MARTORELL’S ULCER-THERAPEUTIC APPROACH
Journal
Македонски медицински преглед = Macedonian Medical Review
Date Issued
2020
Author(s)
Gjorgjeska Andrijana
Trajkova Vanja
Abstract
In the last sixty years, as a result of numerous researches
and studies, the approach in the treatment of wounds
has significantly changed, which has contributed to
greater efficiency of the treatment. Acute wounds by
definition are those wounds that heal without complications in the estimated time period, when the structural and functional integrity of the skin is restored.
Chronic woundsdo not follow a normal trajectory of
healing, and no complete functional and structural integrity of the skin is achieved. Chronic wounds usually
take monts to heal, leading to disruption in patients,
lives and risk of amputations. They are afinancial burden for the health systems.
Martorell’s ulcer is an ischemic and very painful lesion
of lower limbs, associated with poorly controlled hypertension. It is located in the distal third of the lower limbs.
Hyperbaric oxygen therapy has a significant place in
the therapeutic approach in addition to the conventional one.
Treatment involves breathing 100% oxygen at the pressure higher than the atmospheric pressure in order to
provide better oxygenation of the tissues and to enhance the wound healing processes. The aim of the study
wasto evaluate the effect of 100% oxygen under pressure applied as an adjuvant treatment in a patient with
Martorell’s ulcer of the lower limb.
In this report, we present a patient with painful ulcers
of the distal part of the lower limb and poorly controlled
systemic arterial hypertension treated withadjuvant hyperbaric oxygen therapy.
The results of the investigations and the local and systemic therapy are shown in details.
The treatment improved and accelerated the process of
granulation and epithelialization, and provided absence
of a wound infection. Hyperbaric oxygen therapy as an
adjuvant treatment is effective in accelerating the wound
healing processes.
and studies, the approach in the treatment of wounds
has significantly changed, which has contributed to
greater efficiency of the treatment. Acute wounds by
definition are those wounds that heal without complications in the estimated time period, when the structural and functional integrity of the skin is restored.
Chronic woundsdo not follow a normal trajectory of
healing, and no complete functional and structural integrity of the skin is achieved. Chronic wounds usually
take monts to heal, leading to disruption in patients,
lives and risk of amputations. They are afinancial burden for the health systems.
Martorell’s ulcer is an ischemic and very painful lesion
of lower limbs, associated with poorly controlled hypertension. It is located in the distal third of the lower limbs.
Hyperbaric oxygen therapy has a significant place in
the therapeutic approach in addition to the conventional one.
Treatment involves breathing 100% oxygen at the pressure higher than the atmospheric pressure in order to
provide better oxygenation of the tissues and to enhance the wound healing processes. The aim of the study
wasto evaluate the effect of 100% oxygen under pressure applied as an adjuvant treatment in a patient with
Martorell’s ulcer of the lower limb.
In this report, we present a patient with painful ulcers
of the distal part of the lower limb and poorly controlled
systemic arterial hypertension treated withadjuvant hyperbaric oxygen therapy.
The results of the investigations and the local and systemic therapy are shown in details.
The treatment improved and accelerated the process of
granulation and epithelialization, and provided absence
of a wound infection. Hyperbaric oxygen therapy as an
adjuvant treatment is effective in accelerating the wound
healing processes.
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