scholarly journals Prognostic factors related to delayed healing of venous leg ulcer treated with compression therapy

2015 ◽  
Vol 33 (4) ◽  
pp. 206-209 ◽  
Author(s):  
Vesna Karanikolic ◽  
Aleksandar Karanikolic ◽  
Dejan Petrovic ◽  
Milenko Stanojevic
Keyword(s):  
Prognostic Factors ◽  
Compression Therapy ◽  
Leg Ulcer ◽  
Venous Leg Ulcer ◽  
Delayed Healing

Adjustable compression wrap devices are cheaper and more effective than inelastic bandages for venous leg ulcer healing. A Multicentric Italian Randomized Clinical Experience

2019 ◽  
Vol 35 (2) ◽  
pp. 124-133 ◽  
Author(s):  
Giovanni Mosti ◽  
Stefano Mancini ◽  
Sergio Bruni ◽  
Simone Serantoni ◽  
Luca Gazzabin ◽  
...  
Keyword(s):  
Ulcer Healing ◽  
Ulcer Patient ◽  
Cost Effective ◽  
Compression Therapy ◽  
Leg Ulcer ◽  
Healthcare Personnel ◽  
Venous Leg Ulcer ◽  
Compression Pressure ◽  
Correct Application ◽  
Patient’S Perception

Introduction Compression therapy by inelastic bandages is highly effective in achieving venous leg ulcer healing. Inelastic bandages may be expensive as they need to be changed and discarded at every dressing change. In addition, correct application is difficult in the clinical practice, even by expert healthcare personnel. The aim of our work was to assess whether adjustable compression wraps are more cost effective and more effective than inelastic bandage to achieve venous leg ulcer healing. Methods Sixty-six venous leg ulcer patients were randomized to be treated by adjustable compression wrap (CircAid® JuxtaCure®) ( n = 33) and inelastic bandage (Coban 2 Layer®) ( n = 33). Study duration was 12 weeks. During weekly visits, the ulcers were cleansed and dressed with the same products, and the only variable was the compression device. Ulcer size, ulcer pain, patient’s perception of compression systems, and compression pressure were assessed during the visits, and the material cost was evaluated at the 12th week. Results Adjustable compression wraps were significantly cheaper than bandages (p < 0.0001) and were also more effective (not significantly) in achieving ulcer healing. To heal one ulcer patient, €228 had to be spent when applying an adjustable compression wrap and €381 if inelastic bandages were used. About 26/33 (78.8%) patients in the adjustable compression wrap group were healed after 12 weeks versus 23/33 (69.7%) in the inelastic bandage group (n.s.). Ulcer pain was reduced by both compression devices. Patient perception of compression pressure was similar with both compression devices. Compression pressure was similar at application but better maintained by adjustable compression wrap over time. Conclusions Adjustable compression wraps are significantly cheaper and more effective (not significantly) in achieving venous leg ulcer healing. Self-applicable, adjustable compression wraps are therefore a powerful, cost-effective alternative to inelastic bandages in treating venous leg ulcer.

An investigation of skin perfusion in venous leg ulcer after exercise

Perfusion ◽  
2017 ◽  
Vol 33 (1) ◽  
pp. 25-29 ◽  
Author(s):  
Omar Mutlak ◽  
Mohammed Aslam ◽  
Nigel J. Standfield
Keyword(s):  
Therapy Group ◽  
Compression Therapy ◽  
Venous Ulcer ◽  
Exercise Group ◽  
Leg Ulcer ◽  
Control Group ◽  
Venous Leg Ulcer ◽  
Doppler Flowmetry ◽  
Skin Perfusion ◽  
Perfusion Measurements

Introduction: A venous leg ulcer (VLU) has a major impact on the quality of life and functional ability of individuals, but no single treatment is yet effective. This study investigates the changes induced by dorsiflexion exercise on skin perfusion in VLU patients to achieve a better understanding of venous ulcer pathophysiology. Methods: Seventy-eight venous leg ulcer patients were randomised into four groups. The non-exercise groups included a control group (n = 18) and a compression therapy group (n = 20) and the exercise groups included an exercise-only group (n = 20) and a compression and exercise group (n = 20). The exercise groups were expected to perform exercise for three months. Measurements included transcutaneous oximetry (tcPO2) and laser Doppler flowmetry (LDF). Skin perfusion measurements for all groups were taken twice: at the beginning and end of the three-month period. Results: Initially, all participants showed a low level of tcPO2. The exercise groups showed a significant increase after three months of exercise (p<0.001), the tcPO2 level remained the same in the non-exercise groups. The LDF parameters decreased significantly (p<0.001) in the compression and exercise group and decreased to a lesser extent in the exercise-only group. There were no LDF changes in the non-exercise groups. Conclusions: Perfusion measurements showed significant changes after three months of regular exercise. We conclude that exercise has a significant effect on tissue perfusion parameters in venous leg ulcer and this effect may play a role in understanding the pathophysiology of VLU.

scholarly journals Predicting delayed healing: The diagnostic accuracy of a venous leg ulcer risk assessment tool

2017 ◽  
Vol 15 (2) ◽  
pp. 258-265 ◽  
Author(s):  
Helen E Edwards ◽  
Christina N Parker ◽  
Charne Miller ◽  
Michelle Gibb ◽  
Suzanne Kapp ◽  
...  
Keyword(s):  
Risk Assessment ◽  
Diagnostic Accuracy ◽  
Assessment Tool ◽  
Leg Ulcer ◽  
Risk Assessment Tool ◽  
Venous Leg Ulcer ◽  
Delayed Healing
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