Medicína se bez nových myšlenek neobejde

MUDr. Jan Stryja

Dermatol. praxi. 2009;3(5):223  

Skin and wound infection in diabetics

MUDr.Jana Horáčková, MUDr.Jana Kolesárová, MUDr.Jan M.Horáček, Ph.D., prof.MUDr.Luboš Sobotka, CSc.

Dermatol. praxi. 2009;3(5):225-228  

A number of diabetic patients grows every year. That is the reason why the number of diabetic patients visiting dermatology clinic grows as well. This article points out specific features of skin infection in diabetics in an effort to increase efficiency of dermatology treatment. A special attention is paid to the problem of diagnosis and treatment of diabetic foot infection, since only early and complex treatment may be successful.

Modern materials - yes, but … (notes from the practice)

MUDr.Hana Vlhová

Dermatol. praxi. 2009;3(5):230-232  

The aim of the paper is not to present a systematic classification of modern materials for the treatment of chronic wounds (wet dressing) nor to deal with the stages of healing. Its purpose is to report a number of observations and notes from the practice focused on other aspects of care of chronic non-healing wounds that could be helpful to those who are beginning to deal with this issue.

Diagnosing ischaemia and local treatment of ulcerations

MUDr.Jan Stryja

Dermatol. praxi. 2009;3(5):233-235  

Chronic tissue ischaemia results in impaired healing at several levels. An ischaemic wound shows typical signs. Some are found on the skin cover even before an open wound develops. The strategy for local treatment of ischaemic ulcerations is based on the real needs of the wound. The aim of the paper is to provide a complex view of the clinical manifestations of limb ischaemia, diagnosis and treatment of ischaemic ulcerations.

Compression therapy in chronic venous disease

MUDr.Sabina Švestková, Ph.D.

Dermatol. praxi. 2009;3(5):236-238  

Compression therapy is one of the basic therapeutic measures in venous and lymphatic diseases of the upper and lower limbs. Its purpose is to compensate the function of the vascular bed. The significance of external compression is still underrated by both physicians and patients, although this method is very effective, simple as well as economically available. The paper reviews effective compression systems in treating chronic venous disease.

Current view of the management of ischaemic ulcerations

MUDr.Ján Bulejčík

Dermatol. praxi. 2009;3(5):239-242  

The authors present the current diagnostic-therapeutic algorithm in patients with chronic ulcerations of ischaemic aetiology. The mainstay of successful therapy of the defects is a precise diagnosis of the extent of arterial occlusion and an attempt of revascularization. Recently, the techniques of surgical or endovascular revascularization have been expanded by the use of combined (hybrid) procedures, particularly in patients with critical limb ischaemia (CLI). The authors present their cohort of 80 patients with CLI in a 5-year period managed with the hybrid procedure. The limb was spared from amputation in 90 % and the primary patency of...