Leg Ulcers 3Ed: Diagnosis and management / Edition 3

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Overview

The first edition of Leg Ulcers by David Negus was published in 1991. Since then, developments in the management of venous disorders and, in particular, of venous ulceration, have continued apace. Prominent among these has been the development of duplex ultrasound scanning, which now enables the diagnosis and treatment of venous ulceration to be undertaken with a sound knowledge of the underlying anatomy. Treatment options now include PIN stripping of the long saphenous vein, endoscopic perforating vein interruption and ultrasound-guided foam sclerotherapy.

All of these developments, and more, are covered in this comprehensive guide to the management of this unpleasant and often socially unacceptable disorder. The book covers a wide diversity of subjects with authority and detail, including the relationship between venous ulcers and primary venous insufficiency as well as post-thrombotic syndrome, risk factors for deep vein thrombosis, recent advances in wound healing and microcirculatory changes in venous ulceration.

Written by a team of internationally recognised experts, this third edition of Leg Ulcers contains comprehensive reviews of the relevant literature and provides advice for those faced with difficult diagnostic and therapeutic problems, whatever their clinical setting.

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Editorial Reviews

Doody's Review Service
Reviewer: 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.
From The Critics
Reviewer: 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.
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Product Details

  • ISBN-13: 9780340810132
  • Publisher: Taylor & Francis
  • Publication date: 9/1/2005
  • Series: A Hodder Arnold Publication Series
  • Edition description: REV
  • Edition number: 3
  • Pages: 252
  • Product dimensions: 10.80 (w) x 8.70 (h) x 0.70 (d)

Meet the Author

David Negus MA DM MCh FRCS(Eng.)
Emeritus Consultant Surgeon, University Hospital, Lewisham, UK; Honorary Senior Lecturer, Guy's, King's and St Thomas' School of Medicine, London, UK

Philip D. Coleridge Smith MA DM FRCS(Eng.)
Consultant Vascular Surgeon and Reader in Surgery, UCL Medical School, The Middlesex Hospital, London, UK

John J. Bergan MD FACS(Hon) FRCS(Eng.)
Clinical Professor of Surgery, University of California, San Diego, California; Scripps Memorial Hospital, La Jolla, California; Vein Institute of La Jolla, California, USA

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Table of Contents

1. Historical background
2. Epidemiology – the extent of the problem
3. The blood vessels of the lower limb: applied anatomy
4. Venous return from the lower limb: muscle pumps, normal and disordered function
5. Venous thrombosis: etiology, pathology, diagnosis, prevention and treatment
6. The pathology of leg ulcers and venous disorders
7. Microcirculation in venous ulcers
8. Differential diagnosis of leg ulcers
9. Diagnosis: history and examination
10. Anatomical diagnosis:
(a) Duplex ultrasound
(b) Venography of the lower extremity
11. Functional diagnosis: Plethysmography and venous pressure measurement
12. Compression therapy in venous leg ulcers
13. Primary ulcer healing: dressings and compression
14. Skin grafting of venous ulcers
15. Surgical treatment of superficial venous incompetence: surgery of the saphenous veins
16. Surgical treatment of superficial venous incompetence: recent advances
17. Surgery of perforating veins
18. Sclerotherapy in the treatment of varicose veins
19. Echosclerotherapy for the management of saphenous reflux
20. The place of deep venous reconstruction: indications, techniques, results
21. Treatment of venous obstruction
22. Treatment of ischemic ulceration
23. Venous surgery in ulcer management: a review
24. Recurrent ulceration: prevention, diagnosis and treatment
25. Compression hosiery: compression measurements and fitting
26. Pharmacological treatment in venous leg ulcers
27. Topical agents to promote wound healing

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