Compression for preventing recurrence of venous ulcers

Abstract

References to ongoing studies Vandongen {published data only} * Vandongen YK, Stacey MC. Graduated compression elastic stockings reduce lipodermatosclerosis and ulcer recurrence.

Diagnosis and management of venous leg ulcers

“…There is high level evidence from a randomised controlled trial that compression reduces recurrence,60 and guidelines advocate compression therapy combined with interventions for superficial venous incompetence to reduce the risk of recurrence 19213538516162…”

Management of venous ulcer disease

“…16 Exactly how compression works is still unknown, but treatment should be adhered to continuously (24 hours a day) until healing is achieved (fig 5⇓). Compression can be applied by using bandages, compression stockings, or Table 2⇓ lists the different types of compression stockings available.…”

Summary of recommendations for leg ulcers

“…Patients are encouraged to wear the strongest compression they can tolerate for life-long, if not contraindicated otherwise (evidence Level A). [8889]…”