How Do I Manage and Treat My Leg Ulcer?
Optimal wound healing requires well-vascularized tissue, absence of necrotic tissue, infection-free conditions, and moisture.
Dressing Leg Ulcers
Dressing should be applied to the wound with even distributive contact, and should control exudate, hamper bacterial growth, and be easy to manage for both healthcare professionals and the patient. At a point at which wounds demonstrate progressive healing, consideration for closure is possible.
Debridement involves cutting away dead (vitalized) tissue. Topical antiseptics and antimicrobials can be used, but with caution due to their risk of causing local toxicity.
For very deep wounds, negative pressure dressing is used which utilizes a suction mechanism to allow the tissues to collapse and reduce the depth of the defect.
Granulation tissue is new growth and fill of well-vascularized tissue and signifies successful management with the opportunity for closure.
Other exotic treatments include hyperbaric oxygen therapy and electrical stimulation, with mixed results.