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Surgical Indications in All Diagnostic and Care Pathways (DTCP) Settings

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Pearls and Pitfalls in Skin Ulcer Management

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Abstract

A skin ulcer is defined as a tissue lesion that shows poor or no tendency to spontaneous healing. The most frequent types are venous, arterial, diabetic, and pressure ulcers. Although very common, they are often managed inaccurately. The significant burden of morbidity and economic costs related to the disease highlights the unmet need to implement ulcer prevention, diagnosis, and treatment guidelines based on the latest scientific evidence. For this reason, the introduction in clinical practice of dedicated diagnostic and therapeutic care pathways (DTCP) is desirable in order to establish a common decision-making process that can guide physicians on the proper management of skin ulcers and can implement collaboration between territorial and specialized hospital services in case of complex cases. The aim of this chapter is to highlight the indications for hospital surgical referral in the context of DTCP and to provide updated indications for reconstructive options in each ulcer subtype.

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Authors and Affiliations

  1. University of Palermo, Palermo, Italy

    Emanuele Cammarata, Francesca Toia, Antonino Speciale, Martina Maltese, Tiziano Pergolizzi & Adriana Cordova

Authors
  1. Emanuele Cammarata
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  2. Francesca Toia
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  3. Antonino Speciale
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  4. Martina Maltese
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  5. Tiziano Pergolizzi
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  6. Adriana Cordova
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Corresponding author

Correspondence to Francesca Toia .

Editor information

Editors and Affiliations

  1. Unit of Plastic and Reconstructive Surgery, Department of Precision and Regenerative Medicine and Jonic Area, University of Bari, Bari, Italy

    Michele Maruccia

  2. Plastic Surgery Unit, University of Trieste, Cattinara Hospital, Trieste, Italy

    Giovanni Papa

  3. Difficult Wound Healing Unit, Policlinico di Monza, Vercelli, Italy, Italy

    Elia Ricci

  4. Plastic and Reconstructive Surgery, University of Bari Aldo Moro, Bari, Italy

    Giuseppe Giudice

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Cammarata, E., Toia, F., Speciale, A., Maltese, M., Pergolizzi, T., Cordova, A. (2023). Surgical Indications in All Diagnostic and Care Pathways (DTCP) Settings. In: Maruccia, M., Papa, G., Ricci, E., Giudice, G. (eds) Pearls and Pitfalls in Skin Ulcer Management. Springer, Cham. https://doi.org/10.1007/978-3-031-45453-0_40

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  • DOI: https://doi.org/10.1007/978-3-031-45453-0_40

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  • Online ISBN: 978-3-031-45453-0

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