Surgical Solutions Are an Alternative to Compression Bandaging in Venous Leg Ulcer

2018 ◽  
pp. 81-103
Author(s):  
Boonying Siribumrungwong ◽  
Saritphat Orrapin ◽  
Raj Mani ◽  
Kittipan Rerkasem
Keyword(s):  
Leg Ulcer ◽  
Venous Leg Ulcer ◽  
Compression Bandaging

Controlling compression bandaging pressure in leg ulcer research trials: A summary of the literature

2019 ◽  
Vol 34 (8) ◽  
pp. 501-514 ◽  
Author(s):  
Sharon L Boxall ◽  
Keryln Carville ◽  
Gavin D Leslie ◽  
Shirley J Jansen
Keyword(s):  
Ulcer Healing ◽  
Gold Standard ◽  
Reliability And Validity ◽  
Leg Ulcer ◽  
Evidence Based ◽  
Leg Ulcers ◽  
Venous Leg Ulcer ◽  
Practice Recommendations ◽  
Compression Bandaging ◽  
Literature Searches

Compression bandaging remains the ‘gold standard’ intervention for the treatment of venous leg ulcers. Numerous studies have investigated the effect of a large variety of compression bandaging techniques and materials on venous leg ulcer healing. However, the majority of these studies failed to monitor both actual bandage application pressures and the bandaging competency of participating clinicians. A series of literature searches to explore the methods, practices, recommendations and results of monitoring compression bandaging pressures in leg ulcer research trials were undertaken. This included investigating the reliability and validity of sub-bandage pressure monitors and the degree to which compression bandaging achieves the recommended sub-bandage pressure. The literature revealed inconsistencies regarding the monitoring of sub-bandage pressure and in sub-bandage pressures produced by clinicians. This creates difficulties when comparing study outcomes and attempting to develop evidence-based practice recommendations.

scholarly journals A novel concept of pneumatic pump in the outpatient management of mixed leg ulceration: a pilot study

2016 ◽  
Vol 5 (2) ◽  
Author(s):  
Mirko Tessari ◽  
Sergio Gianesini ◽  
Paolo Spath ◽  
Erica Menegatti ◽  
Maria Grazia Sibilla ◽  
...  
Keyword(s):  
Analogue Scale ◽  
Femoral Vein ◽  
Vascular Diseases ◽  
Leg Ulcer ◽  
Venous Leg Ulcer ◽  
Novel Device ◽  
Compression Bandaging ◽  
Novel Concept ◽  
Pneumatic Pump ◽  
Ulcer Treatment

Mixed leg ulcer is a challenge in vascular diseases because both arterial and venous systems of the lower extremities are involved in the wound pathogenesis. Management is very difficult because the coexistence of the two conditions sometimes prevent to use compression bandaging, which is the cornerstone of venous leg ulcer treatment. It has been recently developed the so called gradient pump (GP), a novel device which permits to intermittently stop the flow in the femoral vein with a pneumatic cuff placed on the thigh. Subsequent release of the femoral vein compression determines a dramatic aspiration of the blood up-ward the heart, with synchronous and measured improved perfusion of the distal limb. We applied GP at 4 consecutive cases of multiple mixed painful ulcerations of the foot and leg scheduled for below knee and/or foot amputations. In all cases measure of pain by visual analogue scale significantly decreased; GP in most cases together intravenous infusion of synthetic prostacyclin led to improvement and/or minimal amputation. Therefore such a management can be done on outpatient bases, allowing a considerable lowering of health costs. We conclude that GP could be a valuable tool in the arsenal of mixed leg ulcer clinical assessment.

Ankle Motility is a Risk Factor for Healing of Chronic Venous Leg Ulcers

2001 ◽  
Vol 16 (1) ◽  
pp. 38-40 ◽  
Author(s):  
J. R. Barwell ◽  
M. Taylor ◽  
J. Deacon ◽  
C. Davies ◽  
M. R. Whyman ◽  
...  
Keyword(s):  
Risk Factor ◽  
Pump Power ◽  
Ulcer Healing ◽  
Independent Risk Factor ◽  
Healing Rate ◽  
Leg Ulcer ◽  
Venous Leg Ulcer ◽  
Compression Bandaging ◽  
Venous Ulcers ◽  
Ulcer Healing Rate

Objective: To investigate the effect of ankle motility on chronic venous leg ulcer healing, and to relate this to calf pump function and muscle bulk. Methods: This was a prospective cohort study undertaken in a leg ulcer clinic. Ankle motility, calf-ankle circumference ratio and calf pump power (derived from digital photoplethysmography) were assessed as to their effect on ulcer healing rate. Thirty consecutive patients undergoing multi-layer compression bandaging for open chronic venous ulcers were included. Results: Ankle motility was an independent risk factor for ulcer healing ( p = 0.001, hazard ratio 1.08, 95% CI 1.03–1.13). Ankle motility correlated with calf-ankle circumference ratio ( r = 0.48, p<0.01). No relationship was found between photoplethysmography-derived calf pump power, ankle motility or ulcer healing rate. Conclusions Ulcers in legs with poor ankle motility are slower to heal and this may be related to reduced calf muscle bulk. Ankle exercises or physiotherapy could be considered in such patients.

A Meta-analysis to Compare Four-layer to Short-stretch Compression Bandaging for Venous Leg Ulcer Healing

2018 ◽  
Vol 64 (5) ◽  
pp. 30-38 ◽  
Author(s):  
Magali Rezende De Carvalho ◽  
Bruno Utzeri Peixoto ◽  
Isabelle Andrade Silveira ◽  
Beatriz Baptista de Oliveria
Keyword(s):  
Ulcer Healing ◽  
Meta Analysis ◽  
Leg Ulcer ◽  
Venous Leg Ulcer ◽  
Compression Bandaging

Description of venous leg ulcer healing mechanism

Leczenie Ran ◽  
2015 ◽  
Vol 12 (2) ◽  
pp. 49-58
Author(s):  
Wojciech Twardokęs ◽  
Agata Kołodziej ◽  
Andrzej Ślęzak
Keyword(s):  
Ulcer Healing ◽  
Leg Ulcer ◽  
Venous Leg Ulcer

Recurrent infection with Pseudomonas aeruginosa in a chronic venous leg ulcer

Infectio ro ◽  
2017 ◽  
Vol 3 (51) ◽  
Author(s):  
Mădălina Irina Mitran ◽  
Cristina Iulia Mitran ◽  
Mircea Tampa ◽  
Maria Isabela Sârbu ◽  
Alexandra Mihaela Popa ◽  
...  
Keyword(s):  
Pseudomonas Aeruginosa ◽  
Recurrent Infection ◽  
Leg Ulcer ◽  
Venous Leg Ulcer
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