A member asked:

What are the current therapies for stasis ulcers?

12 doctors weighed in across 5 answers

Treat the source: Chronic venous insufficiency leading to venous stasis ulceration can be evaluated by a phlebologist. Go to www.Phlebology.Org and put in your zip code to find one in your area. Treatment using endovenous ablation, phlebotomy, and sclerotherapy performed in an outpatient setting is the state of the art.

Answered 9/28/2016

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Dr. Phillip Hertzman answered

Specializes in Phlebology

Combination therapy: The basic cause of stasis ulcers is venous hypertension. Treatment involves reversing this process. It may involve laser ablation of abnormal veins, ultrasound guided foam sclerotherapy, along with medical grade compression stockings and aggressive wound care. Initially evaluation using duplex ultrasound is necessary.

Answered 10/23/2017

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Depends how lucky: The patient is. If the stasis ulcer is caused by superficial disease such as varicose veins on can be cured with the available methods. If the patient has deep vein disease usually as a sequel of and old deep vein clot, the main stay of treatment remain compression elastic or inelastic such as circaid legging. See:www.Gorenveincenter.Com.

Answered 2/1/2015

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See below: Wound should be debrided of non viable tissue, and appropriate dressing applied to optimize healing and control drainage, and compression hose. If it has been treated for some time, more advanced skin substitutes like apligraf can be used. Vascular studies performed to ensure adequate bloody supply to heal the wound, and an us to assess whether vein ablation will help.

Answered 1/5/2014

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Dr. Scott Bolhack answered

Specializes in Wound care

Venous stasis: The main goal for this condition is compression. Each wound requires analysis for the type of dressing to be used.

Answered 8/4/2014

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