Özet:

Venous leg ulcer is the most common etiology of lower extremity ulceration, is as an open lesion between the ankle and foot which does not heal for 4 weeks. The incidence is 1% for all ages and 3-5% for those over 65 years of age. The goals of treatment are to reduce edema, improve ulcer healing, and prevent recurrence. The first time that ulcer occurs, size of the wound, the location, number, the type of tissue in the wound bed, the exudate type and amount, the skin condition of the wound edges and surrounding area, wound stage, ancle-brachial pressure index and leg lymphedema before the wound begins treatment is needed. The management methods recommended for venous ulcers consist of leg elevation, high pressure compression, dressings, pentoxifylline, micronized refined flavanoid fraction, pale sulfonated shale oil, calcium dobesilate and aspirin therapy. There are studies on the use of cytokine growth factors, compression therapy with sclerotherapy as well. Insufficient evidence available for use combination of vaccum assisted clouser with hyperbaric oxygen therapy.  Surgical and mechanical methods are recommended for wound debridment. Pinch or mesh grafts can be used for ulcers with a diameter of >10 cm2 and resistant to other treatments for more than 6 months. Active plant flexion resistance, heel lifting exercises, monitoring of protein and fluid requirements, monitoring of electrolyte and albumin levels, patient-family education about regular foot care, and psychosocial support are important in the treatment process.

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