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Management of ulcers in lymphoedematous limbs

Lymphoedema is a progressive condition that can have a marked physical and psychological impact on affected patients and significantly reduce the quality of life. The ulcers on chronic lymphoedema patient, which often also makes it impossible for them to work. If left untreated, tends to progress or...

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Autor principal: Karnasula, Vishnu M.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2012
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3495376/
https://www.ncbi.nlm.nih.gov/pubmed/23162225
http://dx.doi.org/10.4103/0970-0358.101291
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author Karnasula, Vishnu M.
author_facet Karnasula, Vishnu M.
author_sort Karnasula, Vishnu M.
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description Lymphoedema is a progressive condition that can have a marked physical and psychological impact on affected patients and significantly reduce the quality of life. The ulcers on chronic lymphoedema patient, which often also makes it impossible for them to work. If left untreated, tends to progress or worsen. Ulcers in lymphoedema patients, therefore, represent not only a medical but also a psychological problem. The treatment is often regarded as being worse than it actually is. In our study of more than 25 years shows around 10% cases are due to chronic lymphodema. Ulcers of chronic lymphoedema are classified into four stages according to their presentation. Their management depends upon their stage of presentation. Patients with chronic lymphoedema and ulceration require a different approach to treatment. The specific issues associated with managing the patient with lymphoedematous ulceration include, limb shape distortion i.e., elephantiasis, care of the skin creases and folds, and swelling of the toes and fore foot. Stage I ulcers will heal with conservative treatment without any surgical intervention. Stage II ulcers needs debridement of the wound and split-thickness skin grafting. The most difficult to treat are the stage III and IV ulcers, due to associated skin changes and reduced vascularity. These cases need debulking along with excision of the ulcer. In order to prevent recurrence of the ulcer in all the four stages needs prolonged follow-up and limb care.
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spelling pubmed-34953762012-11-16 Management of ulcers in lymphoedematous limbs Karnasula, Vishnu M. Indian J Plast Surg Original Article Lymphoedema is a progressive condition that can have a marked physical and psychological impact on affected patients and significantly reduce the quality of life. The ulcers on chronic lymphoedema patient, which often also makes it impossible for them to work. If left untreated, tends to progress or worsen. Ulcers in lymphoedema patients, therefore, represent not only a medical but also a psychological problem. The treatment is often regarded as being worse than it actually is. In our study of more than 25 years shows around 10% cases are due to chronic lymphodema. Ulcers of chronic lymphoedema are classified into four stages according to their presentation. Their management depends upon their stage of presentation. Patients with chronic lymphoedema and ulceration require a different approach to treatment. The specific issues associated with managing the patient with lymphoedematous ulceration include, limb shape distortion i.e., elephantiasis, care of the skin creases and folds, and swelling of the toes and fore foot. Stage I ulcers will heal with conservative treatment without any surgical intervention. Stage II ulcers needs debridement of the wound and split-thickness skin grafting. The most difficult to treat are the stage III and IV ulcers, due to associated skin changes and reduced vascularity. These cases need debulking along with excision of the ulcer. In order to prevent recurrence of the ulcer in all the four stages needs prolonged follow-up and limb care. Medknow Publications & Media Pvt Ltd 2012 /pmc/articles/PMC3495376/ /pubmed/23162225 http://dx.doi.org/10.4103/0970-0358.101291 Text en Copyright: © Indian Journal of Plastic Surgery http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Karnasula, Vishnu M.
Management of ulcers in lymphoedematous limbs
title Management of ulcers in lymphoedematous limbs
title_full Management of ulcers in lymphoedematous limbs
title_fullStr Management of ulcers in lymphoedematous limbs
title_full_unstemmed Management of ulcers in lymphoedematous limbs
title_short Management of ulcers in lymphoedematous limbs
title_sort management of ulcers in lymphoedematous limbs
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3495376/
https://www.ncbi.nlm.nih.gov/pubmed/23162225
http://dx.doi.org/10.4103/0970-0358.101291
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