prevention and treatment The pathology of leg ulcers and venous disorders Microcirculation in venous ulcers Differential diagnosis of leg ulcers Diagnosis: history and examination Anatomical diagnosis: Duplex ultrasound Venography of the lower extremity Functional diagnosis: Plethysmography and venous pressure measurement Compression therapy in venous leg ulcers Primary ulcer healing: dressings and compression Skin grafting of venous ulcers Surgical treatment of superficial venous incompetence: surgery of the saphenous veins Surgical treatment of superficial venous incompetence: recent advances Surgery of perforating veins Sclerotherapy in the treatment of varicose veins Echosclerotherapy for the management of saphenous reflux The place of deep venous reconstruction: indications, techniques, results Treatment of venous obstruction Treatment of ischemic ulceration Venous surgery in ulcer management: a review Recurrent ulceration: prevention, diagnosis and treatment Compression hosiery: compression measurements and fitting Pharmacological treatment in venous leg ulcers Topical agents to promote wound healing