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Review
. 2024 Dec;26(12):1453-1460.
doi: 10.1007/s11886-024-02140-4. Epub 2024 Oct 24.

Venous Insufficiency: Wound Management

Jordan Blake Iceton  1 , Alex Haro  1 , Judy Lau  1 , Eri Fukaya  2
Affiliations
Review

Venous Insufficiency: Wound Management

Jordan Blake Iceton et al. Curr Cardiol Rep. 2024 Dec.

Abstract

Purpose of review: Venous leg ulcers (VLUs) are one of the most common forms of chronic wounds and with nearly half the people having recurrent episodes, this significantly impacts a patient's quality of life. As such, VLU is a chronic disease that requires lifelong maintenance and awareness. A correct diagnosis of VLU is essential for management.

Recent findings: VLUs can be of mixed etiology and treatment should be aimed at optimizing the underlying venous hypertension based on its cause. If there is an anatomical venous reflux contributing to the non-healing of the VLU, early treatment of incompetent veins can improve healing rates. All aspects contributing to the patient's ongoing venous hypertension should be addressed to provide appropriate treatment. This can include venous interventions but also through conservative measures. Patient education and their engagement in their own care is essential for good outcomes.

Keywords: Chronic venous hypertension; Venous insufficiency; Venous ulcer; Wound care.

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Conflict of interest statement

Declarations. Human and Animal Rights and Informed Consent: No animal or human subjects were used in this study by any of the authors. Conflict of interest: The authors declare that they have no conflict of interest.

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