EWMA 2014 - Vascular Wounds: Ulcers with Venous Origins - (4) F. Fernández Quesada скачать в хорошем качестве

EWMA 2014 - Vascular Wounds: Ulcers with Venous Origins - (4) F. Fernández Quesada

Fidel Fernández Quesada's presentation: "Treatment options: Compression an/or open or endoluminal surgery" during the key session "Vascular Wounds" at the 24th EWMA Conference in Madrid, Spain, in May 2014. The next EWMA Conference will be held in May 2015 in London. For more information, please visit the webpage: http://ewma2015.org/ TREATMENT OPTIONS: COMPRESSION AND/OR OPEN OR ENDOLUMINAL SURGERY? Fernandez Quesada Fidel1,2 1Angiology and Vascular Surgery Hospital Clínico Universitario (Granada, Spain); 2University of Granada (Granada, Spain). For a long time, compression have been the most useful tool in management of venous ulcer. The conservative approach have shown clear benefits in treatment of venous disorders, and is cost effective and have enough evidence to be used in this disease. Aggressive approach (surgery, sclerotherapy, endovascular recanalization and stenting) are nowadays very good tools to be considered, not as an alternative, not in opposite, its role must be complementary in a comprehensive approach to the venous ulcer treatment. Those all treatments must be based in a rigorous clinical and echographic study, and must be part of an integral strategy that can combine the different options to customize the treatment for any possible combination of disease, patient and therapist, based in patient disease, co-morbility, patient preferences and therapist´ experience and the characteristics of the place and system of health where the treatment is going to be performed. All the treatment options can be combined in different ways under a global strategy that can lead the best option for each patient taking care the different combination of disease, comorbility, environmental aspect and therapist experience.