{"id":1462,"date":"2024-11-03T10:18:12","date_gmt":"2024-11-03T09:18:12","guid":{"rendered":"https:\/\/klinikaflebologii.stagenv.dev\/?post_type=diseases&#038;p=1462"},"modified":"2025-03-25T12:39:01","modified_gmt":"2025-03-25T11:39:01","slug":"venous-leg-ulcers","status":"publish","type":"diseases","link":"https:\/\/sandbox.isites.pl\/en\/diseases\/lower-limb-venous-insufficiency\/venous-leg-ulcers\/","title":{"rendered":"Venous ulcers of the shin"},"content":{"rendered":"<section class=\"nav-bar\" style=\"margin-top: var(--wp--preset--spacing--size-80); margin-bottom: var(--wp--preset--spacing--size-60);\">\n\t\t\t\t<style>.nav-bar{display:flex;position:relative}.nav-bar__nav.right::after{content:\"\";pointer-events:none;width:100px;position:absolute;top:0;right:0px;bottom:0;border-radius:0 50px 50px 0;background:linear-gradient(to right, rgba(255, 255, 255, 0), #fff)}.nav-bar__list{overflow-x:auto;border:1px solid #e2e8f3;border-radius:50px;padding:0.25rem;display:flex;align-items:center;justify-content:space-between;gap:1px;background-color:#f9fafc}@media(min-width: 993px){.nav-bar__list::-webkit-scrollbar{display:none}}.nav-bar__item{display:flex;align-items:center;justify-content:center;cursor:pointer}.nav-bar__item a{padding:1rem var(--wp--preset--spacing--size-40);letter-spacing:-0.05rem;border-radius:50px;display:inline-block;color:var(--wp--preset--color--dark);font-size:1rem;line-height:1.25rem;word-break:keep-all;white-space:nowrap;will-change:background-color;transition:background-color var(--transition-speed) var(--transition-timing-function)}.nav-bar__item a:hover{background-color:#e2e8f3}\n<\/style>\n\t\t\t\t\t<div class=\"container\">\n\t<nav class=\"nav-bar__nav\" aria-label=\"Page sections\">\n\t\t<ul class=\"nav-bar__list\">\n\t\t\t\t\t<li class=\"nav-bar__item\">\n\t\t\t\t<a href=\"#wprowadzenie\" class=\"nav-bar__link\">\n\t\t\t\t\tIntroduction\t\t\t\t<\/a>\n\t\t\t<\/li>\n\t\t\t\t\t<li class=\"nav-bar__item\">\n\t\t\t\t<a href=\"#opis\" class=\"nav-bar__link\">\n\t\t\t\t\tDescription of the condition\t\t\t\t<\/a>\n\t\t\t<\/li>\n\t\t\t\t\t<li class=\"nav-bar__item\">\n\t\t\t\t<a href=\"#czynniki\" class=\"nav-bar__link\">\n\t\t\t\t\tRisk factors\t\t\t\t<\/a>\n\t\t\t<\/li>\n\t\t\t\t\t<li class=\"nav-bar__item\">\n\t\t\t\t<a href=\"#rozpoznanie\" class=\"nav-bar__link\">\n\t\t\t\t\tRecognition and diagnosis\t\t\t\t<\/a>\n\t\t\t<\/li>\n\t\t\t\t\t<li class=\"nav-bar__item\">\n\t\t\t\t<a href=\"#metody\" class=\"nav-bar__link\">\n\t\t\t\t\tTreatment methods\t\t\t\t<\/a>\n\t\t\t<\/li>\n\t\t\t\t\t<li class=\"nav-bar__item\">\n\t\t\t\t<a href=\"#pytania\" class=\"nav-bar__link\">\n\t\t\t\t\tFrequently asked questions\t\t\t\t<\/a>\n\t\t\t<\/li>\n\t\t\t\t<\/ul>\n\t<\/nav>\n\t<\/div>\n<\/section>\n\n\n\n<section class=\"splitted-image\" id=\"wprowadzenie\" style=\"margin-bottom: var(--wp--preset--spacing--size-100);\">\n\t\t\t\t\t<style>.splitted-image{display:flex;overflow:hidden}.splitted-image .splitted-image__container{display:flex;align-items:center;justify-content:center;gap:clamp(2.5rem,6vw,4rem)}@media(max-width: 991px){.splitted-image .splitted-image__container{flex-direction:column}}@media(min-width: 1201px){.splitted-image .splitted-image__container{gap:11.5rem}}.splitted-image .splitted-image__container .splitted-image__image{display:flex;height:460px;max-width:520px}@media(min-width: 769px){.splitted-image .splitted-image__container .splitted-image__image{max-width:522px;min-width:450px}}@media(min-width: 1201px){.splitted-image .splitted-image__container .splitted-image__image{min-width:520px}}.splitted-image .splitted-image__container .splitted-image__image img{height:100%;width:50%;border-radius:20px;object-fit:cover}.splitted-image .splitted-image__container .splitted-image__image img:first-of-type{object-position:left}.splitted-image .splitted-image__container .splitted-image__image img:last-of-type{margin-left:2px;object-position:261px}.services-template-page-service-child .splitted-image .splitted-image__container .splitted-image__image img:last-of-type,.diseases-template-page-disease-sidebar .splitted-image .splitted-image__container .splitted-image__image img:last-of-type{object-position:-350px center}\n<\/style>\n\t\t\t\t\t<div class=\"container splitted-image__container\">\n\t\t<div class=\"splitted-image__content\">\n\t\t\t<div class=\"acf-innerblocks-container\">\n\n<h2 class=\"wp-block-heading is-style-h2\">Introduction<\/h2>\n\n\n\t\t\t\t<style>p.is-style-uppercase{text-transform:uppercase}p.is-style-preheading{color:var(--wp--preset--color--secondary);text-transform:uppercase}p.is-style-subheading{color:var(--wp--preset--color--primary);font-weight:800;letter-spacing:0.075rem;margin-bottom:1.5rem;text-transform:uppercase;font-size:1rem;line-height:1.5}p.is-style-bigparagraph{font-size:1.125rem;line-height:1.4444444444}@media(min-width: 992px){p.is-style-bigparagraph{font-size:1.25rem;line-height:1.5}}p.is-style-leadparagraph{font-size:1.25rem;line-height:1.5;letter-spacing:-0.04em}@media(min-width: 768px){p.is-style-leadparagraph{font-size:1.375rem;line-height:1.4090909091}}@media(min-width: 992px){p.is-style-leadparagraph{font-size:1.5rem;line-height:1.3333333333}}\n<\/style>\n\t\t\t\t\n<p><strong><mark style=\"background-color:rgba(0, 0, 0, 0)\" class=\"has-inline-color has-primary-color\">Venous ulcers of the shin<\/mark><\/strong> (venous leg ulcers, VLUs) is a complication of the <strong>chronic venous disease<\/strong>, a condition affecting the venous system of the legs in up to 55% of the female population and 30% of the male population. <strong>Chronic venous insufficiency<\/strong>which occurs when venous insufficiency is poorly treated or not treated, can lead to venous ulcers of the shin. Venous ulcers are a complication of venous disease characterised by difficult healing and a tendency to recur. <\/p>\n\n\n\n<p>Venous ulcers of the shin are the most common type of all lower limb ulcers. In Europe, they affect <strong>1.0-1.5% population<\/strong>and in people <strong>over 65 <\/strong>life, this percentage increases to <strong>3%.<\/strong> The problem of venous insufficiency in people is increasing during their lifetime, we are living longer and longer, and chronic venous insufficiency and the resulting <strong><mark style=\"background-color:rgba(0, 0, 0, 0)\" class=\"has-inline-color has-primary-color\"><a href=\"https:\/\/sandbox.isites.pl\/en\/diseases\/lower-limb-venous-insufficiency\/venous-skin-lesions\/\" target=\"_blank\" rel=\"noreferrer noopener\">trophic skin changes<\/a><\/mark><\/strong> are the main cause of this. Patients with venous ulcers of the shin often experience recurrence, continuous opening and wound healing.<\/p>\n\n\n\n<p>Prompt recognition of chronic venous disease, especially the stages of <strong><mark style=\"background-color:rgba(0, 0, 0, 0)\" class=\"has-inline-color has-primary-color\"><a href=\"https:\/\/sandbox.isites.pl\/en\/diseases\/lower-limb-venous-insufficiency\/lower-limb-swelling\/\" target=\"_blank\" rel=\"noreferrer noopener\">C3<\/a><\/mark><\/strong>, <mark style=\"background-color:rgba(0, 0, 0, 0)\" class=\"has-inline-color has-primary-color\"><strong><a href=\"https:\/\/sandbox.isites.pl\/en\/diseases\/lower-limb-venous-insufficiency\/venous-skin-lesions\/\" target=\"_blank\" rel=\"noreferrer noopener\">C4<\/a><\/strong><\/mark>The treatment of venous leg ulcers is difficult, lengthy and very costly. The treatment of venous leg ulcers is difficult, lengthy and very expensive, so it is best to deal with venous insufficiency at its earlier stages (<mark style=\"background-color:rgba(0, 0, 0, 0)\" class=\"has-inline-color has-primary-color\"><a href=\"https:\/\/sandbox.isites.pl\/en\/diseases\/lower-limb-venous-insufficiency\/vascular-spider-veins\/\" target=\"_blank\" rel=\"noreferrer noopener\"><strong>C1<\/strong><\/a>,<\/mark> <strong><a href=\"https:\/\/sandbox.isites.pl\/en\/diseases\/lower-limb-venous-insufficiency\/lower-limb-varicose-veins\/\" target=\"_blank\" rel=\"noreferrer noopener\"><mark style=\"background-color:rgba(0, 0, 0, 0)\" class=\"has-inline-color has-primary-color\">C2<\/mark><\/a><\/strong>).<\/p>\n\n<\/div>\n\t\t<\/div>\n\t\t<div class=\"splitted-image__image\">\n\t\t\t<img decoding=\"async\" src=\"https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/11\/choroba-zylna-przed-owrzodzeniem-zylnym-goleni-1.webp\" alt=\"Varicose veins on the skin of the leg. Pre-ulcerative condition. Female.\" \/>\n\t\t\t<img decoding=\"async\" src=\"https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/11\/choroba-zylna-przed-owrzodzeniem-zylnym-goleni-1.webp\" alt=\"Varicose veins on the skin of the leg. Pre-ulcerative condition. Female.\" \/>\n\t\t<\/div>\n\t<\/div>\n<\/section>\n\n\n\n<div class=\"wp-block-group has-global-padding is-layout-constrained wp-block-group-is-layout-constrained\"><section class=\"basic-container has-text-align-left d-flex is-content-justification-center-center block-bg--transparent\">\n\t\t\t\t<style>.basic-container{width:100%;position:relative;overflow:hidden}.basic-container .container--small{max-width:calc(1062px + 2rem)}.basic-container .container--small .has-text-align-center{margin:auto}.basic-container__background{position:absolute;z-index:0;top:0;right:0;bottom:0;left:0}.basic-container__background img{width:100%;height:100%;object-fit:cover}.basic-container__content{padding:0 1rem;position:relative;z-index:1}\n<\/style>\n\t\t\t\t\t<div class=\"basic-container__content container\">\n\t\t<div class=\"acf-innerblocks-container\">\n\n<h2 class=\"wp-block-heading is-style-h2\" id=\"opis\">Description of the condition<\/h2>\n\n\n\n<p>Venous ulcers of the shin are tissue defects (wounds) of varying shape and depth. They can be circular and very deep. A typical venous ulceration is usually located in the ankle area, usually on the medial side (where trophic changes of the skin, its congestive inflammation and thinning usually occur). They are characterised by an irregular shape, swelling of the surrounding tissues and a foul-smelling discharge that occurs during the active phase. The pain experienced by the patient can range from mild to very severe, keeping the patient awake at night. This pain usually decreases after compression therapy and after elevation of the leg. The onset of ulceration may be sudden (there is trauma or inflammation, rupture and bleeding of the varicose vein, slow infection of the skin) or latent (persistent scab).<\/p>\n\n\n\n<p>Around a venous ulceration there are often skin changes such as:<\/p>\n\n\n\t\t\t\t<style>.wp-block-list{padding-left:0.8125rem;font-size:1rem;line-height:1.5;list-style:disc}@media(min-width: 768px){.wp-block-list{padding-left:1.25rem;font-size:1.125rem;line-height:1.4444444444}}.wp-block-list.is-style-numbered{display:flex;flex-direction:column;gap:1rem;padding:0;list-style:none;counter-reset:counter}@media(min-width: 768px){.wp-block-list.is-style-numbered{gap:1.5rem}}.wp-block-list.is-style-numbered li{display:flex;align-items:center;gap:0.5rem;counter-increment:counter}.wp-block-list.is-style-numbered li::before{content:counter(counter);display:flex;align-items:center;justify-content:center;font-size:0.75rem;line-height:1.5;font-weight:600;color:var(--wp--preset--color--light);min-width:1.75rem;width:1.75rem;height:1.75rem;border-radius:50%;background-color:var(--wp--preset--color--color-16)}.wp-block-list.is-style-check-mark{display:flex;flex-direction:column;gap:0.75rem;list-style:none;margin-top:1.25rem;margin-bottom:1.875rem;padding-left:0}@media(min-width: 768px){.wp-block-list.is-style-check-mark{gap:1.5rem;margin-top:1.5rem;margin-bottom:2.5rem}}.wp-block-list.is-style-check-mark li{position:relative;padding-left:3rem;color:var(--wp--preset--color--color-14)}@media(min-width: 768px){.wp-block-list.is-style-check-mark li{padding-left:3rem;font-size:1.125rem;line-height:1.4444444444}}.wp-block-list.is-style-check-mark li::before{content:\"\";position:absolute;top:-0.25rem;left:0;display:flex;align-items:center;justify-content:center;min-width:2rem;width:2rem;height:2rem;border-radius:50%;border:0.0625rem solid var(--wp--preset--color--color-stroke);background-image:url(\"data:image\/svg+xml,%3Csvg width='16' height='14' viewBox='0 0 16 14' fill='none' xmlns='http:\/\/www.w3.org\/2000\/svg'%3E%3Cpath d='M1 7.85714L6.25 13L10.625 7L15 1' stroke='%231344FF' stroke-width='1.5' stroke-linecap='round' stroke-linejoin='round'\/%3E%3C\/svg%3E%0A\");background-repeat:no-repeat;background-position:center}.wp-block-list:last-child{margin-bottom:0}\n<\/style>\n\t\t\t\t\n<ul class=\"wp-block-list\">\n<li style=\"margin-bottom:var(--wp--preset--spacing--size-32)\"><strong><mark style=\"background-color:rgba(0, 0, 0, 0)\" class=\"has-inline-color has-primary-color\">discolourations<\/mark><\/strong> (<strong>hyperpigmentation; C4a<\/strong>) - discolouration is caused by the deposition of haemosiderin (dermal-tissue haemosiderosis), a pigment derived from the breakdown of haemoglobin found in red blood cells; iron deposits are deposited in the affected skin and subcutaneous tissue, leading to rusty shades;<\/li>\n\n\n\n<li style=\"margin-bottom:var(--wp--preset--spacing--size-32)\"><strong><mark style=\"background-color:rgba(0, 0, 0, 0)\" class=\"has-inline-color has-primary-color\">venous eczema<\/mark><\/strong> (<strong>eczema; C4a<\/strong>) - occurs as a result of an inflammatory reaction in the skin, manifested by redness, itching, blistering and flaking;<\/li>\n\n\n\n<li style=\"margin-bottom:var(--wp--preset--spacing--size-32)\"><strong><mark style=\"background-color:rgba(0, 0, 0, 0)\" class=\"has-inline-color has-primary-color\">dermo-fatty sclerosis<\/mark><\/strong> (l<strong>ipodermatosclerosis; C4b<\/strong>) - is a condition in which fibrotic changes and subcutaneous thickening occur, often accompanied by hyperpigmentation and inflammation, which can be a recurrent phenomenon.<\/li>\n<\/ul>\n\n\n\t\t\t\t<style>.is-style-rounded-icon{border-radius:100%;padding:var(--wp--preset--spacing--size-32);background:#fff;display:flex !important;justify-content:center;align-items:center;width:110px;height:110px;max-width:110px;max-height:110px;border:1px solid var(--wp--preset--color--color-stroke)}.is-style-rounded-icon img{border-radius:0 !important}\n<\/style>\n\t\t\t\t\n<figure class=\"wp-block-image aligncenter size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"576\" height=\"1024\" src=\"https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/11\/owrzodzenie-zylne-goleni-klinika-flebologii-576x1024.webp\" alt=\"Left lower leg with venous ulceration of the shin. Authored by Dr Tomasz Grzela. Department of Phlebology.\" class=\"wp-image-1782\" srcset=\"https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/11\/owrzodzenie-zylne-goleni-klinika-flebologii-576x1024.webp 576w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/11\/owrzodzenie-zylne-goleni-klinika-flebologii-600x1067.webp 600w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/11\/owrzodzenie-zylne-goleni-klinika-flebologii-169x300.webp 169w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/11\/owrzodzenie-zylne-goleni-klinika-flebologii-768x1365.webp 768w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/11\/owrzodzenie-zylne-goleni-klinika-flebologii-864x1536.webp 864w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/11\/owrzodzenie-zylne-goleni-klinika-flebologii-7x12.webp 7w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/11\/owrzodzenie-zylne-goleni-klinika-flebologii-117x208.webp 117w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/11\/owrzodzenie-zylne-goleni-klinika-flebologii-363x646.webp 363w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/11\/owrzodzenie-zylne-goleni-klinika-flebologii-225x400.webp 225w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/11\/owrzodzenie-zylne-goleni-klinika-flebologii-335x596.webp 335w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/11\/owrzodzenie-zylne-goleni-klinika-flebologii-56x100.webp 56w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/11\/owrzodzenie-zylne-goleni-klinika-flebologii-186x330.webp 186w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/11\/owrzodzenie-zylne-goleni-klinika-flebologii-241x428.webp 241w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/11\/owrzodzenie-zylne-goleni-klinika-flebologii-377x671.webp 377w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/11\/owrzodzenie-zylne-goleni-klinika-flebologii-159x283.webp 159w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/11\/owrzodzenie-zylne-goleni-klinika-flebologii-29x52.webp 29w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/11\/owrzodzenie-zylne-goleni-klinika-flebologii-343x610.webp 343w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/11\/owrzodzenie-zylne-goleni-klinika-flebologii-30x54.webp 30w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/11\/owrzodzenie-zylne-goleni-klinika-flebologii-428x760.webp 428w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/11\/owrzodzenie-zylne-goleni-klinika-flebologii-394x700.webp 394w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/11\/owrzodzenie-zylne-goleni-klinika-flebologii-88x156.webp 88w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/11\/owrzodzenie-zylne-goleni-klinika-flebologii-44x79.webp 44w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/11\/owrzodzenie-zylne-goleni-klinika-flebologii-161x286.webp 161w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/11\/owrzodzenie-zylne-goleni-klinika-flebologii-127x225.webp 127w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/11\/owrzodzenie-zylne-goleni-klinika-flebologii-294x522.webp 294w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/11\/owrzodzenie-zylne-goleni-klinika-flebologii-236x420.webp 236w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/11\/owrzodzenie-zylne-goleni-klinika-flebologii-300x534.webp 300w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/11\/owrzodzenie-zylne-goleni-klinika-flebologii-288x512.webp 288w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/11\/owrzodzenie-zylne-goleni-klinika-flebologii-41x73.webp 41w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/11\/owrzodzenie-zylne-goleni-klinika-flebologii-303x539.webp 303w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/11\/owrzodzenie-zylne-goleni-klinika-flebologii-66x118.webp 66w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/11\/owrzodzenie-zylne-goleni-klinika-flebologii-42x75.webp 42w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/11\/owrzodzenie-zylne-goleni-klinika-flebologii-39x69.webp 39w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/11\/owrzodzenie-zylne-goleni-klinika-flebologii-24x43.webp 24w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/11\/owrzodzenie-zylne-goleni-klinika-flebologii-440x782.webp 440w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/11\/owrzodzenie-zylne-goleni-klinika-flebologii-28x50.webp 28w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/11\/owrzodzenie-zylne-goleni-klinika-flebologii.webp 1080w\" sizes=\"auto, (max-width: 576px) 100vw, 576px\" \/><figcaption class=\"wp-element-caption\"><strong>Cleared venous ulceration of the shin (C6). Most common location - above the medial ankle of the left lower limb. Author: Tomasz Grzela, MD <\/strong><\/figcaption><\/figure>\n\n\n\n<p>In the CEAP classification (2020 revision), venous ulcers of the shin are assigned to two subcategories: <\/p>\n\n\n\n<p>&#8211; <strong>C5<\/strong>: this <strong>scar after venous ulceration<\/strong>; <br>&#8211; <strong>C6<\/strong>: is a character <strong>active venous ulceration <\/strong>(The wound is open - as in the accompanying photo).<\/p>\n\n\n\n<p>In the C5 form (healed venous ulceration), scarred fibrous tissue is visible at the site of the healed wound. The subcutaneous tissue and the skin itself are altered in this area, thin and vulnerable to the occurrence of another ulceration. We then speak of active recurrent ulceration.<br>In the form of <strong>C6<\/strong> we are dealing with an open wound, which very often does not show any tendency to heal and, on the contrary, is able to widen and occupy further parts of the shin. <\/p>\n\n\n\n<p>The CEAP classification, although simple and useful in phlebology, does not provide enough information to differentiate patients with venous ulcers in terms of the clinical assessment of the ulceration. A more detailed assessment of the condition of the ulceration, its size, depth, amount of discharge, the condition of the surrounding skin and other factors is essential to select an appropriate treatment.<\/p>\n\n\n\n<p>In untreated ulcers, the phenomenon of autonomisation occurs. Such an ulcer becomes resistant to treatment. This is due to the fact that its bottom fibroses. This leads to further <strong>devascularisation of the wound<\/strong>The blood supply to the ulcer bed and surrounding tissues is impaired or lost. This is a process characterised by a reduction in the number of functional blood vessels or their malfunction. This exacerbates tissue hypoxia and further fibrosis. Therefore, early surgical debridement of the wound (photo opposite), debridement of the ulcer and later reduction of venous hypertension and reflux in the affected lower limb is important. <\/p>\n\n\n\n<p>Patients with venous ulceration of the shin may experience <strong>complications<\/strong>. Rupture of the varicose vein supplying the ulcerated tissue occurs, and infectious complications or neoplastic transformation of the tissue can occur. The latter phenomenon is known as <strong><mark style=\"background-color:rgba(0, 0, 0, 0)\" class=\"has-inline-color has-primary-color\">Marjolina ulcers<\/mark><\/strong> Affects approximately 0.5-2% of all venous ulcers. It occurs most commonly in the form of <strong>squamous cell carcinoma<\/strong>, a type of skin cancer characterised by aggressive growth and a tendency to infiltrate neighbouring tissues and give metastases.<\/p>\n\n<\/div>\n\t<\/div>\n<\/section>\n<\/div>\n\n\n<section class=\"basic-container has-text-align-left d-flex is-content-justification-center-center block-bg--transparent\" id=\"czynniki\" style=\"margin-top: var(--wp--preset--spacing--size-80); margin-bottom: var(--wp--preset--spacing--size-80);\">\n\t<div class=\"basic-container__content container\">\n\t\t<div class=\"acf-innerblocks-container\">\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-28f84493 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-vertically-aligned-stretch is-layout-flow wp-block-column-is-layout-flow\">\t\t\t\t<style>.bordered-container{width:calc(100% - 30px);max-width:1280px;padding:0 0.9375rem;margin:0 auto}@media(max-width: 575px){.bordered-container{padding-left:1rem !important;padding-right:1rem !important}}.bordered-container .container{padding:0}.bordered-container .container h1,.bordered-container .container .is-style-h1{width:100%;margin-bottom:var(--wp--preset--spacing--size-32)}.bordered-container .container .wp-block-columns{margin-bottom:0}.basic-container .bordered-container{margin:0;width:100%}.is-vertically-aligned-stretch .bordered-container{height:100%}\n<\/style>\n\t\t\t\t<style>[data-key=\"block_9cb9d396cd7d72739c8d6105fd256c71\"].bordered-container{\n\t\t\tborder: 1px solid #e2e6ee!important;\t\t\t\tborder-radius: 20px;\t\t}<\/style>\n<section class=\"bordered-container has-background has-color-12-background-color\" style=\"padding-top: var(--wp--preset--spacing--size-40); padding-right: var(--wp--preset--spacing--size-40); padding-bottom: var(--wp--preset--spacing--size-40); padding-left: var(--wp--preset--spacing--size-40);\" data-key=\"block_9cb9d396cd7d72739c8d6105fd256c71\">\n\t<div class=\"container\" >\n\t\t<div class=\"acf-innerblocks-container\">\n\n<h2 class=\"wp-block-heading is-style-h2\" style=\"margin-bottom:var(--wp--preset--spacing--size-32)\">Risk factors<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li style=\"margin-bottom:var(--wp--preset--spacing--size-32)\"><strong>age<\/strong> - The risk of venous ulceration increases with age.<\/li>\n\n\n\n<li style=\"margin-bottom:var(--wp--preset--spacing--size-32)\"><strong>female gender <\/strong>- venous ulcers in women are 2.5-3 times more common than in men; the peak incidence in women is between 60 and 80 years of age. <\/li>\n\n\n\n<li style=\"margin-bottom:var(--wp--preset--spacing--size-32)\"><strong>genetic predisposition<\/strong> - Heredity increases the risk of venous ulceration by up to 2-3 times. <\/li>\n\n\n\n<li style=\"margin-bottom:var(--wp--preset--spacing--size-32)\"><strong>number of pregnancies and births in women <\/strong>- hormonal changes, post-pregnancy pelvic venous insufficiency and increased risk of thrombosis are the most common factors that increase the risk of ulceration in women giving birth. <\/li>\n\n\n\n<li style=\"margin-bottom:var(--wp--preset--spacing--size-32)\"><strong>history of venous disease<\/strong> - people who have been suffering from chronic venous disease for longer develop more frequent complications; in addition, these people are more likely to develop venous thrombosis, which leads to <strong>post-thrombotic syndrome <\/strong>(one of the more common causes of venous ulceration).<\/li>\n\n\n\n<li style=\"margin-bottom:var(--wp--preset--spacing--size-32)\"><strong>lifestyle factors<\/strong> - Standing or sedentary work and lack of physical activity are the most important lifestyle risk factors.<\/li>\n\n\n\n<li style=\"margin-bottom:var(--wp--preset--spacing--size-32)\"><strong>obesity<\/strong> - Excessive body weight puts a strain on the venous system and increases the risk of complications of chronic venous disease.<\/li>\n\n\n\n<li>incidents <strong>venous thrombosis <\/strong>lead to the development of post-thrombotic syndrome, a disease phenomenon that strongly increases venous hypertension. <\/li>\n<\/ul>\n\n<\/div>\n\t<\/div>\n<\/section>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-vertically-aligned-center is-layout-flow wp-block-column-is-layout-flow\">\n<figure class=\"wp-block-image aligncenter size-full is-resized\"><img loading=\"lazy\" decoding=\"async\" width=\"1080\" height=\"1080\" src=\"https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/11\/duze-zylaki-nogi-przed-zabiegiem-chirurgia-zyl.webp\" alt=\"Surgical treatment of varicose veins at the Phlebology Clinic. Vein mapping for phlebectomy.\" class=\"wp-image-1793\" style=\"aspect-ratio:1;width:635px;height:auto\" srcset=\"https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/11\/duze-zylaki-nogi-przed-zabiegiem-chirurgia-zyl.webp 1080w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/11\/duze-zylaki-nogi-przed-zabiegiem-chirurgia-zyl-300x300.webp 300w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/11\/duze-zylaki-nogi-przed-zabiegiem-chirurgia-zyl-100x100.webp 100w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/11\/duze-zylaki-nogi-przed-zabiegiem-chirurgia-zyl-600x600.webp 600w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/11\/duze-zylaki-nogi-przed-zabiegiem-chirurgia-zyl-1024x1024.webp 1024w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/11\/duze-zylaki-nogi-przed-zabiegiem-chirurgia-zyl-150x150.webp 150w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/11\/duze-zylaki-nogi-przed-zabiegiem-chirurgia-zyl-768x768.webp 768w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/11\/duze-zylaki-nogi-przed-zabiegiem-chirurgia-zyl-12x12.webp 12w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/11\/duze-zylaki-nogi-przed-zabiegiem-chirurgia-zyl-208x208.webp 208w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/11\/duze-zylaki-nogi-przed-zabiegiem-chirurgia-zyl-646x646.webp 646w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/11\/duze-zylaki-nogi-przed-zabiegiem-chirurgia-zyl-400x400.webp 400w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/11\/duze-zylaki-nogi-przed-zabiegiem-chirurgia-zyl-596x596.webp 596w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/11\/duze-zylaki-nogi-przed-zabiegiem-chirurgia-zyl-290x290.webp 290w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/11\/duze-zylaki-nogi-przed-zabiegiem-chirurgia-zyl-428x428.webp 428w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/11\/duze-zylaki-nogi-przed-zabiegiem-chirurgia-zyl-280x280.webp 280w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/11\/duze-zylaki-nogi-przed-zabiegiem-chirurgia-zyl-526x526.webp 526w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/11\/duze-zylaki-nogi-przed-zabiegiem-chirurgia-zyl-212x212.webp 212w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/11\/duze-zylaki-nogi-przed-zabiegiem-chirurgia-zyl-52x52.webp 52w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/11\/duze-zylaki-nogi-przed-zabiegiem-chirurgia-zyl-296x296.webp 296w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/11\/duze-zylaki-nogi-przed-zabiegiem-chirurgia-zyl-343x343.webp 343w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/11\/duze-zylaki-nogi-przed-zabiegiem-chirurgia-zyl-54x54.webp 54w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/11\/duze-zylaki-nogi-przed-zabiegiem-chirurgia-zyl-580x580.webp 580w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/11\/duze-zylaki-nogi-przed-zabiegiem-chirurgia-zyl-700x700.webp 700w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/11\/duze-zylaki-nogi-przed-zabiegiem-chirurgia-zyl-149x149.webp 149w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/11\/duze-zylaki-nogi-przed-zabiegiem-chirurgia-zyl-79x79.webp 79w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/11\/duze-zylaki-nogi-przed-zabiegiem-chirurgia-zyl-286x286.webp 286w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/11\/duze-zylaki-nogi-przed-zabiegiem-chirurgia-zyl-225x225.webp 225w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/11\/duze-zylaki-nogi-przed-zabiegiem-chirurgia-zyl-393x393.webp 393w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/11\/duze-zylaki-nogi-przed-zabiegiem-chirurgia-zyl-534x534.webp 534w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/11\/duze-zylaki-nogi-przed-zabiegiem-chirurgia-zyl-288x288.webp 288w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/11\/duze-zylaki-nogi-przed-zabiegiem-chirurgia-zyl-73x73.webp 73w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/11\/duze-zylaki-nogi-przed-zabiegiem-chirurgia-zyl-539x539.webp 539w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/11\/duze-zylaki-nogi-przed-zabiegiem-chirurgia-zyl-118x118.webp 118w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/11\/duze-zylaki-nogi-przed-zabiegiem-chirurgia-zyl-42x42.webp 42w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/11\/duze-zylaki-nogi-przed-zabiegiem-chirurgia-zyl-69x69.webp 69w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/11\/duze-zylaki-nogi-przed-zabiegiem-chirurgia-zyl-24x24.webp 24w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/11\/duze-zylaki-nogi-przed-zabiegiem-chirurgia-zyl-440x440.webp 440w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/11\/duze-zylaki-nogi-przed-zabiegiem-chirurgia-zyl-50x50.webp 50w\" sizes=\"auto, (max-width: 1080px) 100vw, 1080px\" \/><figcaption class=\"wp-element-caption\"><strong>Delayed treatment of venous disease (C2-C3) is one of the more common causes of the formation of skin complications (C4) and venous ulceration (C5-C6).<\/strong><\/figcaption><\/figure>\n<\/div>\n<\/div>\n\n<\/div>\n\t<\/div>\n<\/section>\n\n\n\n<div class=\"wp-block-group has-global-padding is-layout-constrained wp-block-group-is-layout-constrained\"><section class=\"basic-container has-text-align-left d-flex is-content-justification-center-center block-bg--transparent\" style=\"margin-top: var(--wp--preset--spacing--size-80); margin-bottom: var(--wp--preset--spacing--size-80);\">\n\t<div class=\"basic-container__content container\">\n\t\t<div class=\"acf-innerblocks-container\">\n\n<h2 class=\"wp-block-heading is-style-h2\" style=\"margin-bottom:var(--wp--preset--spacing--size-40)\">Mechanism of formation<\/h2>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-28f84493 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<p><strong>Venous ulcers of the shin <\/strong>are the result of <strong>complex pathological process<\/strong>in which progression plays a major role <strong>chronic venous insufficiency<\/strong>. In the course of venous disease there is a <strong>increase in venous pressure in the vascular bed of the legs <\/strong>(This creates a so-called <strong>venous hypertension<\/strong>). This in turn causes <strong>damage to the capillary structure<\/strong> and causes <strong>seepage of fluid into surrounding tissues<\/strong>which manifests itself as swelling.<\/p>\n\n\n\n<p>A key role in the development of venous ulcers is played by the processes of inflammation of the subcutaneous tissue and tissue overload with iron, which is a breakdown product of haemoglobin from extravasated blood. Chronic venous hypertension causes <strong>inflammation<\/strong>which damages not only capillaries but also skin cells, <strong>fibroblasts<\/strong>. Fibroblasts change their phenotype to <strong>myofibroblasts<\/strong>which, by contracting, increase the tension in the dermis. This increased tension causes the skin to become <strong>more susceptible to injury<\/strong> and <strong>impedes wound healing<\/strong>.<\/p>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-vertically-aligned-center is-layout-flow wp-block-column-is-layout-flow\">\n<figure class=\"wp-block-image size-full is-resized\"><img loading=\"lazy\" decoding=\"async\" width=\"1080\" height=\"1080\" src=\"https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/11\/noga-zdrowa-zylaki-klinika-flebologii.webp\" alt=\"\" class=\"wp-image-1776\" style=\"width:635px;height:auto\" srcset=\"https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/11\/noga-zdrowa-zylaki-klinika-flebologii.webp 1080w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/11\/noga-zdrowa-zylaki-klinika-flebologii-300x300.webp 300w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/11\/noga-zdrowa-zylaki-klinika-flebologii-100x100.webp 100w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/11\/noga-zdrowa-zylaki-klinika-flebologii-600x600.webp 600w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/11\/noga-zdrowa-zylaki-klinika-flebologii-1024x1024.webp 1024w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/11\/noga-zdrowa-zylaki-klinika-flebologii-150x150.webp 150w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/11\/noga-zdrowa-zylaki-klinika-flebologii-768x768.webp 768w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/11\/noga-zdrowa-zylaki-klinika-flebologii-12x12.webp 12w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/11\/noga-zdrowa-zylaki-klinika-flebologii-208x208.webp 208w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/11\/noga-zdrowa-zylaki-klinika-flebologii-646x646.webp 646w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/11\/noga-zdrowa-zylaki-klinika-flebologii-400x400.webp 400w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/11\/noga-zdrowa-zylaki-klinika-flebologii-596x596.webp 596w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/11\/noga-zdrowa-zylaki-klinika-flebologii-290x290.webp 290w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/11\/noga-zdrowa-zylaki-klinika-flebologii-428x428.webp 428w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/11\/noga-zdrowa-zylaki-klinika-flebologii-280x280.webp 280w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/11\/noga-zdrowa-zylaki-klinika-flebologii-526x526.webp 526w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/11\/noga-zdrowa-zylaki-klinika-flebologii-212x212.webp 212w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/11\/noga-zdrowa-zylaki-klinika-flebologii-52x52.webp 52w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/11\/noga-zdrowa-zylaki-klinika-flebologii-296x296.webp 296w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/11\/noga-zdrowa-zylaki-klinika-flebologii-343x343.webp 343w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/11\/noga-zdrowa-zylaki-klinika-flebologii-54x54.webp 54w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/11\/noga-zdrowa-zylaki-klinika-flebologii-580x580.webp 580w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/11\/noga-zdrowa-zylaki-klinika-flebologii-700x700.webp 700w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/11\/noga-zdrowa-zylaki-klinika-flebologii-149x149.webp 149w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/11\/noga-zdrowa-zylaki-klinika-flebologii-79x79.webp 79w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/11\/noga-zdrowa-zylaki-klinika-flebologii-286x286.webp 286w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/11\/noga-zdrowa-zylaki-klinika-flebologii-225x225.webp 225w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/11\/noga-zdrowa-zylaki-klinika-flebologii-393x393.webp 393w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/11\/noga-zdrowa-zylaki-klinika-flebologii-534x534.webp 534w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/11\/noga-zdrowa-zylaki-klinika-flebologii-288x288.webp 288w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/11\/noga-zdrowa-zylaki-klinika-flebologii-73x73.webp 73w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/11\/noga-zdrowa-zylaki-klinika-flebologii-539x539.webp 539w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/11\/noga-zdrowa-zylaki-klinika-flebologii-118x118.webp 118w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/11\/noga-zdrowa-zylaki-klinika-flebologii-42x42.webp 42w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/11\/noga-zdrowa-zylaki-klinika-flebologii-69x69.webp 69w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/11\/noga-zdrowa-zylaki-klinika-flebologii-24x24.webp 24w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/11\/noga-zdrowa-zylaki-klinika-flebologii-440x440.webp 440w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/11\/noga-zdrowa-zylaki-klinika-flebologii-50x50.webp 50w\" sizes=\"auto, (max-width: 1080px) 100vw, 1080px\" \/><\/figure>\n<\/div>\n<\/div>\n\n<\/div>\n\t<\/div>\n<\/section>\n\n\n\n<p><strong>Cutaneous haemosiderosis <\/strong>(iron overload) sustains inflammation and hinders the<strong> healing<\/strong>. Iron, derived from haemoglobin, accumulates in the intercellular space of the skin and <strong>activates macrophages <\/strong>(foraging cells), keeping them ready to respond chronically to inflammation. This mechanism blocks the conversion of macrophages into other beneficial ones, which are responsible for repair mechanisms in our tissues. The protracted inflammatory process also changes the structure of the <strong>extracellular matrix (ECM)<\/strong>which provides a scaffolding for the skin cells. Damage to this scaffolding impedes the migration of keratinocytes, i.e. those cells responsible for epidermal regeneration. This is a mechanism that further delays ulcer healing. <\/p>\n\n\n\n<p>It is worth noting that treating venous disease at an early stage of development (C2-C3) significantly reduces the risk of its skin and thrombotic complications, significantly reducing the incidence of <strong>venous ulcers of the shin.<\/strong> Early intervention, e.g. in the form of <strong>compression therapy<\/strong> (compression therapy) or causal intravenous treatment can effectively<strong> <\/strong>reduce venous hypertension and prevent the development of inflammatory lesions in the skin.<strong> <\/strong>This can avoid serious complications such as: <strong><mark style=\"background-color:rgba(0, 0, 0, 0)\" class=\"has-inline-color has-primary-color\">corona phlebectatica<\/mark><\/strong> (C4c - photo above), <strong><mark style=\"background-color:rgba(0, 0, 0, 0)\" class=\"has-inline-color has-primary-color\">active venous ulceration<\/mark> <\/strong>(C6) or<strong> <mark style=\"background-color:rgba(0, 0, 0, 0)\" class=\"has-inline-color has-primary-color\">scar after healed ulceration<\/mark> <mark style=\"background-color:rgba(0, 0, 0, 0)\" class=\"has-inline-color has-primary-color\">venous<\/mark> <\/strong>(C5). <\/p>\n<\/div>\n\n\n<section class=\"basic-container has-text-align-left d-flex is-content-justification-center-center block-bg--transparent\" id=\"rozpoznanie\" style=\"margin-top: var(--wp--preset--spacing--size-80); margin-bottom: var(--wp--preset--spacing--size-80);\">\n\t<div class=\"basic-container__content container\">\n\t\t<div class=\"acf-innerblocks-container\">\n<section class=\"basic-container has-text-align-left d-flex is-content-justification-center-center block-bg--transparent\">\n\t<div class=\"basic-container__content container\">\n\t\t<div class=\"acf-innerblocks-container\">\n\n<h2 class=\"wp-block-heading is-style-h2\">Recognition and diagnosis<\/h2>\n\n\n\n<p>The diagnosis and diagnosis of the problem of venous ulceration of the shin is based on a detailed medical history, physical examination and the performance and ordering of additional investigations, including in-depth diagnostic imaging. Although 'diseased veins' are mostly responsible for venous leg ulcers, there are many other causes of leg wounds (20-30% are 'non-venous' causes).<\/p>\n\n\n\n<p>In the first instance, the phlebologist should collect a thorough <strong>medical history <\/strong>and analyse: <\/p>\n\n\n\n<ul class=\"wp-block-list is-style-check-mark\">\n<li>the patient's venous history;<\/li>\n\n\n\n<li>the presence of symptoms of chronic venous insufficiency, such as pain, oedema and a feeling of heaviness in the legs;<\/li>\n\n\n\n<li>risk factors for the development of venous disease, such as age, pregnancy history - in the case of women, weight changes over time and lifestyle errors; <\/li>\n\n\n\n<li>past trauma, venous surgery\/procedures and orthopaedic or gynaecological surgery in the case of women.<\/li>\n<\/ul>\n\n\n\n<p>The following is done <strong>physical examination<\/strong>This should include an assessment of the state of the skin, the presence of typical venous disease symptoms and an analysis of the ulceration itself (its location, size, depth, condition of the wound edges, amount of discharge or presence of necrotic tissue).<\/p>\n\n\n\n<p>Additional investigations are performed to confirm the diagnosis and exclude other causes of the ulceration, as well as to assess the severity of the venous disease. The basic diagnostic test is the measurement of <strong>ankle-brachial index (ABPI)<\/strong>. It is a non-invasive test to assess blood flow in the arteries of the lower limbs. The ABPI is calculated by dividing the systolic pressure measured on the dorsal artery of the foot by the systolic pressure measured on the brachial artery.<\/p>\n\n\n\n<p>Phlebologists reach for other tests in the diagnosis of venous ulcers. The basis of diagnosis is always Doppler ultrasonography of the venous system with assessment of the veins of the abdominal cavity, small pelvis and veins of the lower limbs. The analysis of the affected leg must always be carried out in a loaded position (standing, possibly sitting). The aim of the Doppler examination is to exclude post-thrombotic changes. Patients with a history of venous thrombosis usually suffer from venous leg ulcers, which are the most difficult to treat. Sometimes the venous system needs to be examined more closely and other causes of (external) increased intravenous pressure need to be excluded. Imaging studies such as computed tomography or magnetic resonance venography are then used. Such examinations are usually performed with the administration of an intravenous contrast agent. It should be borne in mind that venous ulcers of the shin are mainly suffered by elderly people, and that they statistically have a higher incidence of other conditions that may exacerbate venous disease or the formation of the ulcers themselves by a mechanism other than 'venous'. <br>In selected - untreatable cases - it is sometimes performed <strong>venous ulcer biopsy. <\/strong>As is well known, some patients encounter neoplastic transformation of a chronic wound (see section: \"Description of the condition\"). <\/p>\n\n\n\n<p>Venous ulcers of the shin <strong>should be differentiated<\/strong> with other diseases that can lead to wounds on the legs. Leg ulcers can also have a different origin and background. The most common is the aetiology:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>arterial:<\/strong> This type of ulceration occurs in patients with peripheral arterial disease and is characterised by severe pain, pale and cold skin around the wound, lack of hairiness, and low ABPI (&lt; 0.8).<\/li>\n\n\n\n<li><strong>neuropathic (so-called diabetic foot):<\/strong> occur in patients with diabetes and are characterised by a lack of pain sensation, as well as deformities of the foot.<\/li>\n\n\n\n<li><strong>mixed (e.g. arteriovenous):<\/strong> occur in patients with peripheral arterial disease and chronic - complicated - venous insufficiency.<\/li>\n\n\n\n<li><strong>cancer: <\/strong>can vary in appearance, usually characterised by faster progression than venous ulcers and lack of healing.<\/li>\n<\/ul>\n\n<\/div>\n\t<\/div>\n<\/section>\n\n<\/div>\n\t<\/div>\n<\/section>\n\n\n<section class=\"basic-container has-text-align-left d-flex is-content-justification-center-center block-bg--transparent\" id=\"metody\" style=\"margin-top: var(--wp--preset--spacing--size-80); margin-bottom: var(--wp--preset--spacing--size-80);\">\n\t<div class=\"basic-container__content container\">\n\t\t<div class=\"acf-innerblocks-container\">\n\n<h2 class=\"wp-block-heading is-style-h2\">Treatment methods<\/h2>\n\n\n\n<p> The main <strong>treatment methods for venous leg ulcers<\/strong> - in addition to changing modifiable risk factors and improving lifestyles - include:<\/p>\n\n\n\n<ul style=\"margin-top:var(--wp--preset--spacing--size-40);margin-bottom:var(--wp--preset--spacing--size-40)\" class=\"wp-block-list\">\n<li style=\"margin-bottom:var(--wp--preset--spacing--size-32)\"><strong><mark style=\"background-color:rgba(0, 0, 0, 0)\" class=\"has-inline-color has-primary-color\">compression therapy<\/mark><\/strong>or pressure treatment: this is the primary method of treating venous ulcers. It involves the use of multi-layer applied bandages or compression stockings and knee socks for healed (C5) ulcers. Compression devices reduce oedema and improve venous blood flow and microcirculatory function. There are different types of bandages, wraps and high-stretch devices with varying degrees of compression. Choosing the right type depends on the severity of the condition.<\/li>\n\n\n\n<li style=\"margin-bottom:var(--wp--preset--spacing--size-32)\"><strong><mark style=\"background-color:rgba(0, 0, 0, 0)\" class=\"has-inline-color has-primary-color\">pharmacological treatment<\/mark><\/strong>: Phlebotropic drugs improve venous wall tone and reduce capillary permeability. Antibiotics are sometimes resorted to when bacterial infections occur.<\/li>\n\n\n\n<li style=\"margin-bottom:var(--wp--preset--spacing--size-32)\">l<strong><mark style=\"background-color:rgba(0, 0, 0, 0)\" class=\"has-inline-color has-primary-color\">ection of local treatment using dressings<\/mark><\/strong>: involves the use of special dressings that absorb secretions, change the wound environment and promote healing; the type of dressing is always selected individually, depending on the state of the ulcer and the amount of secretions.<\/li>\n\n\n\n<li style=\"margin-bottom:var(--wp--preset--spacing--size-32)\"><strong><mark style=\"background-color:rgba(0, 0, 0, 0)\" class=\"has-inline-color has-primary-color\">surgical treatment (local)<\/mark><\/strong> - is used to cleanse the wound and speed up healing; sometimes a phlebologist or surgeon decides to use skin grafting - the procedure involves taking a thin piece of healthy skin, usually from the thigh or buttock, and placing it on the cleaned bottom of the ulcer. The graft acts as a biological dressing, speeding up tissue regeneration, reducing the risk of infection and promoting healing.<\/li>\n\n\n\n<li style=\"margin-bottom:var(--wp--preset--spacing--size-32)\"><strong><mark style=\"background-color:rgba(0, 0, 0, 0)\" class=\"has-inline-color has-primary-color\">surgical treatment of venous insufficiency <\/mark><\/strong>- Patients with venous ulceration of the shin are usually treated with intravenous methods, which are more effective and have fewer skin complications than surgical methods; surgical treatment is aimed at reducing venous hypertension, which results in faster healing and a lower rate of recurrence, thus conversion from stage C5 to C6.<\/li>\n<\/ul>\n\n\n\n<figure class=\"wp-block-image aligncenter size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"576\" src=\"https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/11\/ponczochy-uciskowe-kompresjoterapia-choroba-zylna-1024x576.webp\" alt=\"\" class=\"wp-image-1811\" srcset=\"https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/11\/ponczochy-uciskowe-kompresjoterapia-choroba-zylna-1024x576.webp 1024w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/11\/ponczochy-uciskowe-kompresjoterapia-choroba-zylna-600x338.webp 600w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/11\/ponczochy-uciskowe-kompresjoterapia-choroba-zylna-300x169.webp 300w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/11\/ponczochy-uciskowe-kompresjoterapia-choroba-zylna-768x432.webp 768w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/11\/ponczochy-uciskowe-kompresjoterapia-choroba-zylna-1536x864.webp 1536w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/11\/ponczochy-uciskowe-kompresjoterapia-choroba-zylna-18x10.webp 18w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/11\/ponczochy-uciskowe-kompresjoterapia-choroba-zylna-340x191.webp 340w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/11\/ponczochy-uciskowe-kompresjoterapia-choroba-zylna-1148x646.webp 1148w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/11\/ponczochy-uciskowe-kompresjoterapia-choroba-zylna-405x228.webp 405w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/11\/ponczochy-uciskowe-kompresjoterapia-choroba-zylna-624x351.webp 624w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/11\/ponczochy-uciskowe-kompresjoterapia-choroba-zylna-100x56.webp 100w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/11\/ponczochy-uciskowe-kompresjoterapia-choroba-zylna-290x163.webp 290w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/11\/ponczochy-uciskowe-kompresjoterapia-choroba-zylna-428x241.webp 428w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/11\/ponczochy-uciskowe-kompresjoterapia-choroba-zylna-280x158.webp 280w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/11\/ponczochy-uciskowe-kompresjoterapia-choroba-zylna-526x296.webp 526w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/11\/ponczochy-uciskowe-kompresjoterapia-choroba-zylna-212x119.webp 212w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/11\/ponczochy-uciskowe-kompresjoterapia-choroba-zylna-52x29.webp 52w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/11\/ponczochy-uciskowe-kompresjoterapia-choroba-zylna-296x167.webp 296w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/11\/ponczochy-uciskowe-kompresjoterapia-choroba-zylna-343x193.webp 343w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/11\/ponczochy-uciskowe-kompresjoterapia-choroba-zylna-54x30.webp 54w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/11\/ponczochy-uciskowe-kompresjoterapia-choroba-zylna-500x281.webp 500w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/11\/ponczochy-uciskowe-kompresjoterapia-choroba-zylna-580x326.webp 580w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/11\/ponczochy-uciskowe-kompresjoterapia-choroba-zylna-1244x700.webp 1244w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/11\/ponczochy-uciskowe-kompresjoterapia-choroba-zylna-149x84.webp 149w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/11\/ponczochy-uciskowe-kompresjoterapia-choroba-zylna-79x44.webp 79w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/11\/ponczochy-uciskowe-kompresjoterapia-choroba-zylna-286x161.webp 286w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/11\/ponczochy-uciskowe-kompresjoterapia-choroba-zylna-400x225.webp 400w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/11\/ponczochy-uciskowe-kompresjoterapia-choroba-zylna-393x221.webp 393w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/11\/ponczochy-uciskowe-kompresjoterapia-choroba-zylna-949x534.webp 949w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/11\/ponczochy-uciskowe-kompresjoterapia-choroba-zylna-288x162.webp 288w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/11\/ponczochy-uciskowe-kompresjoterapia-choroba-zylna-130x73.webp 130w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/11\/ponczochy-uciskowe-kompresjoterapia-choroba-zylna-740x416.webp 740w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/11\/ponczochy-uciskowe-kompresjoterapia-choroba-zylna-118x66.webp 118w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/11\/ponczochy-uciskowe-kompresjoterapia-choroba-zylna-42x24.webp 42w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/11\/ponczochy-uciskowe-kompresjoterapia-choroba-zylna-69x39.webp 69w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/11\/ponczochy-uciskowe-kompresjoterapia-choroba-zylna-24x14.webp 24w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/11\/ponczochy-uciskowe-kompresjoterapia-choroba-zylna-440x248.webp 440w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/11\/ponczochy-uciskowe-kompresjoterapia-choroba-zylna-50x28.webp 50w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/11\/ponczochy-uciskowe-kompresjoterapia-choroba-zylna.webp 1920w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n\n\n\n<p>Venous ulceration of the shin is a serious condition that requires appropriate diagnosis and targeted and symptomatic treatment. Remember that early diagnosis of venous disease and the implementation of appropriate therapy and the use of compression devices, prevents the occurrence of venous ulceration. <strong>Prevention<\/strong> is the best form of therapy for venous leg ulcers.<\/p>\n\n<\/div>\n\t<\/div>\n<\/section>\n\n\n<style>[data-key=\"block_0183a3a004623bcf23e18de1e7b7a54a\"].bordered-container{\n\t\t\tborder: 1px solid #f8f8fb!important;\t\t\t\tborder-radius: 20px;\t\t}<\/style>\n<section class=\"bordered-container has-background has-color-12-background-color\" id=\"pytania\" style=\"margin-top: var(--wp--preset--spacing--size-100); margin-bottom: var(--wp--preset--spacing--size-100); padding-top: var(--wp--preset--spacing--size-80); padding-right: var(--wp--preset--spacing--size-80); padding-bottom: var(--wp--preset--spacing--size-80); padding-left: var(--wp--preset--spacing--size-80);\" data-key=\"block_0183a3a004623bcf23e18de1e7b7a54a\">\n\t<div class=\"container\" >\n\t\t<div class=\"acf-innerblocks-container\">\n\n<h2 class=\"wp-block-heading has-text-align-left is-style-h2\" style=\"margin-bottom:2rem\">Mostly<br>questions asked<\/h2>\n\n\n<section class=\"faq block-bg--transparent\">\n\t\t\t\t\t<style>.faq+.wp-block-heading{margin-top:1.5rem}.faq .faq__categories{display:flex;align-items:center;flex-wrap:wrap;gap:0.5rem;max-width:62.5rem;width:100%;padding:0;margin:0 0 1.5rem 0;list-style:none}@media(min-width: 992px){.faq .faq__categories{gap:1rem}}.faq .faq__category__button{min-height:2.125rem;padding:0.3125rem 0.875rem;color:var(--wp--preset--color--dark) !important}@media(min-width: 768px){.faq .faq__category__button{min-height:2.625rem;padding:0.3125rem 1rem}}@media(min-width: 992px){.faq .faq__category__button{min-height:3.125rem;padding:0.3125rem 2rem}}@media(max-width: 767px){.faq .faq__category__button{font-size:0.75rem;line-height:1.5}}.faq .faq__category__button.active{background-color:var(--wp--preset--color--primary) !important;color:var(--wp--preset--color--light) !important}.faq .faq__category__button.active:hover{color:var(--wp--preset--color--light) !important;background-color:var(--wp--preset--color--color-bg-dark-1) !important;box-shadow:0 0 1.5625rem 0 rgba(19,46,210,.35)}.faq .faq__content{transition:opacity var(--transition-speed) var(--transition-timing-function)}.faq .faq__content.loading{opacity:.5}.faq .faq__list{padding:0;margin:0;list-style:none}.faq .faq__item{margin:0 calc(-1*0.9375rem);border-bottom:0.0625rem solid var(--wp--preset--color--color-stroke)}@media(min-width: 992px){.faq .faq__item{margin:0}}.faq .faq__item__header{display:flex;align-items:center;justify-content:space-between;gap:0.625rem;width:100%;padding:1.125rem 0.9375rem;background-color:rgba(0,0,0,0);border:none}@media(min-width: 992px){.faq .faq__item__header{gap:1rem;padding:1.5rem 0}}.faq .faq__item__header:hover .faq__item__button{box-shadow:0 0 1.5625rem 0 rgba(19,46,210,.15)}.faq .faq__item__header.active .faq__item__button svg{transform:rotate(180deg)}.faq .faq__item__title{max-width:53.25rem;width:100%;margin-bottom:0;color:var(--wp--preset--color--dark-900);text-align:left}.faq .faq__item__button{display:flex;align-items:center;justify-content:center;width:2.75rem;min-width:2.75rem;height:2.75rem;border-radius:50%;border:0.0625rem solid var(--wp--preset--color--color-stroke);background-color:var(--wp--preset--color--light);overflow:hidden;transition:box-shadow var(--transition-speed) var(--transition-timing-function)}@media(min-width: 992px){.faq .faq__item__button{width:3.375rem;min-width:3.375rem;height:3.375rem}}.faq .faq__item__button svg{transition:transform var(--transition-speed) var(--transition-timing-function)}@media(max-width: 991px){.faq .faq__item__button svg{width:0.9375rem}}.faq .faq__item__content{height:0;padding:0 0.9375rem;overflow:hidden;-ms-overflow-style:none;scrollbar-width:none;pointer-events:none;transition:height var(--transition-speed-longer) var(--transition-timing-function),opacity var(--transition-speed) var(--transition-timing-function)}@media(min-width: 992px){.faq .faq__item__content{padding:0}}.faq .faq__item__content::-webkit-scrollbar{display:none}.faq .faq__item__content.active{height:auto;overflow:auto;pointer-events:all;transition:opacity var(--transition-speed-longer) var(--transition-timing-function) .2s}.faq .faq__item__content p{padding:0 4px}.faq .faq__item__content__inner{padding:1.25rem 0}@media(min-width: 992px){.faq .faq__item__content__inner{padding:1.5625rem 0}}.section:has(.faq) .container{max-width:78.125rem}.wp-block-heading:has(+.faq){margin-bottom:1.25rem}@media(min-width: 992px){.wp-block-heading:has(+.faq){margin-bottom:1.9375rem}}\n<\/style>\n\t\t\t\t\t<div class=\"container\">\n\t\t<div class=\"faq__header\">\n\t\t\t<div class=\"acf-innerblocks-container\"><\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"faq__content\">\n\t\t\t\t\t<\/div>\n\t<\/div>\n<\/section>\n\n<\/div>\n\t<\/div>\n<\/section>\n\n\n\n<section class=\"link-grid\" style=\"margin-bottom: var(--wp--preset--spacing--size-100);\">\n\t\t\t\t<style>.link-grid__grid{display:grid;grid-template-columns:repeat(auto-fill, minmax(300px, 1fr));gap:var(--wp--preset--spacing--size-32)}@media(min-width: 993px){.link-grid__grid{grid-template-columns:repeat(3, 1fr)}}.link-grid__title{text-align:center;margin-bottom:var(--wp--preset--spacing--size-32)}.link-grid__item{border-radius:20px;border:1px solid #e4e4ff;background-color:#fafaff;padding:var(--wp--preset--spacing--size-32);position:relative}.link-grid__item span{color:var(--wp--preset--color--color-15);font-size:14px;font-weight:400;letter-spacing:-0.5px}.link-grid__item:hover .link-grid__item-icon{box-shadow:0 0 1.5625rem 0 rgba(19,46,210,.35);background-color:var(--wp--preset--color--color-bg-dark-1)}.link-grid__item-icon{background-color:var(--wp--preset--color--primary);transition:box-shadow var(--transition-speed) var(--transition-timing-function),background-color var(--transition-speed) var(--transition-timing-function);border-radius:100%;width:42px;aspect-ratio:1\/1;height:auto;display:flex;align-items:center;justify-content:center}\n<\/style>\n\t\t\t\t\t\t\t\t<style>.card-link{width:100%;height:100%;position:absolute;z-index:1;top:0;left:0;cursor:pointer}\n<\/style>\n\t\t\t\t<div class=\"container\">\n\t\t\t<h2 class=\"link-grid__title is-style-h2\">Related issues<\/h2>\n\t\t<nav class=\"link-grid__nav\">\n\t\t<ul class=\"link-grid__grid\">\n\t\t\t\t\t\t\t<li class=\"link-grid__item\">\n\t\t\t\t\t<span>01 \/<\/span>\n\t\t\t\t\t<p class=\"is-style-h3\">Venous insufficiency of the lower limbs<\/p>\n\t\t\t\t\t<div class=\"link-grid__item-icon\"><svg width=\"16\" height=\"16\" viewbox=\"0 0 16 16\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n<path d=\"M9.06065 1.63613H14.3639M14.3639 1.63613V6.93943M14.3639 1.63613L1.63603 14.3641\" stroke=\"white\" stroke-width=\"1.5\" stroke-linecap=\"round\" stroke-linejoin=\"round\"\/>\n<\/svg><\/div>\n\t\t\t\t\t\t\t\t\t\t<a href=\"https:\/\/sandbox.isites.pl\/en\/diseases\/lower-limb-venous-insufficiency\/\" class=\"link-grid__link card-link\"><\/a>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t<li class=\"link-grid__item\">\n\t\t\t\t\t<span>02 \/<\/span>\n\t\t\t\t\t<p class=\"is-style-h3\">Venous skin lesions (C4)<\/p>\n\t\t\t\t\t<div class=\"link-grid__item-icon\"><svg width=\"16\" height=\"16\" viewbox=\"0 0 16 16\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n<path d=\"M9.06065 1.63613H14.3639M14.3639 1.63613V6.93943M14.3639 1.63613L1.63603 14.3641\" stroke=\"white\" stroke-width=\"1.5\" stroke-linecap=\"round\" stroke-linejoin=\"round\"\/>\n<\/svg><\/div>\n\t\t\t\t\t\t\t\t\t\t<a href=\"https:\/\/sandbox.isites.pl\/en\/diseases\/lower-limb-venous-insufficiency\/venous-skin-lesions\/\" class=\"link-grid__link card-link\"><\/a>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t<li class=\"link-grid__item\">\n\t\t\t\t\t<span>03 \/<\/span>\n\t\t\t\t\t<p class=\"is-style-h3\">Laser vein sealing<\/p>\n\t\t\t\t\t<div class=\"link-grid__item-icon\"><svg width=\"16\" height=\"16\" viewbox=\"0 0 16 16\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n<path d=\"M9.06065 1.63613H14.3639M14.3639 1.63613V6.93943M14.3639 1.63613L1.63603 14.3641\" stroke=\"white\" stroke-width=\"1.5\" stroke-linecap=\"round\" stroke-linejoin=\"round\"\/>\n<\/svg><\/div>\n\t\t\t\t\t\t\t\t\t\t<a href=\"https:\/\/sandbox.isites.pl\/en\/services\/venous-treatments\/endovenous-laser-therapy-elves-system\/\" class=\"link-grid__link card-link\"><\/a>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t<\/ul>\n\t<\/nav>\n<\/div>\n<\/section>\n\n\n<section class=\"cta\">\n\t\t\t\t\t<style>.cta{display:flex;align-items:center;position:relative;z-index:0;padding:5rem 0 0.9375rem;background:var(--wp--preset--color--color-bg-dark-2)}@media(min-width: 768px){.cta{min-height:40.375rem}}@media(min-width: 992px){.cta{padding:2.3125rem 0 2.4375rem}}.cta__bg{position:absolute;top:0;left:0;z-index:-1;width:100%;height:100%;pointer-events:none;user-select:none}.cta__bg img{width:100%;height:100%;object-fit:cover}.cta__content{display:flex;flex-direction:column;justify-content:center;position:relative;max-width:33.8125rem;width:100%;height:100%;padding:3.75rem 0.9375rem 0.9375rem 0.9375rem;color:var(--wp--preset--color--light);border-radius:1rem}@media(min-width: 768px){.cta__content{min-height:35.625rem;padding:6.25rem 5rem 2.5rem 1.25rem;border-radius:1.25rem}}@media(min-width: 992px){.cta__content{padding:8.25rem 6.625rem 3.875rem 1.5rem}}.cta__content::before{content:\"\";position:absolute;top:0;left:0;z-index:-1;width:100%;height:100%;background:linear-gradient(114.04deg, rgba(255, 255, 255, 0) -0.36%, rgba(255, 255, 255, 0.2) 69.8%);border-radius:0.9375rem;-webkit-backdrop-filter:blur(0.3125rem);backdrop-filter:blur(0.3125rem)}@media(min-width: 768px){.cta__content::before{border-radius:1.25rem}}@media(min-width: 992px){.cta__content::before{-webkit-backdrop-filter:blur(1.25rem);backdrop-filter:blur(1.25rem)}}.cta__content .wp-block-heading{margin-bottom:0.75rem;text-shadow:0 0.125rem 0.625rem rgba(0,0,0,.15)}@media(min-width: 768px){.cta__content .wp-block-heading{margin-bottom:0.5rem}}.cta__content p.is-style-leadparagraph{font-family:var(--wp--preset--font-family--heading-font);margin-bottom:1.5rem;text-shadow:0 0.125rem 0.625rem rgba(0,0,0,.15)}.cta__content .wp-block-buttons{margin-top:1.5rem;margin-bottom:0}.cta__button{display:flex;align-items:center;justify-content:center;position:absolute;top:0.9375rem;right:0.9375rem;width:2.5rem;height:2.5rem;border-radius:50%;background-color:var(--wp--preset--color--color-3)}@media(min-width: 768px){.cta__button{top:1.875rem;right:1.25rem;width:4.375rem;height:4.375rem}}@media(min-width: 992px){.cta__button{top:3.6875rem;right:1.5rem}}@media(max-width: 767px){.cta__button svg{width:1rem}}\n<\/style>\n\t\t\t\t\t\t<div class=\"cta__bg\">\n\t\t<img loading=\"lazy\" decoding=\"async\" width=\"1000\" height=\"485\" src=\"https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/11\/laserowe-usuwanie-zylakow-owrzodzen-zylncyh-goleni.webp\" class=\"attachment-cta-img size-cta-img\" alt=\"\" srcset=\"https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/11\/laserowe-usuwanie-zylakow-owrzodzen-zylncyh-goleni.webp 1000w, 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https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/11\/laserowe-usuwanie-zylakow-owrzodzen-zylncyh-goleni-42x20.webp 42w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/11\/laserowe-usuwanie-zylakow-owrzodzen-zylncyh-goleni-69x33.webp 69w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/11\/laserowe-usuwanie-zylakow-owrzodzen-zylncyh-goleni-24x12.webp 24w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/11\/laserowe-usuwanie-zylakow-owrzodzen-zylncyh-goleni-440x213.webp 440w, https:\/\/sandbox.isites.pl\/wp-content\/uploads\/2024\/11\/laserowe-usuwanie-zylakow-owrzodzen-zylncyh-goleni-50x24.webp 50w\" sizes=\"auto, (max-width: 1000px) 100vw, 1000px\" \/>\t<\/div>\n\t\t<div class=\"container\">\n\t\t<div class=\"cta__content\">\n\t\t\t\t\t\t<span class=\"cta__button\">\n\t\t\t\t<svg width=\"24\" height=\"24\" viewbox=\"0 0 24 24\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n    <path d=\"M13.8 1.20014H22.8001M22.8001 1.20014V10.2002M22.8001 1.20014L1.19987 22.8003\" stroke=\"#043148\" stroke-width=\"1.5\" stroke-linecap=\"round\" stroke-linejoin=\"round\"\/>\n<\/svg>\t\t\t<\/span>\n\t\t\t\t\t\t<div class=\"acf-innerblocks-container\">\n\n<h2 class=\"wp-block-heading is-style-h1\">Closing of perforators <\/h2>\n\n\n\n<p class=\"is-style-leadparagraph\">At the Department of Phlebology, we have developed a proprietary method of closing inefficient perforating veins in patients with venous ulceration of the shin.<\/p>\n\n\n\t\t\t\t<style>.wp-block-buttons{gap:1rem 1.5rem;margin:1.5rem auto}.wp-block-buttons:last-child{margin-bottom:0}.wp-block-buttons.aligncenter{justify-content:center}.wp-block-button__link{display:inline-flex;align-items:center;justify-content:center;min-height:3rem;padding:0.3125rem 1.5rem;font-size:0.875rem;line-height:1.2857142857;font-weight:900;white-space:nowrap;color:var(--wp--preset--color--light);background:var(--wp--preset--color--primary);transition:color var(--transition-speed) 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