Venous Stasis Ulcer

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An ulcer is an open lesion of the skin resulting in tissue loss. It is estimated that venous stasis ulcers affect 500,000 to 600,000 people in the United States every year and it is by far the most common type of leg ulcer seen (Foot Pain Explained). A person may have an ulcer on one or both legs and each leg may have multiple ulcerations. These ulcers are found in the inner part of the lower leg and can be very painful. Venous stasis is a very common disease of the leg. A venous stasis ulcer is a leg wound that does not heal because the veins of the legs are not pumping blood back to the heart. The blood pools in the lower leg which causes the leg to swell, the skin to open and form an ulcer. People who have a history of leg and feet…show more content…
This doesn’t mean it’s infected. If it is infected, there will be a lot more drainage and the area around the ulcer will be much redder in color than normal. Venous stasis ulcers need to be cleaned and debrided to remove all dead tissues and to promote formation of healthy granulation tissue. Some doctors clean the wound with a mild soap and others use a wound cleaner. There are a few methods doctors use to debride an ulcer but the most common is where the doctor takes a scalpel and scrapes away all dead tissue within the ulcer and around the wound. If the ulcer has a lot of yellow fibrous tissue, the debridement may have to be done under local anesthesia because this can be a very painful procedure. Dead tissue has to be removed for two reasons; one it harbors bacteria so if the wound is already infected it helps clear up the infection and if the wound is not yet infected it greatly reduces the possibility of infection (Foot Pain Explained). Secondly, healthy tissue cannot form where there is an abundance of dead tissue so healing will be delayed (Foot Pain Explained). Depending on the wound, the doctor is the one who decides which method of debridement to use. After the cleaning and debridement, a dressing is applied. There are many types of dressings: moist dressings, hydrogel and hydrocolloid dressing, alginate dressings, collagen wound dressings, antimicrobial dressings, and composite dressings.
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