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A Journal on Physiopathology and Therapy of Chronic Cutaneous Ulcers

Official Journal of the Italian Association for Cutaneous Ulcers
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Acta Vulnologica 2012 March;10(1):21-7

language: English, Italian

Extreme wound care: is it always the best choice? Presentation of a case report

Palombi M., Fratto D., Cataldo F., Sortino A., Martinelli F., Palombi L.

Operative Unit of Vascular Surgery A. Alesini CTO Hospital, ASL RM C, Rome, Italy


The remarkable technological advances in today’s world of Wound Care allows to obtain excellent results, recovering and doing heal even serious injuries of soft tissues in patients with macro and microvascular diabetic neuropathy and/or chronic atherosclerotic obstructive arterial disease. For this reason it has drastically reduced the number of major amputations. The authors describe a clinical case of serious arterial obstructive disease of Fontaine stage IV, to highlight the enormous possibilities of recovery given by the advanced dressings and negative pressure wound therapy (NPWT), but also to offer food for thought: you should always force the Wound Care and groped a limb salvage at all costs? the quality of life and recovery of the patient to a socially active life could be better and faster with even a painful amputation? The vulnologist must always accommodate the patient’s wishes or needs to convince him to follow the path most logical therapeutic?

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