Small wounds with liquid discharge: Gerardo asks for some advice

Good morning, I would need some information about a problem that affects my father, age 80.

Nearly 16 years ago he was affected by a right leg deep vein thrombosis and he has been taking an anticoagulant drug since then. However, small wounds with liquid discharge have appeared since a couple of years.

Moreover, at a later time, things worsened even though we consulted a lot of specialists in angiology and cardiovascular diseases.

I would like to know if you could help me to solve this problem. I might also send you some pictures of it.

Thank you,

One comment on “Small wounds with liquid discharge: Gerardo asks for some advice

  1. Alice Casadei on

    Dear Gerardo,
    Thank you for sending us your question; I’m so sorry that your father is experiencing diseases due to this wound.

    First of all, you did a good choice in speaking with a specialist in angiology: indeed, understanding underlying circulatory disorders is fundamental to decide the wound right treatment.
    For this purpose, if you haven’t already had one, I suggest you take an arterial and venous ecodoppler. This exam allows us to understand if, besides a venous problem, arterial circulation is also compromised, which delays healing.

    If ecodoppler has already ascertained that your father’s problem is purely venous, the approach we employ at the Hyperbaric Centre of Ravenna is that of the compression bandage. Indeed, very often in venous origin ulcers, it is not sufficient to apply a local treatment because this doesn’t prevent the excessive accumulation of liquid in legs, which leads to wounds.

    The bandage helps venous return and must be customized according to the patient’s characteristics. An active person who walks a lot, for example, is advised to use an anelastic bandage able to work while the person is moving and it is not so annoying at rest. For a patient who doesn’t walk a lot, it is better to use an adhesive compression bandage who is effective also at rest.

    Besides this, in order to have an effective therapeutic plan, it is necessary to evaluate several factors, such as the patient’s general state of health, the drugs it takes, other concomitant diseases and the nutritional state (obesity or malnutrition are an obstacle for healing).
    These checks are made at our centre during the first visit.
    I leave you the Secretariat’s email to send us some pictures:

    Thank you for your question. I hope I have been useful.
    Alice Casadei
    Nurse of the Wound Care Centre of the Hyperbaric Centre of Ravenna


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