Wound healing is a core discipline of dermatology, although the causes of a wound or ulcer are often interdisciplinary.
Therefore, a careful, mostly apparatus and possibly interdisciplinary diagnostic of any non-healing wound is important.
Most leg ulcers are of venous and/or arterial origin and therefore require above all a clarification by means of a duplex ultrasound.
The treatment of venous ulcers often requires an endovenous procedure in the affected area of trunk veins with a radiofrequency, or laser catheter or a sclerotherapy (ultrasound-controlled foam sclerotherapy). Subsequently it is important to implement a phase-appropriate wound therapy with special dressings and compression therapy.