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[The treatment of trophic ulcers of venous etiology from the standpoint of evidence-based medicine. Review of literature].

Presented herein is a review of the modern world literature devoted to the pressing problem of phlebology--the treatment of trophic ulcers. In the given review all the available data on the modern treatment methods for trophic ulcers, resting on the criteria of evidence-based medicine (EBM), are systematized. Proceeding from these data we have evaluated the efficacy and safety of different approaches to the treatment of trophic ulcers and created the diagnostic and treatment algorithm for patients suffering from the pathology in question. The literature review, resting on the general criteria of evidence-based medicine, has demonstrated that the main current trends in the management of venous ulcers are moist healing, compression therapy, and surgical treatment. However, despite this fact there is a number of unsolved problems concerned first of all with the creation of the integral diagnostic and treatment program for patients with venous ulcers, based on the significant statistical data.