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.

scholarly journals Impact of non-adherent Ibuprofen foam dressing in the lives of patients with venous ulcers

2017 ◽  
Vol 44 (2) ◽  
pp. 116-124 ◽  
Author(s):  
GERALDO MAGELA SALOMÉ ◽  
LYDIA MASAKO FERREIRA
Keyword(s):  
Lower Limb ◽  
Venous Ulcer ◽  
Tissue Type ◽  
Control Group ◽  
Mcgill Pain Questionnaire ◽  
Pain Questionnaire ◽  
Venous Ulcers ◽  
Numerical Scale ◽  
The Moment ◽  
A Prospective Study

ABSTRACT Objective : to evaluate pain in patients with lower limb venous ulcer who used non-adherent Ibuprofen foam dressing (IFD). Methods : we conducted a prospective study of patients with lower limb venous ulcers treated from April 2013 to August 2014. We used the Numerical Scale and McGill Pain Questionnaire, performing the assessments at the moment of inclusion of the patient in the study and every eight days thereafter, totaling five consultations. We divided the patients into two groups: 40 in the Study Group (SG), who were treated with IFD, and 40 in the Control Group (CG), treated with primary dressing, according to tissue type and exudate. Results : at the first consultation, patients from both groups reported intense pain. On the fifth day, SG patients reported no pain and the majority of CG reported moderate pain. Regarding the McGill Pain Questionnaire, most patients of both groups reported sensations related to sensory, affective, evaluative and miscellaneous descriptors at the beginning of data collection; after the second assessment, there was slight improvement among the patients in the SG. After the third consultation, they no longer reported the mentioned descriptors. CG patients displayed all the sensations of these descriptors until the fifth visit. Conclusion : non-adherent Ibuprofen foam dressing is effective in reducing the pain of patients with venous ulcers.

scholarly journals Combined therapy of Ulmo honey (Eucryphia cordifolia) and ascorbic acid to treat venous ulcers

2015 ◽  
Vol 23 (2) ◽  
pp. 259-266 ◽  
Author(s):  
Mariano del Sol Calderon ◽  
Carolina Schencke Figueroa ◽  
Jessica Salvo Arias ◽  
Alejandra Hidalgo Sandoval ◽  
Felipe Ocharan Torre
Keyword(s):  
Ascorbic Acid ◽  
Clinical Effect ◽  
Chronic Wound ◽  
Combined Therapy ◽  
Clinical Results ◽  
Venous Ulcer ◽  
Technical Standard ◽  
Female Adult ◽  
Venous Ulcers ◽  
One Year

OBJECTIVE: to assess the clinical effect of topical treatment using Ulmo honey associated with oral ascorbic acid in patients with venous ulcers. METHOD: longitudinal and descriptive quantitative study. During one year, 18 patients were assessed who were clinically diagnosed with venous ulcer in different stages, male and female, adult, with a mean injury time of 13 months. Ulmo honey was topically applied daily. The dressing was applied in accordance with the technical standard for advanced dressings, combined with the daily oral consumptions of 500 mg of ascorbic acid. The monitoring instrument is the assessment table of venous ulcers. RESULTS: full healing was achieved in 100% of the venous ulcers. No signs of complications were observed, such as allergies or infection. CONCLUSION: the proposed treatment showed excellent clinical results for the healing of venous ulcers. The honey demonstrated debriding and non-adherent properties, was easy to apply and remove and was well accepted by the users. The described results generated a research line on chronic wound treatment.

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.

scholarly journals PENGARUH PENGGUNAAN ASI PADA PERAWATAN LUKA PERINIEM DENGAN LAMA WAKTU PENYEMBUHAN LUKA PERINIUM

2019 ◽  
Vol 7 (2) ◽  
pp. 67-73
Author(s):  
Annisa Ul Mutmainnah ◽  
Siti Noorbaya
Keyword(s):  
Wound Healing ◽  
Data Analysis ◽  
Random Sampling ◽  
Wound Care ◽  
Healing Time ◽  
Natural Process ◽  
Control Group ◽  
P Value ◽  
Research Subjects ◽  
Wound Area

Childbirth is a natural process, but sometimes labor can also cause birth canaltrauma, especially in the aluminum region, this trauma can be injuries to the periniumarea, the cause can be intentional biases such as episiotomy or unintentional actions such as spontaneous tears in the process of removing the baby. Injury to the perineum if not treated properly can cause postpartum infection because the wound area will be a medium for developing germs. The purpose of this study was to analyze the effect of the use of breast milk in the treatment of periniem wounds with the duration of perinium wound healing at the Ramlah Parjib Clinic in Samarinda. The method used in this study was Posttest Only Control Group Desigen research subjects were postpartum motherswith a sample of 60 respondents taken by random sampling and grouped based on treatment using ASI. Data analysis using ANOVA test. The results showed that the use of ASI had a significant effect on the treatment of periniem wounds with a healing time seen from the P value of 0,000. Conclusion: Periniuem wound care techniques are factors that influence the duration of perinieum wound healing

Challenges and New Therapeutic Approaches in the Management of Chronic Wounds

2020 ◽  
Vol 21 (12) ◽  
pp. 1264-1275
Author(s):  
Hongmin Sun ◽  
Lakshmi Pulakat ◽  
David W. Anderson
Keyword(s):  
Chronic Wounds ◽  
Chronic Wound ◽  
Wound Care ◽  
Drug Resistant ◽  
Therapeutic Approaches ◽  
New Therapeutic Approaches ◽  
Venous Ulcers ◽  
Obesity And Diabetes ◽  
The Us ◽  
Healing Wounds

Chronic non-healing wounds are estimated to cost the US healthcare $28-$31 billion per year. Diabetic ulcers, arterial and venous ulcers, and pressure ulcers are some of the most common types of chronic wounds. The burden of chronic wounds continues to rise due to the current epidemic of obesity and diabetes and the increase in elderly adults in the population who are more vulnerable to chronic wounds than younger individuals. This patient population is also highly vulnerable to debilitating infections caused by opportunistic and multi-drug resistant pathogens. Reduced microcirculation, decreased availability of cytokines and growth factors that promote wound closure and healing, and infections by multi-drug resistant and biofilm forming microbes are some of the critical factors that contribute to the development of chronic non-healing wounds. This review discusses novel approaches to understand chronic wound pathology and methods to improve chronic wound care, particularly when chronic wounds are infected by multi-drug resistant, biofilm forming microbes.

Assessment of a New One-Layer Adhesive Bandaging Method in Maintaining Prolonged Limb Compression and Effects on Venous Ulcer Healing

1992 ◽  
Vol 7 (2) ◽  
pp. 59-63 ◽  
Author(s):  
J. P. Travers ◽  
K. L. Dalziel ◽  
G. S. Makin
Keyword(s):  
Ulcer Healing ◽  
Varicose Veins ◽  
Venous Ulcer ◽  
Control Group ◽  
Acrylic Adhesive ◽  
Venous Ulcers ◽  
Hospital Patients ◽  
The One ◽  
Experimental Group ◽  
Adhesive Bandage

Objective: To evaluate the effective duration of compression of acrylic adhesive bandaging compared to non-adhesive bandaging and to compare rate of venous ulcer healing using one layer adhesive bandaging as compared to standard three layer bandaging. Design: The first trial involved patients who had undergone bilateral operations for varicose veins. Adhesive acrylate bandage was applied to the experimental limb and non-adhesive crepe to the control limb. The second trial involved patients with venous ulcers randomly allocated to two groups. The experimental group used the one layer acrylic adhesive bandage whilst the control was treated by the three layer bandage technique (zinc oxide paste bandage followed by a non-adhesive compression bandage and tubular overlay). Setting: Hospital patients in the first trial and clinic patients in the second. Patients, participants: First trial, 11 patients with bilateral varicose veins of which 10 completed. Second trial, 15 patients in the experimental group and 12 patients in the control group all of which completed. Results: Non-adhesive bandaging lost effective compression after 24 hours. Acrylic adhesive bandage maintained effective compression after 1 week. The rate of venous ulcer healing was similar between the one layer adhesive bandage group and three layer group. One layer adhesive bandaging took only one quarter of the time to apply (p<0.01%). Conclusions: Adhesive bandaging produced more effective sustained compression than non-adhesive crepe. Adhesive bandaging was as effective as the currently used three layer bandaging technique in healing venous ulcers and was quicker to apply.

The Beneficial Augmentative Effect of Micronised Purified Flavonoid Fraction (MPFF) on the Healing of Leg Ulcers: An Open, Multicentre, Controlled, Randomised Study

1999 ◽  
Vol 14 (4) ◽  
pp. 151-157 ◽  
Author(s):  
W. Gliński ◽  
B. Chodynicka ◽  
J. Roszkiewicz ◽  
T. Bogdanowski ◽  
B. Lecewicz-Toruń ◽  
...  
Keyword(s):  
Chronic Venous Insufficiency ◽  
Venous Insufficiency ◽  
Venous Ulcer ◽  
Control Group ◽  
Cure Rate ◽  
Randomised Study ◽  
Venous Ulcers ◽  
The Mean ◽  
Flavonoid Fraction ◽  
The Cost

Objective: To determine the increase in healing rate of venous ulcer in patients receiving a micronised purified flavonoid fraction (MPFF) as supplementation to standard local care. Design: A randomised, open, controlled, multicentre study. Setting: Departments of Dermatology and University Outpatients Clinics. Patients: One hundred and forty patients with chronic venous insufficiency and venous ulcers. Intervention: Patients received standard compressive therapy plus external treatment alone or 2 tablets of MPFF daily in addition to the above treatment for 24 weeks. Main outcome measure: Healing of ulcers and their reduction in size after 24 weeks of treatment. Results: The percentage of patients whose ulcers healed completely was found to be markedly higher in those receiving MPFF in addition to standard external and compressive treatment than in those treated with conventional therapy alone (46.5% vs 27.5%; p<0.05, OR = 2.3, 95% CI 1.1–4.6). Ulcers with diameters <3 cm were cured in 71% of patients in the MPFF group and in 50% of patients in the control group, whereas ulcers between 3 and 6 cm in diameter were cured in 60% and 32% of patients ( p<0.05), respectively. The mean reduction in ulcer size was also found to be greater in patients treated with MPFF (80%) than in the control group (65%) ( p<0.05). The cost-effectiveness ratio (cost per healed ulcer) in the MPFF group was €1026.2 compared with €1871.8 in the control group. Conclusions: These results indicate that MPFF significantly improves the cure rate in patients with chronic venous insufficiency.

scholarly journals Effectiveness of papain gel in venous ulcer treatment: randomized clinical trial

2015 ◽  
Vol 23 (3) ◽  
pp. 458-465 ◽  
Author(s):  
Ana Luiza Soares Rodrigues ◽  
Beatriz Guitton Renaud Baptista de Oliveira ◽  
Débora Omena Futuro ◽  
Silvia Regina Secoli
Keyword(s):  
Clinical Trial ◽  
Carboxymethyl Cellulose ◽  
Venous Ulcer ◽  
Control Group ◽  
Controlled Clinical Trial ◽  
Epithelial Tissue ◽  
Trial Group ◽  
Lesion Area ◽  
Venous Ulcers ◽  
Group 2

OBJECTIVE: to assess the effectiveness of 2% papain gel compared to 2% carboxymethyl cellulose in the treatment of chronic venous ulcer patients.METHOD: randomized controlled clinical trial with 12-week follow-up. The sample consisted of 18 volunteers and 28 venous ulcers. In the trial group, 2% papain gel was used and, in the control group, 2% carboxymethyl cellulose gel.RESULTS: the trial group showed a significant reduction in the lesion area, especially between the fifth and twelfth week of treatment, with two healed ulcers and a considerable increase in the amount of epithelial tissue in the wound bed.CONCLUSION: 2% papain gel demonstrated greater effectiveness in the reduction of the lesion area, but was similar to 2% carboxymethyl cellulose gel regarding the reduction in the amount of exudate and devitalized tissue. Multicenter research is suggested to evidence the effectiveness of 2% papain gel in the healing of venous ulcers. UTN number: U1111-1157-2998

scholarly journals Efficacy of bacterial cellulose membrane for the treatment of lower limbs chronic varicose ulcers: a randomized and controlled trial

2017 ◽  
Vol 44 (1) ◽  
pp. 72-80 ◽  
Author(s):  
LUCIANA MARINS CAVALCANTI ◽  
FLÁVIA CRISTINA MORONE PINTO ◽  
GLÍCIA MARIA DE OLIVEIRA ◽  
SALVADOR VILAR CORREIA LIMA ◽  
JOSÉ LAMARTINE DE ANDRADE AGUIAR ◽  
...  
Keyword(s):  
Bacterial Cellulose ◽  
Controlled Trial ◽  
Health Department ◽  
Venous Ulcer ◽  
Lower Limbs ◽  
Controlled Study ◽  
Control Group ◽  
Cellulose Membrane ◽  
Ulcer Disease ◽  
Venous Ulcers

ABSTRACT Objective: to evaluate the efficacy of Bacterial Cellulose (BC) membrane dressings in the treatment of lower limb venous ulcers. Methods: we carried out a prospective, randomized, controlled study of 25 patients with chronic venous ulcer disease in the lower limbs from the Angiology and Vascular Surgery Service of the Federal University of Pernambuco Hospital and from the Salgado Polyclinic of the County Health Department, Caruaru, Pernambuco. We randomly assigned patients to two groups: control group, receiving dressings with triglyceride oil (11 patients) and experimental group, treated with BC membrane (14 patients). We followed the patients for a period of 120 days. Results: There was a reduction in the wound area in both groups. There were no infections or reactions to the product in any of the groups. Patients in the BC group showed decreased pain and earlier discontinuation of analgesic use. Conclusion: BC membrane can be used as a dressing for the treatment of varicose ulcers of the lower limbs.

scholarly journals THE COMBINED EFFECT OF VIRECHANA AND VRANABASTI IN TREATING CHRONIC VENOUS ULCER- A CASE REPORT

AYUSHDHARA ◽  
2020 ◽  
pp. 2895-2899
Author(s):  
Pavitra Hombanna ◽  
Gopikrishna B J ◽  
Sahanasheela K R ◽  
Shyam Warma
Keyword(s):  
Wound Healing ◽  
Case Report ◽  
Chronic Wound ◽  
Venous Ulcer ◽  
The Body ◽  
Combined Effect ◽  
Local Application ◽  
Lateral Aspect ◽  
Venous Ulcers

Sushruta has explained various methods for Vrana Chikitsas. Virechana is vital to remove the vitiated Dosha from the body in turn normalize them and prevent recurrence of the wound. The local application of Vranabasti is one of the best substitutes for of chronic wound healing and Jathyadi Taila has better Shodhana & Ropana effect. Case: A case of 45 year old man, who presented with complaints of two venous ulcers in medial and lateral aspect of right ankle associated with pain, discharge, slough, oedema and discolouration of the skin since 2 years has been taken for the current study. Method: After initial Deepana and Pachana, Snehapana was administered with Mahatiktaka Ghrita. After Abhyantara and Bahya Snehana and Svedana, Virechana was administered with Avipattikara Churna. Vranabasti, was done every day for 30 minutes after the Samsarjana Karma Results: There was significant improvement in the size of the wound and nature of the surrounding tissues. Conclusion: The combination of Virechana and Vranabasti can be used as a line of treatment for the management of Chronic Venous Ulcer.

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