Trophic ulcers are a symptom rather than a disease itself. These are non-healing wounds that may arise as result of advanced varicosis, loss of afferent nerves cunductivity or other issues. Surgical treatment of such ulcers is effective and lasting only if underlying reasons are addressed.
Severe varicosis causes vasculature deteriotation at affected site, which leads to systematic malnutrituion of local tissues and non-healing wounds – trophic ulcers. Even after treatment of varicosis, these wounds tend to remain resistant to healing for prolonged time. Forunately, modern medicine offers complex approach to this issue, combining surgical intervention and advanced biomedical practice to cure trophic ulcers.
Conservative ulcer treatment rarely grants acceptable results, and combination of surgery with growth factor therapy proves to be incredibly efficient. More and more surgeons worldwide chose this combined approach for a range of reasons:
Surgeon chooses the optimal surgery technique, considering its location, grade and general condition of the patient. Typically, operation takes place under local anaesthesia.
The wound is cleared from debris and tissues strongly affected by necrobiosis. Then, the affected area is covered with a skin transplant taken from another part of the patient’s body. During the surgery, the site is treated with a growth factor concentrate produced from the patient’s own blood, and the same growth factors are supplemented to the site for several weeks after the surgery. The growth factors serve as intercellular signals that induce and promote regeneration, leading to quick recovery and improvement of general tissue health locally.
Right after surgery former wound surface is covered with compressional bandage, which must be kept on for several days. Pain may require pharmaceutical management for a day or two, and then it recedes. Within few days after surgery physical exercise should be avoided and general movement kept to a minimum. Afterwards, based on nature and location of ulcer physical rehabilitation procedures may be prescribed.
Within 2 to 3 weeks the transplant grafts properly, and the donor area is healed completely, though the exact recovery time may vary based on individual features of the patient. Typically, full recovery is achieved within one month.
