scholarly journals Use of Sponge-Foam Inserts in Compression Bandaging of Non-Healing Venous Leg Ulcers

2021 ◽  
Vol 14 (1) ◽  
pp. 46-51
Author(s):  
Rica Tanaka ◽  
Hideaki Inoue ◽  
Takeru Ishikawa ◽  
Yuichi Ichikawa ◽  
Rumiko Sato ◽  
...  
Keyword(s):  
Leg Ulcers ◽  
Venous Leg Ulcers ◽  
Compression Bandaging

Neurovascular changes after four-layer compression bandaging in people with chronic venous leg ulcers

2007 ◽  
Vol 22 (2) ◽  
pp. 49-55 ◽  
Author(s):  
R Ogrin ◽  
P Darzins ◽  
Z Khalil
Keyword(s):  
Wound Healing ◽  
Wound Repair ◽  
Statistical Significance ◽  
Sensory Nerve ◽  
Compression Therapy ◽  
Clinical Problem ◽  
Leg Ulcers ◽  
Venous Leg Ulcers ◽  
Perfusion Measurement ◽  
Compression Bandaging

Objectives: Venous leg ulcers represent a major clinical problem, with poor rates of healing. Ideal treatment is compression bandaging. The effect of compression on neurovascular tissues involved in wound repair is unclear. This study aims to assess the effect of four-layer compression therapy (40 mmHg) on neurovascular function and wound healing in people with chronic venous leg ulcers – 15 people (55 years or older) with venous leg ulcers for more than six weeks. Methods: Basal microvascular perfusion measurement (MPM), oxygen tension (tc pO2) measured at sensor temperatures of 39°C and 44°C and sensory nerve function using electrical cutaneous perception thresholds (ECPT) at 5, 250 and 2000 Hz (corresponding to C, A δ and A β fibres) were assessed adjacent to the ulcer site, and at a mirror location on the non-ulcerated limb. Testing was undertaken before and after therapy for 5–12 weeks of four-layer compression bandaging. Results: There was significant improvement in tc pO2 at 44°C and ECPT at 2000 Hz ( P<0.05) compared with pre-intervention. Changes in basal MPM, tc pO2 at 39°C and ECPT at 5 and 250 Hz after compression therapy did not reach statistical significance. Conclusion: Four-layer compression bandaging in people with venous leg ulcers improved some components of neurovascularture in people with chronic venous leg ulcers. Whether this improvement has contributed to wound healing in this study requires further investigation.

Compression bandaging for venous leg ulcers: the essentialness of a willing patient

2008 ◽  
Vol 17 (3) ◽  
pp. 350-359 ◽  
Author(s):  
Merilyn Annells ◽  
Janine O'Neill ◽  
Charne Flowers
Keyword(s):  
Leg Ulcers ◽  
Venous Leg Ulcers ◽  
Compression Bandaging

Prospective Comparison of Healing Rates and Therapy Costs for Conventional and Four-Layer High-Compression Bandaging Treatments of Venous Leg Ulcers

1998 ◽  
Vol 13 (1) ◽  
pp. 20-24 ◽  
Author(s):  
A. D. Taylor ◽  
R. J. Taylor ◽  
R. W. Marcuson
Keyword(s):  
Treatment Costs ◽  
Leg Ulcers ◽  
Treatment Groups ◽  
Venous Leg Ulcers ◽  
Compression Bandaging ◽  
High Compression ◽  
Prospective Comparison ◽  
Weekly Treatment ◽  
Prescription Form ◽  
The Difference

Objective: To compare healing rates and associated treatment costs of four-layer high-compression bandaging (HCB) and conventional management (CM), as available on FP10, in the treatment of venous leg ulcers. Design: Randomized prospective study in which patients were allocated to one of two treatment groups. Setting: Hospital-based leg ulcer service and community. Patients: Thirty-six patients presenting with venous leg ulcers (30 compilers): 16 patients (nine female) in the HCB group and 14 patients (10 female) in the CM group. Interventions: A 12-week treatment period with either a four-layer HCB regime or CM. Main outcome measures: The significance of the difference between the number of ulcers healed, and associated treatment costs, was investigated using the Mann–Whitney U-test and survival analysis. Results: Four-layer HCB achieves a significantly ( p = 0.003) higher healing rate of ulcers (75% of patients versus 21%) over a 12-week period. Weekly treatment costs for the four-layer therapy was significantly less than that of CM (mean difference in cost = £6.45, 95% CI = £1.22–11.68; p = 0.042). Conclusion: It is more efficacious and economical for nurse specialists to treat patients presenting with leg ulcers with a four-layer HCB regime than for district nurses to carry out the standard palliative treatments available on GP prescription form FP10.

Compression Bandaging for Venous Leg Ulcers

1995 ◽  
Vol 5 (2) ◽  
pp. 57-62 ◽  
Author(s):  
Andrea Nelson
Keyword(s):  
Leg Ulcers ◽  
Venous Leg Ulcers ◽  
Compression Bandaging

Compression therapy for chronic oedema and venous leg ulcers: AndoFlex TLC Calamine

2019 ◽  
Vol 28 (12) ◽  
pp. S32-S37 ◽  
Author(s):  
Marie Todd
Keyword(s):  
Compression Therapy ◽  
Lifestyle Changes ◽  
Wound Management ◽  
Leg Ulcers ◽  
Older Population ◽  
Venous Leg Ulcers ◽  
Compression Bandaging ◽  
Patient Morbidity ◽  
Cyclical Process ◽  
Psychosocial Morbidity

The prevalence of venous leg ulcers and chronic oedema is increasing because of the rise in the older population who have comorbidities. Managing and living with these conditions is extremely costly in resource and human terms and there is often a cyclical process of ulceration, healing and recurrence, resulting in significant physical and psychosocial morbidity. Identifying those at risk and advising on lifestyle changes to prevent progression of these conditions will help in avoiding high wound management and compression costs, nursing input and associated patient morbidity. Compression bandaging is the linchpin in managing these conditions and it must be started as early as possible. However, many patients find it difficult to tolerate bandaging because of issues such as pain, the inability to wear shoes and itch. Therefore, if compliance is to be achieved, it is important to select a compression bandaging system that addresses the issues that patients have difficulty with. AndoFlex TLC Calamine is a compression bandaging system that deals with many of these problems, and is easy to apply and remove. Testimonials by practitioners treating patients with chronic oedema, ulceration and/or skin problems will demonstrate the benefits and effectiveness of AndoFlex TLC Calamine.

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