What is the recommended treatment for stasis ulcers associated with chronic venous insufficiency?

The recommended treatment for stasis ulcers associated with chronic venous insufficiency focuses on the management of the underlying venous hypertension and promoting healing of the ulcer. Wet compresses can help keep the ulcer moist, which is beneficial for wound healing by preventing eschar formation and promoting granulation tissue. Hydrocortisone cream may be applied to reduce inflammation and itching in the surrounding skin, which can improve the comfort of the patient as well.

In contrast, modalities like cold compresses and elevation primarily address edema but do not directly facilitate ulcer healing. Bandaging without compression may not effectively control the underlying venous insufficiency, and antibiotics are indicated only if there is a secondary infection present and are not a comprehensive treatment for the ulcer itself.

Therefore, wet compresses combined with hydrocortisone provide a supportive approach to manage symptoms and promote healing, making it a suitable choice in treating stasis ulcers.