Use of Sponge-Foam Inserts in Compression Bandaging of Non-Healing Venous Leg Ulcers
| العنوان: | Use of Sponge-Foam Inserts in Compression Bandaging of Non-Healing Venous Leg Ulcers |
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| المؤلفون: | Yuichi Ichikawa, Hideaki Inoue, Takeru Ishikawa, Rica Tanaka, Hiroshi Mizuno, Rumiko Sato, Azusa Shimizu |
| المصدر: | Annals of Vascular Diseases |
| بيانات النشر: | Japanese College of Angiology / The Japanese Society for Vascular Surgery / Japanese Society of Phlebology, 2021. |
| سنة النشر: | 2021 |
| مصطلحات موضوعية: | medicine.medical_specialty, Compression Bandage, Debridement, Chronic venous insufficiency, business.industry, medicine.medical_treatment, Healing time, Compression bandaging, General Medicine, 030204 cardiovascular system & hematology, medicine.disease, Compression therapy, compression therapy, sponge-foam inserts, Surgery, 03 medical and health sciences, 0302 clinical medicine, 030228 respiratory system, venous leg ulcers, medicine, In patient, Original Article, business, After treatment |
| الوصف: | Objective: Venous leg ulcers (VLUs) caused by chronic venous insufficiency are difficult to treat. Outcomes after compression therapy and the current standard of care often used in conjunction with other options vary widely. We examined the effects of foam inserts on sub-bandage pressures in patients with VLUs and compared use of foam inserts in elastic and inelastic compression bandaging. Methods: Six patients (≥20 years old) with VLUs and skin perfusion pressure >40 mmHg were included. Each patient underwent weekly treatment regimens of debridement, dressing changes, and dual sponge-insert application followed by elastic (n=3) or inelastic (n=3) compression bandaging. The median resting sub-bandage pressures of the ulcer beds, wound sizes, and healing percentages were recorded. Wound beds were biopsied before and after treatment for histological assessment. Nine healthy volunteers served as controls during preliminary testing. Results: With proper sub-bandage pressures (>35 mmHg), the average healing time was 88.0±66 days, which was shorter than anticipated (i.e., ≥6 months). Combining large and local sponge-foam inserts increased sub-bandage pressures regardless of the compression bandage selected, with marked improvements seen in deeper wounds. Conclusion: Layering one or two sponge-foam inserts beneath compression bandages facilitates uniform and optimal wound-bed pressure, which accelerates the healing of VLUs. |
| اللغة: | English |
| تدمد: | 1881-6428 1881-641X |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::f796a1196331409c2bfdd91c76675675 http://europepmc.org/articles/PMC7991709 |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi.dedup.....f796a1196331409c2bfdd91c76675675 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 18816428 1881641X |
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