Effective leg ulcer management with the Vascular Consultancy

8th November 2016 by Daryll Baker0

Leg ulcers are painful and long-lasting sores on the legs, which typically develop just above the ankle on the inside of the leg. The ulcer may be itchy, painful and cause swelling and discolouring of the surrounding area.

The most common type of leg ulcer is a venous leg ulcer, which account for more than 90% of leg ulcer cases. It is estimated that the condition affect approximately 1 in 500 people in Britain. Leg ulcers become much more common as we get older, and affect approximately 1 in 50 people over the age of 80.

The Vascular Consultancy offers effective leg ulcer management. Our comprehensive leg ulcer management programme includes our specialist nursing team cleaning the wound and stimulating the skin, in order to cover the wound. The management programme also involves the treatment of any underlying venous conditions.

The leg ulcer wound is cleaned by a combination of three techniques.

Mechanical cleaning is carried out, which involves our nursing team physically removing the slough.

The chemical cleaning of the wound involves protecting the ulcer with appropriate dressings. The wound must be fully cleaned before the compression dressings can be applied. When the wound is clean, a layer of protective cream is applied.

Our leg ulcer management can include the ankle pulses being checked with a Doppler ultrasound, which check arterial blood supply. If there is any compromise to the arterial blood supply shown by the Doppler ultrasound, compression to the wound should not be applied.

The biological cleaning of the leg ulcer includes using maggots to clean the wound.

The cover of skin applied to the affected area is taken by either waiting for the clean wound to heal naturally or by using a skin graft.

Following treatment and providing the leg ulcer is healed, it is important there is continual compression applied to the affected area by the patient continuing to wear support stockings. This will help reduce the risk of the leg ulcer coming back.

For more information about the Vascular Consultancy’s leg ulcer management, get in touch with our professional, experienced and friendly team.

You can book a consultation to see Daryll Baker, a leading UK specialist in vascular conditions, including leg ulcers.

Leave a Reply

Your email address will not be published. Required fields are marked *


Daryll Baker is a Consultant Vascular Surgeon at the Royal Free Hospital London and Clinical Lead for North Central Region Vascular Services.

He read Medicine at Oxford University and trained in Vascular Surgery in Nottingham, London and Edinburgh. He obtained his research PhD from the University of Wales.


Wellington Hospital
34 Circus Road

020 7722 7370

Copyright 2016 The Vascular Consultancy