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Doody's Review ServiceReviewer: Brian G Peterson, MD (Northwestern University Feinberg School of Medicine)
Description: This is the third edition of a book dedicated to the diagnosis and management of leg ulcers. Previously subtitled "a practical guide to management," advances made in the diagnosis and treatment of venous ulcers have mandated an updated viewpoint from which this book has evolved.
Purpose: The purpose is to provide those interested in the treatment of leg ulcers with a reference to draw upon when faced with the often challenging complications of venous hypertension. Venous ulceration has been a longstanding problem and has significantly burdened society in various ways. With this updated book, the editors have equipped the medical community with a modern instrument with which to address this prevalent disease and helped to elucidate its cause.
Audience: The book is intended for anyone involved in the treatment of patients with leg ulcers. Whether patients are encountered in specifically dedicated vein/ulcer clinics, or in hospitals presenting with various etiologies for ulceration including diabetes, venous hypertension, or ischemia, anyone who cares for these patients will find this book to be invaluable. Physicians with established practices and trainees alike will benefit from the systematic approach to the diagnosis and management of leg ulcers that this book presents. The editors have assembled a group of authors who have "contributed to the last quarter century's advances in venous diagnosis and new methods of venous care," a group that has taken an interest in venous disease and has been responsible for the advances in technology available today.
Features: Beginning with a historical synopsis of leg ulcers, the book covers various topics including venous anatomy, noninvasive testing modalities, conservative treatment options, and traditional open surgical as well as minimally invasive management techniques. The illustrations are well chosen and help to explicate the topics of discussion. Most of the illustrations are in black and white and could be more beneficial if done in color, but the center section of the book consists of color plates of some of the more salient histological and gross specimens. While referring to these plates after reading their corresponding chapters is inconvenient, this is a minimal distraction from the true content of the book.
Assessment: New chapters dedicated to minimally invasive surgical techniques and sclerotherapy, as well as the pharmacologic and topical treatment of venous ulcers are timely and up-to-date additions to this third edition. In comparison to other references addressing venous leg ulceration, this book surpasses its predecessors in the way in which the subject matter is logically presented. A systematic progression from the diagnosis to the management of leg ulcers makes this book easy to understand, and provides its readers with a novel tool to address these challenging problems.