Compression Therapy for Venous Ulcer

2018 ◽  
pp. 159-169
Author(s):  
Giovanni Mosti
Keyword(s):  
Compression Therapy ◽  
Venous Ulcer

Actual procedures of diagnostics and treatments of crural venous ulcer in specialized German praxis and clinics

Phlebologie ◽  
2009 ◽  
Vol 38 (02) ◽  
pp. 77-82 ◽  
Author(s):  
P. Altmeyer ◽  
M. Stücker ◽  
S. Reich-Schupke
Keyword(s):  
Annual Meeting ◽  
Polyurethane Foam ◽  
Surgical Therapy ◽  
Compression Therapy ◽  
German Society ◽  
Venous Ulcer ◽  
Ulcus Cruris ◽  
Wound Dressings

Summary Background: To evaluate the implementation of the guidelines of the German Society of Phlebology for venous crural ulcer a survey was conducted during the annual meeting of the German Society of Phlebology 2008 in Bochum. Methods: All 719 medical participants got an anonymized questionnaire asking for supply of crural ulcer in their institution. Results: The recurrent 66 questionnaires (9.2%) were filled by colleagues from practice or hospital, mostly surgeons, dermatologists, phlebologists and vascular surgeons. As basic diagnostics vein doppler (56.1%), duplex (75.8%) or measurement of brachial-ankleindex (83.3%) were performed. Compression therapy is used in all institutions. Mainly used wound dressings are polyurethane foam dressings, alginates, hydrocolloids and silver dressings. About 2/3 conduct surgical therapy of ulcers. Conclusion: Supply of ulcus cruris by the participants of the annual meeting of the DGP corresponds mainly, but not in all aspects to the guidelines. Further efforts for a spread of the guidelines are necessary.

scholarly journals Treatment of Chronic Venous Ulcers Using New Four Layers Compressive Bandage Dressing

2015 ◽  
Vol 53 (199) ◽  
pp. 156-161 ◽  
Author(s):  
Kaushal K Tiwari ◽  
Krishna G Shrestha ◽  
Bijay Sah ◽  
D.Jaypal Reddy
Keyword(s):  
Compression Therapy ◽  
Venous Ulcer ◽  
Term Treatment ◽  
Lower Limbs ◽  
High Morbidity ◽  
Current Standard ◽  
Venous Ulcers ◽  
Long Term Treatment ◽  
Group A ◽  
Group B

Introduction: Lower-extremity ulcers represent the largest group of ulcers presenting to an outpatient department. It is a cumbersome, difficult to treat disease, which causes high morbidity and huge cost for the patient and healthcare system. Current standard treatment includes compression therapy. However, majority of patients need long term treatment with minimal efficacy. Aim of our study is to evaluate efficacy of four layers compressive bandages for the management of chronic venous ulcers. Methods: In Group A, we have prospectively included 20 patients with chronic venous ulcers on lower limbs for four layers hosiery bandage using Velfour bandage. Other 15 patients, Group B, were treated with conventional wound dressing. Velfour and crepe bandage were done once weekly for three weeks. Results: DVT was cause of chronic venous ulcer in 70% patient in group A and in 73.3% in Group B. Majority of patients were having left sided chronic venous ulcers. The mean duration of the ulcers was 15.6 vs 10.86 months (group A vs. group B). At the end of 3rd week, in 55% wounds in Group A were healed except few big and deep wounds remained. Most of these wounds also became smaller with minimal discharge. Size of wounds significantly decreased in Group A vs. Group B patients (0.7±0.81 cm vs. 1.73±0.77 cm, p<0.00031). However, cost of treatment in group A remained higher than group B. Conclusions: Our study has shown that four layer compressive bandage using Velfour is an easy, effective, and reproducible method of treatment for the chronic venous ulcer.  Keywords: compression bandage; treatment; venous ulcer.

scholarly journals Iliac Vein Angioplasty Augments Venous Ulcer Healing in Patients who have Standard Compression Therapy and Perforator Closure

2013 ◽  
Vol 58 (4) ◽  
pp. 1146
Author(s):  
Albeir Y. Mousa ◽  
Mike Broce ◽  
Shadi Abu-Halimah ◽  
Saadi Alhalbouni ◽  
Betro Sadek ◽  
...  
Keyword(s):  
Ulcer Healing ◽  
Compression Therapy ◽  
Iliac Vein ◽  
Venous Ulcer

On the Relationship between Changes in the Deep Veins Evaluated by Duplex Sonography and the Postthrombotic Syndrome 12 Years after Deep Vein Thrombosis

1997 ◽  
Vol 77 (06) ◽  
pp. 1109-1112 ◽  
Author(s):  
U K Franzeck ◽  
I Schalch ◽  
A Bollinger
Keyword(s):  
Femoral Vein ◽  
Compression Therapy ◽  
Venous Ulcer ◽  
Duplex Sonography ◽  
Clinical Findings ◽  
High Rate ◽  
Postthrombotic Syndrome ◽  
Compression Stockings ◽  
Acute Thrombosis ◽  
Superficial Femoral Vein

SummaryIn a prospective study we performed color duplex ultrasonography to evaluate patency and valvular function of previous thrombosed veins 12 years after the acute thrombosis.Normal clinical findings were found in 64% of the patients, mild postthrombotic skin changes in 28%, and marked trophic changes in 5%; only 1 venous ulcer occurred.In 39 patients, 114 initially thrombosed vein segments were evaluated. Thirty-seven of 72 proximal segments were completely recanalized (23 with valvular incompetence) and 21 segments exhibited partial recanalization (19 with valvular incompetence). Superficial femoral vein segments were completely occluded in 19%, however, excellent collateralization was provided via the deep femoral vein. Thromboses of the posterior tibial vein demonstrated a high rate of recanalization with development of valvular incompetence in 52%.Whereas obstruction and valvular incompetence as single factors led to a postthrombotic leg in 8.5% and 33%, respectively, the most frequent cause for the development of the postthrombotic syndrome was the combination of reflux plus obstruction in the deep veins (50%).Compression therapy with elastic compression stockings is recommended for at least 5 years after the acute thrombosis.

A review of a new Dutch guideline for management of recurrent varicose veins

2016 ◽  
Vol 31 (1_suppl) ◽  
pp. 114-124
Author(s):  
James A Lawson ◽  
Irwin M Toonder
Keyword(s):  
Varicose Vein ◽  
Guideline Development ◽  
Varicose Veins ◽  
Compression Therapy ◽  
Venous Ulcer ◽  
Venous Disease ◽  
Dutch Guideline ◽  
Recurrent Varicose Veins ◽  
Natural Progression ◽  
Initial Intervention

In 2013, the new Dutch guideline for “Venous Pathology” was published. The guideline was a revision and update from the guideline “Diagnostics and Treatment of Varicose Veins” from 2009 and the guideline “Venous Ulcer” from 2005. A guideline for “Deep Venous Pathology” and one for “Compression Therapy” was added to the overall guideline “Venous Pathology.” The chapter about treatment of recurrent varicose veins after initial intervention was recently updated in 2015 and is reviewed here. The Dutch term “recidief varices” or the French “récidive de varices” should be used analogous to the English term “recurrent varicose veins.” The DCOP Guideline Development Group Neovarices concluded that “recidief” in Dutch actually suggests recurrence after apparent successful treatment and ignores the natural progression of venous disease in its own right. So the group opted to use the term “neovarices.” In the Dutch guideline, neovarices is meant to be an all embracing term for recurrent varicose veins caused by technical or tactical failure, evolvement from residual refluxing veins or natural progression of varicose vein disease at different locations of the treated leg after intervention. This report reviews the most important issues in the treatment of varicose vein recurrence, and discusses conclusions and recommendations of the Dutch Neovarices Guideline Committee.

scholarly journals Systematic review of topic treatment for venous ulcers

2007 ◽  
Vol 15 (6) ◽  
pp. 1163-1170 ◽  
Author(s):  
Eline Lima Borges ◽  
Maria Helena Larcher Caliri ◽  
Vanderlei José Haas
Keyword(s):  
Systematic Review ◽  
Professional Practice ◽  
Topical Treatment ◽  
Venous Return ◽  
Compression Therapy ◽  
Venous Ulcer ◽  
Evidence Based ◽  
Venous Ulcers ◽  
Wide Range ◽  
Meta Analyses

Venous ulcer patients can experience this situation for several years without achieving healing if treatment is inadequate. Evidence-based professional practice generates effective results for patients and services. This research aimed to carry out a systematic review to assess the most effective method to improve venous return and the best topic treatment for these ulcers. Studies were collected in eight databases, using the following descriptors: leg ulcer, venous ulcer and similar terms. The sample consisted of 33 primary studies and two Meta-analyses. A wide range of treatments was identified, grouped in compression therapy (54.3%) and topical treatment (45.7%). It was evidenced that compression therapy increases ulcer healing rates and should be used in patients with intact arteries. There is no consensus about the best topical treatment, although different options should be associated with compression therapy.

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 How I met St Peregrine

2019 ◽  
Vol 4 (2) ◽  
Author(s):  
Hugo Partsch
Keyword(s):  
Middle Ages ◽  
Adult Life ◽  
Compression Therapy ◽  
Venous Ulcer ◽  
Upright Position ◽  
Venous Stasis ◽  
Leg Ulcers ◽  
High Age ◽  
Probable Diagnosis ◽  
Prevention And Therapy

Based on the historic reports about the life of Peregrine Laziosi (1265-1345) and a post-mortem examination 638 years after his death, the most probable diagnosis in this case was a venous ulcer on his right leg. As an act of penance, he did not lie down but stood in an upright position, praying to God for most of his adult life. Therefore he developed swollen legs and one extremity exulcerated. This is the typical story of a venous stasis ulcer. When the doctor came to amputate the leg the wound was healed (maybe due to excellent compression therapy performed by an angel, as demonstrated in many pictures and statues showing the miracle of St. Peregrine) (Canonization 1726). Cancer seems rather improbable based on the autopsy performed more than 600 years later and on the high age of Peregrine at his death. This case report from the middle ages is discussed concerning pathophysiology, prevention and therapy of stasis ulcers and some historic implications for todays practice are reported. Without any doubt St. Peregrine deserves more publicity, not only for the patients with leg ulcers, but also for the medical staff treating ulcer patients and how the fate of St. Peregrine can be prevented.

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