October 1968


Arch Surg. 1968;97(4):690. doi:10.1001/archsurg.1968.01340040186038

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In a recent issue of the Archives, discussions by Drs. Osius and Higgins which appeared after Pruitt et al's article, "Escharotomy in Early Burn Care" (p 507) should have followed Dubuque et al's article, "Stasis Ulcer of the Lower Extremity" (96:502-507, 508-511 [April] 1968). The following discussion should have appeared for Dr. Higgins:

I think that everyone would agree that the simple varicose ulcer poses a considerably different problem than does the post-phlebetic ulcer although in some patients the problems may overlap. My remarks will be concerned only with the post-phlebetic ulcer.

We would agree that most of these ulcers can be healed with the careful management outlined in this presentation. However, the great difficulty is in keeping them healed. This is particularly true in a large institutional practice in which long term follow-up is difficult because of failure on the part of the patient to return for regular

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