Chronic Wound: Surgical Therapy

The following surgical measures can be performed in the presence of chronic wounds:

• Decubitus
  • For decubiti of stage 2 or greater, where cure cannot be achieved by conservative therapy, surgical debridement (wound debridement, i.e., removal of dead (necrotic) tissue from ulcers) should be performed.
  • If this also does not lead to a good result, plastic surgical reconstruction may be considered.
• Diabetic foot (see there)
• Ulcus cruris venosum
  • In varicosis (varicose veins), post-thrombotic syndrome – removal of insufficient vein sections using the following procedures.
    • Surgical removal
    • Sclerosing procedures (laser, chemical substances).
  • Venous valve reconstruction/transplantation
  • Ulcer excision (peeling), ulcer debridement.
  • Paratibial fasciotomy – to reduce the pressures in the musculoceles; in case of failure of further therapy.