Varicose Ulcers

"Ulcers are chronic wounds that need daily healing and that affect the quality of life very negatively. Therefore, specialists recommend establishing a treatment plan for the first symptoms".

DR. LUKASZ GROCHOWICZ
PERSON IN CHARGE. VASCULAR SURGERY SERVICE

What are leg ulcers?

Chronic ulcers of the lower extremities in over 80% of cases are associated with varicose veins and venous insufficiency, which is why they are also called varicose ulcers.

The physical examination is usually sufficient to establish the diagnosis of varicose ulcers but there are some data that must be known. For this reason, there are complementary tests, including the eco-doppler-color that provides more information.

In some cases it is necessary to perform a phlebography with contrast.

What are the symptoms of varicose ulcers?

The most common symptoms of varicose ulcers are

  • Ulcers in the lower extremities
  • Cramps
  • Leg pain
  • Permanent feeling of tiredness
  • Feeling of heaviness

Do you have any of these symptoms?

You may have a varicose ulcer

What causes leg ulcers?

The cause that originates them is a venous hypertension due to the existence of reflux of the blood by the presence of perforating veins avalvulated. This hypertension is transmitted to the tissues and originates the ulcer.

How are ulcers diagnosed?

The physical examination is usually sufficient to establish the diagnosis of varicose ulcers although there are some data that must be known. For this reason, there are complementary tests, including the eco-doppler-color that provides more information.

In some cases it is necessary to perform a phlebography with contrast.

How are varicose ulcers treated?

It is important to assess the degree of venous insufficiency that the patient presents

Effective treatment of venous ulcers begins with an accurate assessment of the degree and type of venous insufficiency the patient presents. Correctly identifying the cause of venous hypertension is essential in order to apply the most appropriate therapy and prevent recurrence.

The classical treatment is based on elastic compression, rest, and leg elevation—measures that help reduce venous pressure and promote healing. Dressings and local wound care contribute to managing the ulcer, but by themselves do not address the underlying problem.

The main goal is to correct the venous insufficiency causing the ulcer. Depending on each case, this can be achieved through different varicose vein treatments, such as thermal ablation (laser or radiofrequency), surgery, foam sclerotherapy, or a combination of these techniques.

These procedures, usually outpatient and minimally invasive, eliminate the cause of venous hypertension and allow the ulcer to heal within a few weeks, while also reducing the risk of recurrence.

Where do we treat them?

IN NAVARRE AND MADRID

The Vascular Surgery Service
of the Clínica Universidad de Navarra

The Vascular Surgery Service of the Clinic has the latest technology for the diagnosis, treatment and surgery of vascular pathologies. Our wide experience, framed in the quality care environment of the University of Navarra Clinic, allows us to offer the patient the most effective and innovative treatments.

We have an operating room specialized in vascular surgery, equipped with advanced equipment for the surgical treatment of the most important vascular diseases. 

We are pioneers in endovascular brachytherapy, localized radiotherapy to treat tumors, which has been practiced in the world on very few occasions.

Diseases we treat

  • Diseases of the aorta
  • Carotid diseases
  • Chronic venous insufficiency (varicose veins)
  • Ischemia of lower extremities
  • Varicose ulcers
Imagen de la fachada de consultas de la sede en Pamplona de la Clínica Universidad de Navarra

Why at the Clinica?

  • En menos de 24 horas podemos realizar las pruebas necesarias para establecer el diagnóstico y el planteamiento del tratamiento.
  • Área de Flebología pionera en España en el tratamiento de varices con microespuma.