Standardised method of surgical treatment of chronic leg ulcers

Mikael Bitsch; Ditte Marie Saunte; Michael Lohmann; Per E Holstein; Bo Jørgensen; Finn Gottrup

doi:10.1080/02844310510006196

Standardised method of surgical treatment of chronic leg ulcers

Mikael Bitsch, Ditte Marie Saunte, Michael Lohmann, Per E Holstein, Bo Jørgensen, Finn Gottrup

18 Citationer (Scopus)

Abstract

Healing and recurrence rates were compared in leg ulcers of different aetiology in 385 patients with 406 chronic leg ulcers. Standard treatment was excision of the ulcer followed by meshed split-skin grafting and correction of superficial venous insufficiency in the area. The median age of the patients was 75 years (range 16-95). After one year 345 patients with 357 leg ulcers were alive. Overall healing rate was 64% (227 in 357 legs) after one year. The best results were achieved in traumatic ulcers (31 in 36 ulcers) and worst for the arterial ulcers (4 in 20 ulcers). Recurrence rate in venous and venous/ischaemic ulcers was 14% (33 in 235 legs) and 8% (n=3) in the traumatic ulcers. Vasculitic ulcers tend to recur 59% (n=10), but the graft does relieve pain.

Originalsprog	Engelsk
Tidsskrift	Scandinavian Journal of Plastic and Reconstructive Surgery and Hand Surgery
Vol/bind	39
Udgave nummer	3
Sider (fra-til)	162-9
Antal sider	8
ISSN	0284-4311
DOI	https://doi.org/10.1080/02844310510006196
Status	Udgivet - 2005

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10.1080/02844310510006196

Citationsformater

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title = "Standardised method of surgical treatment of chronic leg ulcers",

abstract = "Healing and recurrence rates were compared in leg ulcers of different aetiology in 385 patients with 406 chronic leg ulcers. Standard treatment was excision of the ulcer followed by meshed split-skin grafting and correction of superficial venous insufficiency in the area. The median age of the patients was 75 years (range 16-95). After one year 345 patients with 357 leg ulcers were alive. Overall healing rate was 64% (227 in 357 legs) after one year. The best results were achieved in traumatic ulcers (31 in 36 ulcers) and worst for the arterial ulcers (4 in 20 ulcers). Recurrence rate in venous and venous/ischaemic ulcers was 14% (33 in 235 legs) and 8% (n=3) in the traumatic ulcers. Vasculitic ulcers tend to recur 59% (n=10), but the graft does relieve pain.",

keywords = "Adolescent, Adult, Aged, Aged, 80 and over, Anti-Bacterial Agents/administration & dosage, Chronic Disease, Humans, Leg Ulcer/surgery, Middle Aged, Recurrence, Surgical Procedures, Operative/methods, Wound Healing",

author = "Mikael Bitsch and Saunte, {Ditte Marie} and Michael Lohmann and Holstein, {Per E} and Bo J{\o}rgensen and Finn Gottrup",

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doi = "10.1080/02844310510006196",

language = "English",

volume = "39",

pages = "162--9",

journal = "Journal of Plastic Surgery and Hand Surgery",

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}

TY - JOUR

T1 - Standardised method of surgical treatment of chronic leg ulcers

AU - Bitsch, Mikael

AU - Saunte, Ditte Marie

AU - Lohmann, Michael

AU - Holstein, Per E

AU - Jørgensen, Bo

AU - Gottrup, Finn

PY - 2005

Y1 - 2005

N2 - Healing and recurrence rates were compared in leg ulcers of different aetiology in 385 patients with 406 chronic leg ulcers. Standard treatment was excision of the ulcer followed by meshed split-skin grafting and correction of superficial venous insufficiency in the area. The median age of the patients was 75 years (range 16-95). After one year 345 patients with 357 leg ulcers were alive. Overall healing rate was 64% (227 in 357 legs) after one year. The best results were achieved in traumatic ulcers (31 in 36 ulcers) and worst for the arterial ulcers (4 in 20 ulcers). Recurrence rate in venous and venous/ischaemic ulcers was 14% (33 in 235 legs) and 8% (n=3) in the traumatic ulcers. Vasculitic ulcers tend to recur 59% (n=10), but the graft does relieve pain.

AB - Healing and recurrence rates were compared in leg ulcers of different aetiology in 385 patients with 406 chronic leg ulcers. Standard treatment was excision of the ulcer followed by meshed split-skin grafting and correction of superficial venous insufficiency in the area. The median age of the patients was 75 years (range 16-95). After one year 345 patients with 357 leg ulcers were alive. Overall healing rate was 64% (227 in 357 legs) after one year. The best results were achieved in traumatic ulcers (31 in 36 ulcers) and worst for the arterial ulcers (4 in 20 ulcers). Recurrence rate in venous and venous/ischaemic ulcers was 14% (33 in 235 legs) and 8% (n=3) in the traumatic ulcers. Vasculitic ulcers tend to recur 59% (n=10), but the graft does relieve pain.

KW - Adolescent

KW - Adult

KW - Aged

KW - Aged, 80 and over

KW - Anti-Bacterial Agents/administration & dosage

KW - Chronic Disease

KW - Humans

KW - Leg Ulcer/surgery

KW - Middle Aged

KW - Recurrence

KW - Surgical Procedures, Operative/methods

KW - Wound Healing

U2 - 10.1080/02844310510006196

DO - 10.1080/02844310510006196

M3 - Journal article

C2 - 16019749

SN - 2000-656X

VL - 39

SP - 162

EP - 169

JO - Journal of Plastic Surgery and Hand Surgery

JF - Journal of Plastic Surgery and Hand Surgery

IS - 3

ER -

Standardised method of surgical treatment of chronic leg ulcers

Abstract

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