Leg Ulcers: Diagnosis and Management (3rd Revised edition)

Leg Ulcers: Diagnosis and Management (3rd Revised edition)

By: Philip D. Coleridge Smith (editor), David Negus (editor), John Bergen (editor)Hardback

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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.

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About Author

David Negus MA DM MCh FRCS(Eng.) Emeritus Consultant Surgeon, University Hospital, Lewisham, UK; Honorary Senior Lecturer, Guy's, King's and St Thomas' School of Medicine, London, UK Philip D. Coleridge Smith MA DM FRCS(Eng.) Consultant Vascular Surgeon and Reader in Surgery, UCL Medical School, The Middlesex Hospital, London, UK John J. Bergan MD FACS(Hon) FRCS(Eng.) Clinical Professor of Surgery, University of California, San Diego, California; Scripps Memorial Hospital, La Jolla, California; Vein Institute of La Jolla, California, USA


1. Historical background 2. Epidemiology aaC--" 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

Product Details

  • publication date: 28/10/2005
  • ISBN13: 9780340810132
  • Format: Hardback
  • Number Of Pages: 252
  • ID: 9780340810132
  • weight: 1053
  • ISBN10: 0340810130
  • edition: 3rd Revised edition

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