In Patients with Chronic Venous Ulcer Is the Unna Boot Still the Best Approach to Wound Care

2017 ◽  
pp. 439-445
Author(s):  
Ann M. Zmuda
Keyword(s):  
Wound Care ◽  
Venous Ulcer

scholarly journals Evaluating the effectiveness of the customized Unna boot when treating patients with venous ulcers*

2013 ◽  
Vol 88 (1) ◽  
pp. 41-49 ◽  
Author(s):  
Bruna Suelen Raymundo Luz ◽  
Cristina Souza Araujo ◽  
Dênia Amélia Novato Castelli Von Atzingen ◽  
Adriana Rodrigues dos Anjos Mendonça ◽  
Marcos Mesquita Filho ◽  
...  
Keyword(s):  
Lower Limb ◽  
Chronic Wound ◽  
Wound Care ◽  
Subsequent Development ◽  
Venous Ulcer ◽  
Control Group ◽  
Wound Area ◽  
Venous Ulcers ◽  
The World ◽  
The City

BACKGROUND: Lower limb ulcers are a serious medical and socioeconomic problem throughout the world. One type of chronic wound of the lower extremities is the venous ulcer. Therapeutic methods for treating venous ulcer include the use of the Unna boot. OBJECTIVES: To evaluate the effectiveness of the customized Unna boot in the treatment of venous ulcers and to monitor the subsequent development and healing of the lesions. METHODS: Prospective exploratory and quantitative longitudinal study, conducted at the "Outpatients Department (Wound Care) of the Grupo da Fraternidade Espírita Irmão Alexandre" in the city of Pouso Alegre (MG), Brazil, in 2008. The sample consisted of 32 patients with venous ulcers who underwent treatment with the Unna boot and 11 patients (control group), who used a simple bandage application. The patients'lesions were monitored over a three month period. RESULTS: The average age of the predominently female (65.1%) patients was 61.88. From observing the differences in healing times at the three evaluation stages, it was clear that after the initial evaluation the wound area decreased in Groups 1 and 2 (p>0.05). CONCLUSION:The use of the customized Unna boot contributes to quicker healing. However, over a period of three months the simple bandage applications were seen to be just as effective as the Unna boot method.

Microcirculatory changes in venous disease

2013 ◽  
Vol 28 (1_suppl) ◽  
pp. 73-78 ◽  
Author(s):  
L C Huisman ◽  
C Den Bakker ◽  
C H A Wittens
Keyword(s):  
Wound Care ◽  
Daily Practice ◽  
Venous Ulcer ◽  
Venous Hypertension ◽  
Laser Speckle ◽  
Venous Disease ◽  
Laser Speckle Imaging ◽  
Speckle Imaging ◽  
Venous Ulcers ◽  
Before And After

Objective: The aim of this study was to investigate the feasibility to measure microcirculatory blood flow changes in patients with venous ulcers, by using the laser speckle imaging. Methods: Nine patients with a leg ulcer were measured with the laser speckle imager in a sitting position before and after mimicking venous hypertension, with the legs raised, by applying a blood pressure cuff and inflating it to 60 mmHg. Results: The results were inconclusive, due to the fact that a lot of practical problems interfered with the measurements, e.g. movement artefacts and inadequate wound visualisation. Conclusion: The additional value of laser speckle imaging in daily practice for wound care still remains an important question for further research. A reliable, reproducible microcirculation measurement in venous ulcers might predict venous ulcer healing and recurrence and therefore would be a valuable diagnostic tool in daily practice.

Safety of compression therapy for venous ulcer disease in the setting of congestive heart failure

2020 ◽  
Vol 35 (8) ◽  
pp. 556-560
Author(s):  
Robert R Attaran ◽  
Amanda Cavanaugh ◽  
Cynthia Tsay ◽  
Tariq Ahmad ◽  
Cassius I Ochoa Chaar ◽  
...  
Keyword(s):  
Heart Failure ◽  
Congestive Heart Failure ◽  
Wound Care ◽  
Care Center ◽  
Compression Therapy ◽  
Venous Ulcer ◽  
Ulcer Disease ◽  
Large Teaching Hospital ◽  
Heart Failure Exacerbation ◽  
Heart Failure Decompensation

Objectives Compression therapy is the mainstay of treatment for patients with venous ulcer disease. There exists a lack of certainty as to the safety of compression therapy in patients with congestive heart failure. Methods A retrospective review of 95 patients with the diagnosis of congestive heart failure (systolic, diastolic, or combined), who underwent compression therapy at the wound care center of a large teaching hospital between January 2013 and June 2019, was performed. Patient outcomes including mortality, weight gain, admission for heart failure decompensation, and requirement for diuretic dose increase were compared to the general congestive heart failure population as well as to the registry data. Results In the compression cohort, with a mean compression period of 310 days, seven patients (7.3%) were admitted for congestive heart failure exacerbation and six (6.3%) underwent diuretic dosage increase. Two patients (2.1%) died during the compression period. These endpoints were not significantly higher than within the general congestive heart failure population. Conclusions Compression therapy appears safe amongst patients with stable congestive heart failure.

Atypical Pyoderma Gangrenosum in the Setting of Venous and Arterial Insufficiency

2021 ◽  
pp. 153473462110023
Author(s):  
Lulu L. Wong ◽  
Luis J. Borda ◽  
Timothy Liem ◽  
Jesse J. Keller ◽  
Alex G. Ortega-Loayza ◽  
...  
Keyword(s):  
Pyoderma Gangrenosum ◽  
Negative Pressure ◽  
Wound Care ◽  
Venous Ulcer ◽  
Clinical Tests ◽  
Negative Pressure Therapy ◽  
Peripheral Artery ◽  
Pressure Therapy ◽  
Arterial Insufficiency ◽  
Artery Disease

Ulcers of mixed etiology are diagnostically elusive and challenging to treat, especially when rare conditions are superimposed. Pyoderma gangrenosum (PG) is an autoinflammatory, ulcerative skin disease that is difficult to diagnose. Diagnostic criteria exist but there are no specific clinical tests to identify it. We discuss a case of PG initially diagnosed as venous ulcer in the setting of peripheral artery disease, complicated by superinfection, refractory to standard wound care, multiple surgical debridements, revascularization, negative pressure therapy, and parenteral antibiotics. Findings differentiating PG from other wound etiologies are explored, with the aim of improving clinical recognition of this condition.

An Evaluation of the Association for the Advancement of Wound Care Venous Ulcer Guideline and Recommendations for Further Research

2013 ◽  
Vol 26 (12) ◽  
pp. 553-561 ◽  
Author(s):  
Laurel M. Morton ◽  
Laura L. Bolton ◽  
Lisa Q. Corbett ◽  
Susan Girolami ◽  
Tania J. Phillips
Keyword(s):  
Wound Care ◽  
Venous Ulcer
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