Publication:

Study of the pathogenesis and diagnosis of ulcer of lower extremity under various conditions

Background As lower extremities are exposed to injury and having a circulation strained by upright posture of human being should be the site of ulcer. This has reason for researchers and surgeon who have been concerned with the reasons for their common occurrence and difficulty in their cure. Researcher interested to study the pathogenesis of ulcer of lower extremity under various conditions.

Methods In the present study, 70 patients of lower extremity ulcer with various types were admitted in surgical wards of Mallareddy Institute of Medical Sciences, Hyderabad. The cases were examined in detail and investigated thoroughly. In clinically doubtful cases, the diagnosis was made only after histopathological examination.

Results Most common type of ulcer was found in the present was Venous 13 (18.57%) cases, contributed by male (12) and female (1) followed by Traumatic 12 (17.14%) and Diabetic 11 (15.74%). Most of cases belong to the age group 41-60 years (47.14) and male (28 cases). High saphenous vein ligation with sripping of veins (23.07%) and conservative (23.07%) treatment were common surgical procedures used for the treatment of venous ulcer.

Conclusions In the present, venous ulcers are the most common of all leg ulcers with high morbidity. The surgical procedures are directed at prevention of venous reflux at various levels.