{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2022,3,29]],"date-time":"2022-03-29T17:46:06Z","timestamp":1648575966682},"reference-count":17,"publisher":"Index Copernicus","issue":"4","license":[{"start":{"date-parts":[[2016,1,1]],"date-time":"2016-01-01T00:00:00Z","timestamp":1451606400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2016,1,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Lower leg ulcers are characterized by a chronic and recurrent course, being considered as a difficult therapeutic problem. Based on epidemiological data chronic ulcers concern 0.2 to 2% of the Western European population. The above-mentioned problem affects women more often than men, and increases with age. Treatment and recurrence prevention methods remain under discussion and research.<\/jats:p><jats:p>The aim of the study was to evaluate the early surgical treatment results of venous leg ulcers at the Department of Traumatology and Emergency Medicine, Medical University of Lublin.<\/jats:p><jats:p>Material and methods. We evaluated patients hospitalized at the Department of Traumatology and Emergency Medicine, Medical University of Lublin during the period between 2009-2014. Inclusion criteria were as follows: venous leg ulceration, full documentation. The study group comprised 62 patients subjected to treatment for leg ulcerations, including 35 women and 27 men, aged between 30 and 94 years. The treatment method included the excision of the ulcers with the deep fascia, and the implantation of the mesh graft (thickness of skin) directly into the exposed muscle.<\/jats:p><jats:p>Results. Amongst patients evaluated at discharge, the healing of the transplant was as follows: in case of 44 patients 90-100%, in 8 patients - 75-89%, in 5 patients 50-74% and in 5 patients less than 50%. The predominating bacteria collected from ulceration samples was Pseudomonas aeruginosa (32%) and Staphylococcus aureus (35%).<\/jats:p><jats:p>Conclusions. The patient outcome shows that surgery is an effective method considering treatment of venous leg ulcers. Earlier qualification for this type of surgery will improve patient outcome.<\/jats:p>","DOI":"10.1515\/pjs-2016-0048","type":"journal-article","created":{"date-parts":[[2016,9,20]],"date-time":"2016-09-20T05:51:57Z","timestamp":1474350717000},"source":"Crossref","is-referenced-by-count":0,"title":["Evaluation of Early Surgical Treatment Results Considering Venous Leg Ulcers"],"prefix":"10.5604","volume":"88","author":[{"given":"Paulina","family":"Andrejuk","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Justyna","family":"B\u0142ach","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ewa","family":"Dudek","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Adam","family":"Nogalski","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"3689","reference":[{"key":"ref211","first-page":"4","article-title":"Systematic review of antimicrobial agents used for chronic wounds","volume":"88","author":"Meara","year":"2001","journal-title":"Br"},{"key":"ref101","first-page":"142","article-title":"Lothian and Forth Valley leg ulcer healing trial - part knitted viscose dressing versus a hydrocolloid dressing in the treatment of chronic leg ulceration","volume":"7","author":"Callam","year":"1992","journal-title":"Phleology"},{"key":"ref201","first-page":"358","article-title":"Antibiotic resistance of bacteria in biofilms pii","author":"Stewart","year":"2001","journal-title":"Lancet"},{"key":"ref151","doi-asserted-by":"crossref","first-page":"723","DOI":"10.1067\/mva.2002.121128","article-title":"Recurrence of chronic venous ulcers on the basis of clinical etiologic anatomic and pathophysiologic criteria and air plethysmography","volume":"35","author":"McDaniel","year":"2002","journal-title":"J Vasc Surg"},{"key":"ref241","doi-asserted-by":"crossref","first-page":"562","DOI":"10.1053\/ejvs.2002.1924","article-title":"Does the pattern of venous insufficiency healding of venous leg ulcer after skin transpalntation","volume":"4","author":"Kjaer","year":"2003","journal-title":"Eur J Endovasc Surg"},{"key":"ref51","doi-asserted-by":"crossref","first-page":"872","DOI":"10.1016\/0741-5214(94)90223-2","article-title":"The significance of calf muscle pump function in venous ulceration","volume":"20","author":"Araki","year":"1994","journal-title":"J Vasc Surg"},{"key":"ref131","first-page":"363","article-title":"Comparison of surgery and compression with compression alone in chronic venous ulceration ( ESCHAR study randomised controlled trial The","author":"Barwell","year":"2004","journal-title":"Lancet"},{"key":"ref21","first-page":"431","article-title":"Prevalance of leg ulceration in a London population","volume":"97","author":"Moffatt","year":"2004","journal-title":"QIM"},{"key":"ref171","first-page":"168","article-title":"Bacterial flora of leg ulcers in patients admitted to Department of Dermatology , Pozna\u0144 University of Medial Sciences , during the period","volume":"13","author":"\u017bmudzi\u0144ska","year":"1998","journal-title":"Acta Dermatovenerol"},{"key":"ref191","first-page":"284","article-title":"Bacterial biofilms : a common cause of persistent infections","author":"Costerton","year":"1999","journal-title":"Science"},{"key":"ref01","doi-asserted-by":"crossref","first-page":"470","DOI":"10.1053\/ejvs.2000.1223","article-title":"Patterns of reflux and the severity of varicose veins in the general population Edinburgh Vein Study","volume":"20","author":"Allan","year":"2000","journal-title":"Euro Vasc Endovasc Surg"},{"key":"ref221","doi-asserted-by":"crossref","first-page":"363","DOI":"10.1016\/S1078-5884(00)91196-1","article-title":"Surgical correction of isolated superficial venous reflux reduces long term recurrence rate in chronic venous leg ulcers","volume":"20","author":"Barwell","year":"2000","journal-title":"Eur J Vasc Endovasc Surg"},{"key":"ref231","first-page":"436","article-title":"Layer GT et al Calf pump fuction in patients with healed venous ulcers is not improved by surgery to the communicating veins or by elastic stocking","volume":"75","author":"Stacey","year":"1988","journal-title":"Br"},{"key":"ref11","first-page":"318","article-title":"What are the symptoms of varicose veins ? 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