Rank Up: Health and Beauty Segment Hello folks. This is Dr. Wilmer Valentín from the vascular health clinics at Professional Hospital. Today I’ll be talking about leg ulcers for our health segment. Leg ulcers of venous origins, are usually located in the distal third of the legs, close to the ankles. These patients who exhibit these ulcers usually have been suffering from swelling and varicose veins for many years before developing ulcers. Varicose veins arise when the valves of the inferior venous system stop working and limit the flow of blood circulation to the heart. This causes the legs to swell, (causes legs to become swollen) and the skin and tissue to deteriorate with the passage of time. Later, when the patient has a minor abrasion, a minor trauma that deterioration and sclerosis of the tissues causes them prevents them from healing. Usually, these patients come with ulcers they’ve had for many years, with common treatments, antibiotics, local care, and they don’t heal. When these patients have these ulcers for a long time we, in our vascular clinic, start them with a bandage therapy and antibiotics, that are replaced weekly and doing so we allow the tissue to regain the ability to heal. Obviously, week by week these bandages are replaced and the ulcer continues improving and improving. When the ulcer has finally healed then we need something that ensures they wont return. This “something” is the use of compression stockings. that the patient should use day after day to avoid swelling and that the tissues revert to deterioration. Some of these patients, undergo vascular exams and we see where the veins are disrupted, which ones are disrupted, and to what degree are they disrupted, these exams contrary to the ones used to detect clots, must be done while standing and with them we can determine what procedures are best for this patient so the ulcers don’t return. Occasionally, we must perform minimally invasive procedures. Remove one vein, match another one. Sometimes we must do something more were we completely remove the affected vein but, since the patient has regain the ability to heal, they usually do so without major issues. If, despite the fact that they improve with surgery, we always recommend the use of compression stockings to avoid the unaffected veins to become affected and in this way prevent future ulcers in these patients’ legs. That’s all for today. Thank you very much and we’re at your service at our vascular health clinics.