Terminal interruption of relux source technique in the treatment of active venous ulcers

Introduction: The treatment for venous ulcers in most cases is unsatisfactory, with recurrences and poor healing. Objective: to evaluate adjuvant therapy in the treatment of active venous ulcers. Methods: We analyzed 20 patients with active venous ulcers attending the general Surgery outpatient clinic at the “Dr. José eleuterio gonzález” University Hospital from October 2012 to January 2013. they were randomly divided into 2 groups: group A (11 patients) underwent compression therapy and group B (9 patients) underwent compression therapy plus removal of the vein that gives terminal relux to the ulcer, guided by ultrasound (microphlebectomy). Patients were evaluated weekly (8 weeks). At each assessment, photographs and lesion measurements were taken and pain was evaluated using the visual analog scale. Results: No significant differences were found between the study groups in terms of age, weight, height, body mass index (BMi), ankle-brachial index, and baseline measurement of the ulcer (p>0.05). Group B showed a greater reduction in ulcer size and a statistically signiicant lower score on the visual analog pain scale (p<0.05) from the second and third week of treatment, respectively. Conclusions: the results obtained in patients with surgical procedure (group B) are consistent with the reported eficacy of chronic venous ulcer treatment with saphenectomy (conventional surgery), the difference is that in this study we used a minimally invasive procedure (microphlebectomy)

Surgical treatment of a pseudoaneurysm of the femoral artery secondary to a gunshot wound: clinical case report

We report a case of a 18-year-old male patient with a diagnosis of pseudoaneurysm of the right supericial femoral artery secondary to penetrating injury by gunshot, which was treated in our Hospital with an aneurysm resection and a saphenous vascular graft inverted with a satisfactory evolution

A negative pressure device for the treatment of diabetic foot.

Background: We studied the use of a negative pressure device designed by one of the authors (JATB) to determine if it shortens healing time and lowers the amputation level in patients with diabetic foot. Methods: Twenty-two patients in two randomized groups were studied. The characteristics of the ulcer according to the Wagner classification, superficial and deep sensitivity, and the status of the pulses were documented. In group 1, the control group, conventional treatment was used. Group 2, the experimental group, was also treated conventionally but a negative pressure device was added. The wounds were treated until healed or for one year. A statistical analysis was carried out with parametric tests that compared the evolution of the ulcer and the amputation level in both groups. Results: The ulcer closed by one year of follow-up in ten patients from each group, representing 90.9% of the patients. A statistically significant difference was not observed between the groups. Conclusions: After one year of evolution, a statistically significant difference in ulcer healing was not found in either group