A scoping review on Chronic Venous Disease and the development of a Venous Leg Ulcer: The role of obesity and mobility

2020 ◽  
Vol 29 (3) ◽  
pp. 190-196
Author(s):  
A.M. Meulendijks ◽  
W.M.A. Franssen ◽  
L. Schoonhoven ◽  
H.A.M. Neumann
Keyword(s):  
Scoping Review ◽  
Leg Ulcer ◽  
Chronic Venous Disease ◽  
Venous Disease ◽  
Venous Leg Ulcer

scholarly journals Healing Rates of Venous Leg Ulcer Using Four Layer Bandage and Short Stretch Bandage- A Comparative Study in Aspect of Bangladesh

2020 ◽  
Vol 16 (2) ◽  
pp. 78-85
Author(s):  
Rakibul Hasan ◽  
Md Saif Ullah Khan ◽  
Mainul Mahmud ◽  
Samaresh Chandra Saha ◽  
Sourav Bhowmick
Keyword(s):  
Primary Outcome ◽  
Single Layer ◽  
Leg Ulcer ◽  
Chronic Venous Disease ◽  
Treatment Modalities ◽  
Secondary Outcome ◽  
P Value ◽  
Venous Disease ◽  
Venous Leg Ulcer ◽  
Time Duration

Background: Chronic venous leg ulcer is one of the common medical conditions encounter by the vascular surgeons in Bangladesh. Many of these patients develop venous leg ulcer as a sequel of the disease. In advance chronic venous disease such as development of ulcer, single or multilayer dressings are usually used. Objective: To find out a compression therapy (single layer crepe/short stretch bandage and multilayer/four layer bandage) in patients with venous leg ulcer. Materiel & Methods: This study was conducted on 200 patients with in last two years, march 2017 to february 2019 at Bangabandhu Sheikh Mujib Medical University (BSMMU), Department of vascular surgery. In which 100 patients with venous leg ulcer where treated with four layer bandage and another 100 patients with same condition were treated with single layer crepe bandage. Before application of bandage, proper history of patient was taken and duplex scan was done. The primary outcome was measured by time duration of ulcer healing. Secondary outcome included incidence and number of adverse events in every patient. Results: Healing time of venous ulcers was accessed with periodic interval. The four layer bandage was associated with significantly shorter time of healing. P value reached from unpaired t-test. Primary outcome shows 68% of patients who received four layer bandages achieved healing within one month. On the other hand, 12% of patients who received single layer/crepe bandage did so. Conclusion: Four layer bandages heals venous leg ulcer more rapidly than the single layer crape bandage. These data suggest that the benefits observed the consistent despite prognosis is different. Patients with large ulcers have poor healing prognosis regardless of its treatment modalities. University Heart Journal Vol. 16, No. 2, Jul 2020; 78-85

scholarly journals A qualitative study on the patient's narrative in the progression of chronic venous disease into a first venous leg ulcer: a series of events

2019 ◽  
Vol 183 (2) ◽  
pp. 332-339 ◽  
Author(s):  
A.M. Meulendijks ◽  
M. Welbie ◽  
E.P.M. Tjin ◽  
L. Schoonhoven ◽  
H.A.M. Neumann
Keyword(s):  
Qualitative Study ◽  
Leg Ulcer ◽  
Chronic Venous Disease ◽  
Venous Disease ◽  
Venous Leg Ulcer

Lothian and Forth Valley Leg Ulcer Healing Trial, Part 1: Elastic versus Non-Elastic Bandaging in the Treatment of Chronic Leg Ulceration

1992 ◽  
Vol 7 (4) ◽  
pp. 136-141 ◽  
Author(s):  
M. J. Callam ◽  
D. R. Harper ◽  
J. J. Dale ◽  
D. Brown ◽  
B. Gibson ◽  
...  
Keyword(s):  
Ulcer Healing ◽  
Interaction Analysis ◽  
Leg Ulcer ◽  
Chronic Venous Disease ◽  
Venous Disease ◽  
Duration Of Treatment ◽  
Venous Leg Ulcer ◽  
Venous Ulcers ◽  
Independent Evaluation ◽  
Application Techniques

Objective: To determine whether elastic or non-elastic bandaging is more effective in healing chronic venous ulcers. Design: Randomized trial with factorial design and interaction analysis, enabling independent evaluation of both bandaging and dressings within the single-trial format. The duration of treatment was 12 weeks or until ulcer-healing, whichever occurred sooner. Setting: The Leg Ulcer Clinics of Edinburgh and Falkirk and District Royal Infirmaries, Scotland. Patients: 132 patients with chronic leg ulcers and clinical evidence of chronic venous disease, and excluding those with Doppler ultrasound ankle/brachial pressure indices of less than 0.8, diabetes or rheumatoid disease. There were 28 withdrawals who were classified for analysis as treatment failures. Interventions: Elastic or non-elastic multilayer bandage systems were applied using similar application techniques by a team of trained nurse specialists. All other treatments were standardized, including the randomization of dressings to either a knitted viscose or a hydrocellular polyurethane dressing. Main outcome measure: Complete ulcer healing. Results: In the elastic group 35 out of 65 ulcers (54%) healed within 12 weeks compared with 19 out of 67 (28%) in the non-elastic group (95% confidence limits for percentage healed, 9% to 42%). Ulcer pain was also reported significantly less often in the elastic group (48% of visits versus 29%; p=0.03). Conclusion: When applied by similar multilayer bandaging techniques, elastic bandaging was significantly better than non-elastic bandaging in the treatment of chronic venous leg ulcer.

Venous leg ulcer in the context of chronic venous disease

2013 ◽  
Vol 29 (4) ◽  
pp. 220-226 ◽  
Author(s):  
F S Lozano Sánchez ◽  
J Marinel Io Roura ◽  
E Carrasco Carrasco ◽  
J R González-Porras ◽  
J R Escudero Rodríguez ◽  
...  
Keyword(s):  
Short Form ◽  
Cross Sectional Study ◽  
Leg Ulcer ◽  
Clinical Severity ◽  
Chronic Venous Disease ◽  
Control Group ◽  
Venous Disease ◽  
Venous Leg Ulcer ◽  
Cross Sectional ◽  
Venous Clinical Severity Score

Objectives Chronic venous disease (CVD) is a frequent disorder with a high socioeconomic impact. Little is known about the possible differences between healed ulcer (C5 group) and active ulcer (C6 group) in terms of disease severity and quality of life (QoL). Our aim was to determine the possible differences in severity disease and QoL between the C5–C6 and C1 (control) group. Methods Data from a national, multicentre, observational and cross-sectional study ( n = 1598) were used to compare three groups of CVD: C1 ( n = 243), C5 ( n = 136) and C6 ( n = 70). CVD severity was assessed with the Venous Clinical Severity Score (VCSS) and QoL with the Short Form 12 Health Survey (SF-12) and Chronic Lower Limb Venous Insufficiency Questionnaire (CIVIQ-20). Results Patients with active ulcers had a higher mean total VCSS than patients with healed ulcers ( P < 0.05). Both SF-12 and CIVIQ-20 QoL questionnaires indicated a poorer QoL in patients with ulcers than in those with C1 ( P < 0.05). Compared with the C5 group, patients with active ulcers (C6) had lower QoL scores, but the differences were not statistically significant. Conclusions Patients with venous leg ulcers (C5–C6) are associated with high severity and poor QoL. However, the healing of a leg ulcer did not contribute to improvement of QoL.

The Role of Endothelial Dysfunction and Inflammation in Chronic Venous Disease

2018 ◽  
Vol 46 ◽  
pp. 380-393 ◽  
Author(s):  
Ricardo Castro-Ferreira ◽  
Rita Cardoso ◽  
Adelino Leite-Moreira ◽  
Armando Mansilha
Keyword(s):  
Endothelial Dysfunction ◽  
Chronic Venous Disease ◽  
Venous Disease

scholarly journals CHRONIC VENOUS INSUFFICIENCY

10.23856/3217 ◽  
2019 ◽  
Vol 32 (1) ◽  
pp. 131-136
Author(s):  
Antoni Stadnicki ◽  
Martin Rusnák ◽  
Anna Stadnicka
Keyword(s):  
Chronic Venous Insufficiency ◽  
Venous Insufficiency ◽  
Varicose Veins ◽  
Chronic Venous Disease ◽  
Postthrombotic Syndrome ◽  
Venous Disease ◽  
Compression Stockings ◽  
Venous Leg Ulcer ◽  
Color Flow ◽  
Clinical Disorder

Chronic venous insufficiency (CVI) is a common, but underdiagnozed clinical disorder associated with a variety of signs and symptoms. The presence of leg edema in association  with varicose veins, and venous leg ulcer in later disease stages defines the disease. The pathogenesis of chronic venous disease  is based on venous reflux, obstruction, or a combination thereof.  Prior postthrombotic syndrome   is one of risk factor for CVI which may explain observed  prevalence of thrombophilia in CVI. Color flow duplex ultrasound is the gold standard for nearly all diagnostic issues related to chronic venous disease. Compression stockings are the mainstay for conservative management. Earlier use of venous ablation therapy should be considered in symptomatic patients with superficial tortuous vein

scholarly journals ABPI reporting and compression recommendations in global clinical practice guidelines on venous leg ulcer management: A scoping review

2018 ◽  
Vol 16 (2) ◽  
pp. 406-419 ◽  
Author(s):  
Carolina D. Weller ◽  
Victoria Team ◽  
John D. Ivory ◽  
Kimberley Crawford ◽  
Georgina Gethin
Keyword(s):  
Clinical Practice ◽  
Clinical Practice Guidelines ◽  
Practice Guidelines ◽  
Scoping Review ◽  
Leg Ulcer ◽  
Venous Leg Ulcer

scholarly journals Ambulatory venous pressure, air plethysmography, and the role of calf venous pump in chronic venous disease

2019 ◽  
Vol 7 (3) ◽  
pp. 428-440 ◽  
Author(s):  
Seshadri Raju ◽  
Jordan Knepper ◽  
Corbin May ◽  
Alexander Knight ◽  
Nicholas Pace ◽  
...  
Keyword(s):  
Venous Pressure ◽  
Chronic Venous Disease ◽  
Venous Disease ◽  
Air Plethysmography

scholarly journals The role of inflammatory reaction in chronic venous disease of the lower limb

2019 ◽  
Vol 6 (5) ◽  
pp. 1835
Author(s):  
Ketan Vagholkar ◽  
Shivangi Garima ◽  
Yash Kripalani
Keyword(s):  
Lower Limb ◽  
Lower Limbs ◽  
Chronic Venous Disease ◽  
Venous Disease ◽  
Vascular Disorder ◽  
Disease Awareness ◽  
Prolonged Sitting ◽  
Inflammatory Mechanism ◽  
Prevention And Treatment

Chronic venous disease is the problem which is assuming alarming proportions in subjects whose occupation involves prolonged sitting or standing. The exact mechanism by which the venous system gets damaged continues to be a subject of endless research. The role of inflammation is a significant factor in the evolution of chronic venous disease. Awareness of this mechanism can help in both prevention and treatment of this complex vascular disorder. The paper reviews inflammatory mechanism underlying the pathogenesis of chronic venous disease in lower limbs.

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