Treating an open wound from schlerotherapy

The Dr. re-injected a vein, and the solution didn't enter. The next day the injection site had blisters and then later drained onto the stockings. Two weeks later the open wound was treated with antibiotics, and four months later it's still open, ugly, dark, and keloidish. How would you treat the wound & the scar?

Answers from doctors (8)


Susan B Fox, D.O. RPVI, FSVM

Published on Jan 10, 2012

If you have had it this long see a wound doctor.

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Answered by Susan B Fox, D.O. RPVI, FSVM

If you have had it this long see a wound doctor.

Published on Jul 11, 2012


Bella MD Laser Vein and Aesthetic Center

Published on Jan 10, 2012

Complex problem. Discuss with treating MD.

David A. Engleman M.D.

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Answered by Bella MD Laser Vein and Aesthetic Center

Complex problem. Discuss with treating MD.

David A. Engleman M.D.

Published on Jul 11, 2012


General Vascular Surgery Group

Published on Jan 10, 2012

Local care and perhaps topical antbiotic ointment and time, they generally heal over time. Continue follow up eithban MD as well.

Michael D. Ingegno

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Answered by General Vascular Surgery Group

Local care and perhaps topical antbiotic ointment and time, they generally heal over time. Continue follow up eithban MD as well.

Michael D. Ingegno

Published on Jul 11, 2012


Vein Specialists

Published on Jan 10, 2012

First thing to do is make sure there is not underlying insufficiency in the
deeper veins. Have you had an ultrasound? If you have not then you need to
get one by someone who knows veins. Registered Vascular technologist (RVT)
in a reputable vein specialist center. I am a vascular surgeon and have a
bias toward surgeon vein specialists as opposed to medical vein specialists.
If you have leaking veins underneath the ulcer or pressuring the area around
the ulcer these should be treated to expedite the wound healing. Until then
elevation compression hose or ace wraps and daily silver sulfadene
(silvadene) cream to keep the ulcer moist).

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Answered by Vein Specialists

First thing to do is make sure there is not underlying insufficiency in the
deeper veins. Have you had an ultrasound? If you have not then you need to
get one by someone who knows veins. Registered Vascular technologist (RVT)
in a reputable vein specialist center. I am a vascular surgeon and have a
bias toward surgeon vein specialists as opposed to medical vein specialists.
If you have leaking veins underneath the ulcer or pressuring the area around
the ulcer these should be treated to expedite the wound healing. Until then
elevation compression hose or ace wraps and daily silver sulfadene
(silvadene) cream to keep the ulcer moist).

Published on Jul 11, 2012


North Shore Vein Center

Published on Jan 10, 2012

You are correct that a major cause of ulceration is extravasation during injection. These caustic solutions can destroy tissue and the degree of destruction is related to the quantity extravasated and the concentration of the solution.

Fortunately, these ulcers are fairly small and will eventually leave an acceptable scar. The wound should be debrided and treated with a hydrocolloid dressing to remove any necrotic debris. In addition to topical therapies, elevation of the extremity as much as possible along with Pentoxifylline may help limit the ulcer size and speed healing.

Dr. Mark Schwartz

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Answered by North Shore Vein Center

You are correct that a major cause of ulceration is extravasation during injection. These caustic solutions can destroy tissue and the degree of destruction is related to the quantity extravasated and the concentration of the solution.

Fortunately, these ulcers are fairly small and will eventually leave an acceptable scar. The wound should be debrided and treated with a hydrocolloid dressing to remove any necrotic debris. In addition to topical therapies, elevation of the extremity as much as possible along with Pentoxifylline may help limit the ulcer size and speed healing.

Dr. Mark Schwartz

Published on Jul 11, 2012


Angelo N. Makris MD

Published on Jan 10, 2012

I suggest follow-up with a wound care center.

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Answered by Angelo N. Makris MD

I suggest follow-up with a wound care center.

Published on Jul 11, 2012


Arizona Vein and Laser Institute

Published on Jan 10, 2012

The ulcer has to be evaluated by a surgeon. If it doesn't close,
which it should have by now, there might be some other reason causing
the delayed healing.

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Answered by Arizona Vein and Laser Institute

The ulcer has to be evaluated by a surgeon. If it doesn't close,
which it should have by now, there might be some other reason causing
the delayed healing.

Published on Jul 11, 2012


Vanish Vein and Laser Center

Published on May 30, 2011

Most likely you had escape(extravasation) of the injecting fluid resulting in inflammation an ulcer formation. After 4 months of non(poor) healing I would recommend excision of the area and primary closure.

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Answered by Vanish Vein and Laser Center

Most likely you had escape(extravasation) of the injecting fluid resulting in inflammation an ulcer formation. After 4 months of non(poor) healing I would recommend excision of the area and primary closure.

Published on Jul 11, 2012


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