Venous Ulcerations: Before and After treatment
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The following patient had a chronic nonhealing wound for one year that was painful
and had significant leg swelling despite aggressive management at a wound clinic.
The healing of the chronic ulceration displayed in the after picture is typical of the
response seen with definitive treatment of abnormal superficial venous reflux. The
pain resolved nearly immediately following treatment.
The dark discoloration seen below is typical of that seen in chronic venous reflux
disease. The before picture shows hemosiderin as well as an underlying reddish
discoloration consistent with venous reflux. Please note the improved appearance both
in coloration and the improvement in the chronic rash-like areas in the front of the leg.
Patients with superficial venous reflux often have significant itching with involuntary
scratching at night which results in this appearance. The patient's swelling, pain and
itching (and shallow wounds) resolved after laser ablation and ambulatory phlebectomy.
This patient had a severe, chronic (2 years) ulceration and severe leg pain that would
not heal despite aggressive, frequent and skilled treatment at a local wound center.
Following treatment, the discoloration is much improved, the wound is becoming more
shallow and the ulceration is healing. Often, drainage from the ulcer becomes more
bloody after treatment, a good sign as it implies more blood flow (and therefore
improved healing) to the ulcer. 4 days after treatment, the patient stated that his pain
level had dropped from 9 out of 10 to 1 out of 10 (4 days after laser ablation and
medical sclerotherapy). He went on to complete ulcer healing over the next few weeks.
Pretreatment
7 days after treatment
50 days following treatment with
laser ablation and phlebectomy
4 days after treatment with laser
ablation and medical sclerotherapy
The Vein Center 11219 Financial Centre Parkway Suite 215 Little Rock, Arkansas 72211 (501) 225-8346 (225-VEIN) Fax (501) 217-9819
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