[Treatment of decubitus and leg ulcer in small cohort hospital without plastic surgeon--a view point of community cooperation and home-based care].

Confronted with treatment of leg ulcers and decubitus, a touch of arterial pulsation is necessary for diagnosis of peripheral arterial disease. Duplex scan reveals the site of arterial lesions, and if necessary, vascular reconstruction is done in order to promote peripheral circulation. Regardless of wound care which included irrigation and debridement, gangrene is worsening unfortunately, so we have to decide an amputation for life salvage. Some cases of decubitus, an operation of skin flap is effective for an early discharge. Vascular surgeons are familiar with these treatments so they are most adequate as an initiative leader for treating leg ulcers and decubitus.