Varicose ulcers are chronic wounds caused by the loss of the epidermal and dermal cover. The development of a varicose ulcer is usually preceded by the following manifestations:
swelling of the ankles in the evening (this swelling is present continuously as the disease progresses),
atrophic skin of the lower legs,
loss of hair on the lower legs,
dystrophics changes of the nails,
dermatosclerosis (superficial, hard and painful infiltrates above the inner ankle).
Treatment of varicose ulcers
If you have complication with the healing of an ulcer on your leg, seek medical help.
Treatment of chronic wounds and varicose ulcers begins by determining their cause and involves systemic treatment of the illnesses present (high blood pressure, heart disease, diabetes mellitus, diseases of the joints, oedema, etc.), as well as the adjustment of systemic medication (e.g. corticosteroids). Further significant factors are weight loss, increased body exercise and giving up smoking. The combination of systemic and local therapy complemented by compressive treatment is fundamental for successful healing.
If your doctor recommends treatment with HemaGel, proceed according to the following instructions:
1. Shower or clean the wound with tepid water
2. Gently clean away the remains of the HemaGel or other product which was used.
3. Cover the wound with HemaGel – a thin 1-2 mm layer. If the wound is deeper, do not fill in the entire crater, but only "coat" the bottom and walls of the wound with HemaGel.
4. Cover the wound with an impregnated tulle dressing (e.g. Atrauman) and then with a sterile square of gauze.
5. As a secondary dressing for bedsores we recommend a fixing material, but placing it against the bottom of the decubitus ulcer (bedsore). If possible do not cause yourself or the patient pain and again make sure that there is no air between the cover material and the surface of the ulcer which would prevent the HemaGel from working properly.
6. Redress as instructed by the doctor or depending on the condition of the wound. It is recommended changing the redressing once in two to three days for chronic wounds. If the dressing leaks, you must change it more frequently.