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Venous Ulcers

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Venous Ulcer Surgery in Nehru Enclave, Delhi

The network of arteries and veins in our body is responsible for circulating blood throughout the organs. Arteries send pure (oxygenated) blood to the body parts and veins send the impure blood (containing CO2) back to the respiratory organs (heart/lungs). Venous ulcers are skin sores that are formed due to improper functioning of veins in our legs.

When the vein is unable to pump the impure blood back to the heart, the pressure inside the vein increases. This pressure is exerted on the sensitive blood vessels of those veins which might lead to ruptures, vein failures and damage to the skin. The increased vein pressure damages the skin that may be aggravated due to injuries. These injuries turn chronic and take time to heal.

To seek treatment, consult a vascular surgery doctor near you or visit a vascular surgery hospital near you.

What are the causes of venous ulcers?

Venous ulcers may occur as a result of various factors. Some of the common causes are:

  • Old age
  • DVT - deep vein thrombosis
  • Leg injury/wound
  • Paralysis
  • Obesity
  • Varicose veins
  • Hypertension

If you suffer from any of these disorders and/or suffer from venous ulcers, you should immediately consult a medical practitioner near you.

Request an appointment at Apollo Spectra Hospitals, Nehru Enclave, New Delhi.

Call 1860 500 2244 to book an appointment.

What are the symptoms of venous ulcers?

Some of the common symptoms of venous ulcers are:

  • Rashes on the skin
  • Itchiness
  • Dryness
  • Wound
  • Tingling
  • Pooled blood
  • Red/black coloration
  • Pain and discomfort 

If you experience any of these symptoms of venous ulcers, you would require medical treatment for eliminating these symptoms.

Request an appointment at Apollo Spectra Hospitals, Nehru Enclave, New Delhi, to treat your venous ulcers.

Call 1860 500 2244 to book an appointment.

How are venous ulcers treated?

Compression therapy, medications, antibiotics, anti-inflammatory medicines and physiotherapy can be used to treat non-severe venous ulcers. For patients suffering from severe symptoms of venous ulcers, vascular surgery is a preferred mode of treatment. Conventionally, the saphenous vein was stripped from groin to ankle, using different techniques. This technique was abandoned, to prevent inflicting damage below the knee, to the saphenous nerve. The Oesch pin-stripping is another mode of surgery, along with open perforating vein surgery.

Advancements in the domain of vascular surgeries have led to developments in the techniques used to perform them. Nowadays SEPS or Subfascial Endoscopic Perforator Surgery is used to ligate dysfunctional, perforating veins. This procedure ensures reduced risk of wound-healing problems and is a preferred surgery for the treatment of venous ulcers. Vascular surgeons perform SEPS on the legs of patients who suffer from venous ulcers.

The chances of recurrence of venous ulcers are also negligible, when treated with the help of vascular surgeries. Vascular surgery and outpatient SEPS have also been a significant adjunct in treating chronic venous insufficiency. Likelihood of groin hematoma and wound infections is also reduced when venous ulcers are treated through SEPS.

When do you need to see a doctor?

You should visit a doctor or seek medical consultation if you experience:

  • Numbness or loss of motor control of the leg
  • Extreme pain and spasms
  • Bleeding from the wounds/ulcers
  • Recurring ulcers
  • Wounds that won’t heal
  • Severe venous ulcers

If you experience any of the severe symptoms of venous ulcers, you should immediately seek medical consultation from a vascular surgery doctor near you.

What are the risks?

  • Hemorrhage
  • Early thrombosis
  • Vessel nerve injury
  • Graft infection
  • Renal failure
  • Allergic reaction to anesthetics
  • Bleeding
  • Blood clotting
  • DVT - deep vein thrombosis
  • Embolism

These complications are not universal and their likelihood depends on an individual patient, the severity of their ulcers and other factors.

Conclusion

Venous ulcers can be painful and the symptoms can get exacerbated, if the early signs are ignored. Venous ulcers can be cured and the pain associated with it can be fully eliminated through medical treatment. Medications, therapy and surgery have displayed significant effectiveness in the treatment of venous ulcers.

References

Venous leg ulcer - NHS (www.nhs.uk)

Leg ulcer treatment - Journal of Vascular Surgery (jvascsurg.org)

Leg Ulcers - Vascular Society

Is compression therapy helpful against venous ulcers?

Compression therapy has been proven as standard care for venous ulcers. Controlled pressure is applied to the surface of the skin, which helps keep the diameter of the veins small.

How long does it take for venous ulcers to heal?

It takes approximately 3-4 months for venous ulcers to heal. If a medical practitioner is consulted, the recovery period may be reduced to a great extent.

What surgery is useful for treating venous ulcers?

As a modern surgical technique, vascular surgery and SEPS have been highly significant in treating patients who suffer from venous ulcers. With minimal post-op pain and risks, SEPS has a high success ratio, and facilitates a shorter recovery period. SEPS is a highly effective surgery for the treatment of venous ulcers.

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