scholarly journals Painful Leg Ulceration in a Poorly Controlled Hypertensive Patient: A Case Report of Martorell Ulcer

2017 ◽  
Vol 9 (1) ◽  
pp. 95-102 ◽  
Author(s):  
Harsimran Kaur Malhi ◽  
Ali Didan ◽  
Stefan Ponosh ◽  
Sujith Prasad Kumarasinghe
Keyword(s):  
Lower Limb ◽  
Wound Care ◽  
Correct Diagnosis ◽  
Diabetes Treatment ◽  
Pressure Management ◽  
Solitary Lesion ◽  
Outer Aspect ◽  
Hypertensive Woman ◽  
Eventual Healing ◽  
Excruciating Pain

Martorell ulcer is a form of lower limb ulceration, preceded by a small area of excruciating pain. It often appears as a solitary lesion on the outer aspect of the lower limb, and is primarily associated with poorly controlled hypertension and diabetes. Treatment of the ulcer involves awareness and early correct diagnosis, adequate control of blood pressure, management of infection, and wound care. We describe a 77-year-old diabetic and hypertensive woman presenting with excruciating pain in her right lower lateral leg leading to a necrotic ulcer. Serial photographs of the evolution of the lesion and eventual healing of the ulcer are presented.

Myofibroma of the Gingiva: Report of a Case

2010 ◽  
Vol 34 (3) ◽  
pp. 253-257 ◽  
Author(s):  
Banu Özveri Koyuncu ◽  
Mert Zeytinoğlu ◽  
Taha Ünal ◽  
Bülent Zeytinoğlu
Keyword(s):  
Benign Tumor ◽  
Smooth Muscle Actin ◽  
Correct Diagnosis ◽  
Benign Neoplasm ◽  
Surgical Excision ◽  
Solitary Lesion ◽  
Immunohistochemical Markers ◽  
Mesenchymal Neoplasm ◽  
S 100 ◽  
Histopathologic Evaluation

Myofibroma is a benign mesenchymal neoplasm composed of myofibroblasts which has been described with different synonyms since the first report in 1951. It occurs most commonly as a solitary lesion of soft tissue,skin, or bone in infancy. The prognosis of oral myofibromas is excellent, and surgical excision is curative. Recurrence is rare. Awareness and recognition of this benign tumor is important to establish the correct diagnosis and avoid morbidity of unnecessary aggressive therapy. This report describes a myofibroma of the gingiva in a 14 year old girl and is reported together with the conventional histologic, and immunohistochemical findings. The tumor showed rapid increase in size and clinical features suggestive of malignancy. However, on histopathologic evaluation it was diagnosed as a benign neoplasm, and this diagnosis was supported by immunohistochemical markers. The spindle cells were immunopositive for smooth muscle actin,and vimentin but were negative for desmin and S-100 protein. The patient was treated with surgical excision,and is followed-up for 33 months without any signs of recurrence.

scholarly journals Evaluating the effectiveness of the customized Unna boot when treating patients with venous ulcers*

2013 ◽  
Vol 88 (1) ◽  
pp. 41-49 ◽  
Author(s):  
Bruna Suelen Raymundo Luz ◽  
Cristina Souza Araujo ◽  
Dênia Amélia Novato Castelli Von Atzingen ◽  
Adriana Rodrigues dos Anjos Mendonça ◽  
Marcos Mesquita Filho ◽  
...  
Keyword(s):  
Lower Limb ◽  
Chronic Wound ◽  
Wound Care ◽  
Subsequent Development ◽  
Venous Ulcer ◽  
Control Group ◽  
Wound Area ◽  
Venous Ulcers ◽  
The World ◽  
The City

BACKGROUND: Lower limb ulcers are a serious medical and socioeconomic problem throughout the world. One type of chronic wound of the lower extremities is the venous ulcer. Therapeutic methods for treating venous ulcer include the use of the Unna boot. OBJECTIVES: To evaluate the effectiveness of the customized Unna boot in the treatment of venous ulcers and to monitor the subsequent development and healing of the lesions. METHODS: Prospective exploratory and quantitative longitudinal study, conducted at the "Outpatients Department (Wound Care) of the Grupo da Fraternidade Espírita Irmão Alexandre" in the city of Pouso Alegre (MG), Brazil, in 2008. The sample consisted of 32 patients with venous ulcers who underwent treatment with the Unna boot and 11 patients (control group), who used a simple bandage application. The patients'lesions were monitored over a three month period. RESULTS: The average age of the predominently female (65.1%) patients was 61.88. From observing the differences in healing times at the three evaluation stages, it was clear that after the initial evaluation the wound area decreased in Groups 1 and 2 (p>0.05). CONCLUSION:The use of the customized Unna boot contributes to quicker healing. However, over a period of three months the simple bandage applications were seen to be just as effective as the Unna boot method.

scholarly journals A Comparative Study of Efficacy of Povidone Iodine Versus Super Oxidized Solution in Lower Limb Ulcers

2021 ◽  
Vol 10 (37) ◽  
pp. 3220-3224
Author(s):  
Nyna Sindhu Akula ◽  
Navaneeth Krishna ◽  
Sreedhar Sathu
Keyword(s):  
Comparative Study ◽  
Lower Limb ◽  
Povidone Iodine ◽  
Wound Care ◽  
Wound Management ◽  
Average Percentage ◽  
Wound Size ◽  
Group A ◽  
Group B ◽  
A Prospective Study

BACKGROUND Wounds and their management are important in the practice of surgery. Super oxidised solution is a recent concept in wound management. It is an aqueous solution which is electrochemically processed which is non-toxic, non-irrigating and is having a neutral pH. Povidone iodine is the most common topical wound care product used in surgical practice. Both are affordable solutions for the patients. There are very few studies comparing the efficacy. In this study, we wanted to compare the efficacy of super oxidised solution and povidone iodine in the management of lower limb ulcers. METHODS A prospective study was conducted on 100 patients who were randomized into two groups. Group A was treated with super oxidized solution and Group B were treated with povidone iodine. Assessments of wounds were done on various days (1, 3, 5, 7, 9, 12, 15, 18, 21). Various outcomes of data were analysed using statistical analysis. RESULTS The average percentage reduction in wound size on day 21 was 47 % in Group A compared to 24 % in Group B. Early appearance of granulation tissue, disinfection, decrease in wound size, and less duration of hospital stay was achieved in Group A. CONCLUSIONS The results were more favourable towards super oxidised solution than povidone iodine. In this comparative study, super oxidized solution had faster efficacy and wound healing in patients than povidone iodine. KEY WORDS Super Oxidized Solution, Ulcer, Povidone Iodine.

scholarly journals Use of compression therapy to treat lower limb wounds across Europe: a scoping review protocol

BMJ Open ◽  
2020 ◽  
Vol 10 (9) ◽  
pp. e039008
Author(s):  
Ray Samuriwo ◽  
Natalia Christiansen ◽  
Alison Hopkins
Keyword(s):  
Scoping Review ◽  
Lower Limb ◽  
Wound Care ◽  
Relevant Literature ◽  
Secondary Data ◽  
Population Level ◽  
Compression Therapy ◽  
English Summary ◽  
Lower Limbs ◽  
Scoping Reviews

IntroductionPoor lower wound care is an avoidable patient harm. Compression therapy is an effective way of treating non-ischaemic lower limbs wounds, but it is not always used appropriately. There are many guidelines which set out how compression therapy should be used, but there is dearth of evidence about how it is actually used at a population level across Europe.AimThe aim of this scoping review is to map the evidence published in English relating to the use of compression therapy to treat lower limb wounds across Europe.MethodsThis scoping review will be conducted in line with the Joanna Briggs Institute and Preferred Reporting Items for Systematic Reviews and Meta-Analyses for Protocols and Scoping Reviews guidance. A search for relevant publications will be conducted on variety of databases and key websites in order to identify a comprehensive range of relevant literature. Peer reviewed empirical papers, theoretical papers and other publications in English relating to the use of compression therapy across Europe will be considered for inclusion.Ethics and disseminationEthical and research governance for this scoping review is not required because we will only gather secondary data. Our results will be disseminated to the widest possible audience through an open access paper in a peer reviewed international journal, conference presentations and a plain English summary. The results of this scoping review will be used by a panel of Key Opinion Leaders from across Europe to develop a driver diagram to underpin subsequent lower limb wound care improvement efforts.

Revolutionising the wound care pathway for patients with lower limb wounds

2020 ◽  
Vol 26 (5) ◽  
pp. 110-112
Author(s):  
Una Adderley
Keyword(s):  
Primary Care ◽  
Lower Limb ◽  
Care Pathway ◽  
Wound Care ◽  
Evidence Based ◽  
Common Condition ◽  
Evidence Based Care

Lower limb ulceration is common and costly, with evidence of variation in practice and under-use of evidence-based care. This has resulted in poor healing rates and exacerbated costs. Commissioning to achieve better organised care that supports early delivery of evidence-based interventions is needed to improve the management of this very common condition in community and primary care.

Lower-limb amputation: wound care and rehabilitation

1998 ◽  
Vol 7 (3) ◽  
pp. 137-140 ◽  
Author(s):  
I. Spark ◽  
K. Vowden ◽  
P. Vowden
Keyword(s):  
Lower Limb ◽  
Wound Care ◽  
Lower Limb Amputation ◽  
Limb Amputation

Creating capacity in the healthcare system: the urgent need to improve lower limb ulcer care

2021 ◽  
Vol 27 (5) ◽  
pp. 112-114
Author(s):  
Una Adderley
Keyword(s):  
Healthcare System ◽  
Lower Limb ◽  
Wound Care

Una Adderley discusses the National Wound Care Strategy Programme's recommendations for the care of patients with lower limb ulcers, which are now being implemented across England.

Avoidance of lower limb amputation from a diabetic foot ulcer: The importance of multidisciplinary practice and patient collaboration

WCET Journal ◽  
2019 ◽  
Vol 39 (2) ◽  
pp. 19-27
Author(s):  
Margaret Mungai ◽  
Emmy Sirmah
Keyword(s):  
Lower Limb ◽  
Diabetic Foot ◽  
Wound Care ◽  
Foot Ulcer ◽  
Diabetic Foot Ulcer ◽  
Limb Amputation ◽  
Nursing Interventions ◽  
Multidisciplinary Practice ◽  
Sugar Levels ◽  
Care Nursing

This article explores wound care nursing interventions and inter-professional collaboration for a patient referred with a stage 3 diabetic foot ulcer (DFU). To the patient’s distress, he had been informed that he may require an amputation due to the severity of his DFUs. On initial presentation, the patient was symptomatic for peripheral neuropathy, infection and hyperglycaemia. The left lower limb was oedematous and there was a DFU at the metatarso-phalangeal joint of the big toe on his left foot secondary to haemorrhagic callus. Progressive healing of the DFU was realised over time by repetitive debridement; incision and drainage of the DFUs; antibiotic therapy; appropriate footwear; dietary instructions; control of the blood sugar levels (BSLs); and patient and family education. Wound care nursing interventions were applied in conjunction with medical management of the DFUs. The DFUs were managed using a locally made, two-part zinc oxide gauze dressing known as the Unna boot. A family member was instructed how to continue applying the dressings at home in between clinic visits. Complete wound healing was eventually achieved within four months, thus avoiding the need for amputation.

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