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Preface
Venous alterations and venous diseases are among the
commonest impairments of health and well-being, and it
is estimated that about two million citizens of the Federal
Republic of Germany are affected by a lower leg ulcer of
venous origin. This statistic illustrates the social and
socio-economic relevance of this medical condition, but
does not adequately describe the loss in quality of life
suffered by persons with a chronic ulcerative disease.
Many ulcer patients have a decades-long history of suf-
fering because of inadequate and failed attempts at ther-
apy and ultimately often resign themselves fatalistically to
the apparently unavoidable. However, modern diagnostic
procedures involving little stress for patients, combined
with appropriate therapeutic concepts, now mean that
venous leg ulcers can be effectively brought under con-
trol. Undoubtedly, this requires an adequate knowledge
of the complex medical problems involved and the physi-
cian's ability to motivate patients to take upon them-
selves a sometimes protracted program of therapy. The
very fact that rapid ulcer healing occurs only in very few
cases causes problems. Both physicians and patients may
lose patience, and the unscientific use of multiple med-
ications is not infrequently substituted in place of consis-
tently practised compression therapy.
This HARTMANN medical edition presents therapeutic
concepts involving conservative management of these
conditions in the light of pathophysiological knowledge.
These approaches are based on the use of compression
bandaging as basic therapy and illustrate the possibilities
offered by phase-specific wound management with
hydroactive wound dressings, since moist wound treat-
ment has proved especially effective in the treatment of
chronic ulcerations.
Causes [4.5]
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