pubmed:abstractText |
Most venous ulcers (VUs) will heal with conventional treatment, which focuses on improving regional venous hemodynamics. This treatment, however, often fails to heal large, recurrent VUs that are associated with severe lipodermatosclerosis (LDS). These complicated ulcers may require correction of local venous hemodynamics and replacement of the surrounding LDS with healthy tissue. We report our experience managing 24 especially difficult VUs with debridement and free flap coverage.
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pubmed:affiliation |
Department of Surgery, University of California, San Diego and The San Diego VA Healthcare System, San Diego, CA, USA.
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