Utilizzo combinato di medicazioni avanzate e trattamento chirurgico ricostruttivo nelle lesioni dell’arto inferiore: nostra esperienza.

The aim of this article is to demonstrate the effect of the utilization of advanced medications and surgical treatment combined on the healing of ulcers of the inferior. An ulcer is a cutaneous loss of substance having a multifactorial pathogenesis that lead to the loss of normal physiological healing and often complicated by a bacterial sovrainfection. The management of an ulcer of the inferior limb demands a multifactorial approach both clinical and therapeutic. It's mandatory to emphasize that an ideal medication for every lesion does not exist because any single lesion has a different evolution in different phases of the tissue healing. An advanced dressing has the aim of making the lesion heal for second intention or to prepare it for a further surgical treatment. Often coutaneous grafts are used leading to a rapid closure of ulcer. Advanced dressing combined with coutaneous grafts are valid tool to obtain the rapid clousure of a chronic wound