Venous Ulcers

by John J. Bergan (Editor), Cynthia K. Shortell (Editor)

Overview

One of the only books discussing new advances in venous ulcer therapy, Venous Ulcers provides a comprehensive look at the molecular biology and pathophysiology of venous ulcers. It discusses the many new treatments currently being used that offer non-invasive treatment options to patients with venous ulcerations.

• Leg ulcers are defined as a discontinuity of the epithelial surface; a local defect or excavation of the surface of the skin
• Venous ulceration tends to take a number of months to heal followed by frequent relapse to further episodes
• This work discusses the newest tools of patient investigation that have emerged in recent years that help to shorten patient recovery times and provide less invasive treatments

Product Details

ISBN-13:	9780080549033
Publisher:	Elsevier Science
Publication date:	04/28/2011
Sold by:	Barnes & Noble
Format:	eBook
Pages:	368
File size:	14 MB
Note:	This product may take a few minutes to download.

About the Author

Dr. Cynthia K. Shortell is a Professor of Surgery, Chief of Vascular and Endovascular Surgery, and Executive Vice Chair for the Department of Surgery at Duke University Medical Center. With Dr. John Bergan, Dr. Shortell was an editor for the 1st edition of Venous Ulcers book. For decades, Dr. Shortell has worked relentlessly to advance the management of patients with venous ulcers as well as in education and research. Dr. Shortell served as the Director of Duke University Vein Center, the Leader of Duke University Congenital Vascular Anomalies Team, the Medical Director of Duke University Vascular Non-Invasive Laboratory, Chair for Appointments, Tenure and Promotions Committee at Duke Medical Center, and Director of the Vascular Surgery Fellowship Program at Duke University School of Medicine. Nationally, Dr. Shortell holds distinguished recognition as Associate Editor of the Journal of Vascular Surgery and is an elected member of many national and international societies and organizations, including the Society for Vascular Surgery, the American Venous Forum, the American College of Phlebology, and the International Society of Surgery.

Table of Contents

SECTION I.
ETIOLOGY AND INITIAL EVALUATION OF THE PATIENT WITH CHRONIC VENOUS INSUFFICIENCY
Inflammation and the Pathophysiology of Chronic Venous Disease: Molecular Mechanisms
Microcirculation in Chronic Venous Insufficiency
Epidemiology of Venous Ulcers
Lower Extremity Ultrasound Evaluation and Mapping for evaluation of chronic venous disease
Hypercoagulable States Associated with Chronic Venous Insufficiency
The Chronically Swollen Leg: Finding the Cause - Theory and Practice
SECTION II.
NON-OPERATIVE MANAGEMENT OF CHRONIC VENOUS INSUFFICIENCY
Compression Therapy of Chronic Venous Insufficiency
Wound Healing Adjuvant Therapy and Treatment Adherence
Negative Pressure Dressings in Venous Ulcers
Deep Venous Thrombosis and Prevention of the Post-Thrombotic Syndrome
SECTION III.
THERAPUTIC PROCEDURES FOR CHRONIC VENOUS INSUFFICIENCY
Results Comparing Compression Alone vs. Compression and Surgery in Treating Venous Ulceration
Superficial Surgery and Perforator Interruption in the Treatment of Venous Leg Ulcers
Endovascular Techniques for Superficial Vein Ablation in Treatment of Venous Ulcers
Treatment of Chronic Venous Insufficiency with Foam Sclerotherapy
Foam Treatment of Venous Leg Ulcers, the Initial Experience
Foam Treatment of Venous Leg Ulcers, a Continuing Experience
Ultrasound Guidance for Endovenous Treatment
Repair of Venous Valves in Severe Chronic Venous Insufficiency
SECTION IV.
SPECIAL TOPICS
Treatment of venous and combined ulcers with free tissue transfer for limb salvage
Diagnosis and Treatment of Major Venous Obstruction in Chronic Venous Insufficiency
The Venous Ulcer and Arterial Insufficiency
Topical negative pressure techniques in chronic leg ulcers
A Treatment Algorithm for Venous Ulcer: Current Guidelines
EPILOGUE

Editorial Reviews

Reviewer: Gale Lynn Tang, MD (VA Puget Sound Health Care System)
Description: This concise book describes the pathophysiology, diagnosis, and current treatment strategies for lower extremity venous ulcers.
Purpose: The book aims to outline the pathogenesis and current treatment strategies for venous ulcers. Given the recent explosion of endovenous techniques and the high prevalence and morbidity of venous ulcers, the book is well timed and does an excellent job of meeting the objectives.
Audience: It is written primarily for practitioners who see venous wounds — particularly those in vascular surgery, plastic surgery, and nursing. It is very succinct and readable. The senior editor has published widely in the field and is a recognized expert on venous disease.
Features: The first of the four sections covers the pathophysiology, molecular mechanisms, epidemiology, and diagnosis of venous disease. The second section covers conservative management of venous ulcers, while the third section covers operative interventions. The fourth section of special topics covers advanced limb salvage with wound vacuum assisted closure (VAC) therapy, free flaps for coverage of recalcitrant ulcers, revascularization for arterial insufficiency, and endovenous recanalization of the deep venous system. Foam sclerotherapy is covered exhaustively and somewhat redundantly. The techniques for creating and injecting foam for sclerotherapy are described in sufficient step-by-step detail that someone new to the technique could probably carry it out. Radio frequency ablation (RFA) and endovenous laser ablation (EVLA) are also described, but in less detail. There are two chapters devoted to the wound VAC system, which are somewhat redundant. The book does assume some prior knowledge of venous disease; the CEAP system of classification is widely used, but the acronym is never fully defined (C - Clinical, E - Etiology, A - Anatomy. P - Pathophysiology).
Assessment: This is a concise guide to diagnosis and therapy of the very common problem of venous ulcers. The book does a great job of summarizing current treatment strategies, both for local wound care as well as for treatment of the underlying venous hypertension.

Doody's Review Service