Possibilities of conservative treatment of patients with chronic venous insufficiency of the lower extremities С6–С6r and previously eliminated superficial veins

Venous ulcers are widespread. Affecting about 1% of the adult population they represent a significant social and economic burden. A special category of patients who have non-healing or recurrent ulcers after previously open or endovascular surgery on superficial varicose veins. We observed 13 such patients without diabetes mellitus – 5 men and 8 women. The average age was 58.7±5.3 years. In accordance with Russian and international clinical guidelines, compression of the affected limbs with three-layer bandages was performed. Also, adjuvant phlebotropic therapy was prescribed. After sanitation and gentle debridement, superabsorbent dressings Zetuvit Plus Silicone with a contact layer of silicone were used. Patients were treated on an outpatient basis, the dressing was changed every 3–5 days, then these periods were extended. Improvement was noted after 7–8 days. By the end of the second month, the wound had healed in 11 of 13 patients, and significantly decreased in size in one patient. Based on the presented experience, Zetuvit Plus Silicone dressings is the modern concept of moist management of chronic wounds with abundant exudation. They provide active absorption of discharge and unpleasant odor, create an optimal microclimate and conditions for healing, protect vulnerable skin around the wound, maintain temperature stability and allow for good results of conservative treatment with psychosocial comfort for patients (in particular, with previously eliminated superficial veins).

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