Leg ulcers : diagnosis and management
著者
書誌事項
Leg ulcers : diagnosis and management
Hodder Arnold, 2005
3rd ed
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注記
Includes bibliographical references and index
内容説明・目次
内容説明
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.
目次
1. Historical background
2. Epidemiology aEURO" the extent of the problem
3. The blood vessels of the lower limb: applied anatomy
4. Venous return from the lower limb: muscle pumps, normal and disordered function
5. Venous thrombosis: etiology, pathology, diagnosis, prevention and treatment
6. The pathology of leg ulcers and venous disorders
7. Microcirculation in venous ulcers
8. Differential diagnosis of leg ulcers
9. Diagnosis: history and examination
10. Anatomical diagnosis:
(a) Duplex ultrasound
(b) Venography of the lower extremity
11. Functional diagnosis: Plethysmography and venous pressure measurement
12. Compression therapy in venous leg ulcers
13. Primary ulcer healing: dressings and compression
14. Skin grafting of venous ulcers
15. Surgical treatment of superficial venous incompetence: surgery of the saphenous veins
16. Surgical treatment of superficial venous incompetence: recent advances
17. Surgery of perforating veins
18. Sclerotherapy in the treatment of varicose veins
19. Echosclerotherapy for the management of saphenous reflux
20. The place of deep venous reconstruction: indications, techniques, results
21. Treatment of venous obstruction
22. Treatment of ischemic ulceration
23. Venous surgery in ulcer management: a review
24. Recurrent ulceration: prevention, diagnosis and treatment
25. Compression hosiery: compression measurements and fitting
26. Pharmacological treatment in venous leg ulcers
27. Topical agents to promote wound healing
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