Bowler, Duerden and Armstrong wrote a fascinating article in 2001 on wound microbiology. This was before the impact of biofilm on non-healing wounds was appreciated (as it is today). They state that chronic wounds can have up to 48% of their microbial flora occupied by
Lymphoedema occurs when the skin swells due to an abnormality in the lymphatic drainage system. Mehrara & Greene state that the fluid which underpins the swelling is known to cause persistent inflammation, scarring and fat cell (adipose) deposition. The authors further report that body mass
The New England Journal of Medicine has just published the outcomes of the EVRA (Early Venous Reflux Ablation) trial. The findings are that endovenous ablation of superficial venous reflux concurrent with compression when compared to compression therapy alone resulted in shorter venous ulcer healing times
I have come to realise that a chronic wound is skin in organ failure. As with all other organs the key is to determine whether the failure is reversible or not. Once known then the clinician and patient can design an intervention to address the
Dr Jacqui Chirgwin is the lead Phlebologist and Medical Director of Newcastle's (NSW) Vein and Laser Centre. I recently had the opportunity to spend a day with her and her team in order to learn more about the role of sclerotherapy and laser ablation for
Kristin Osborn is a specialist lymphoedema & lipoedema therapist in Newcastle NSW. She is a member of the Australasian Lymphology Association and a regular presenter on this subject throughout the Hunter region. Kristin has kindly consented to having her contact details and website address added