Setopress vs Elastocrepe in chronic venous ulceration

Abstract

Venous ulceration is a major problem, particularly in the elderly population. It causes stress to the patient and treatment can be time-consuming. Compression therapy is considered to be the most appropriate non-invasive treatment of venous ulcers. It is generally accepted that composite bandage systems are most efficacious using a long-stretch or short-stretch bandage system. The study reported has compared a long-stretch bandage (Setopress) with a short-stretch bandage (Elastocrepe) over a 16-week period in the treatment of patients with venous ulceration. The trial was a prospective, randomized, observer-blind, parallel group study. Thirty-two patients (male and female) with a total of 39 ulcers completed the trial. After 15 weeks, 11 of 19 ulcers treated with the long-stretch bandage and 7 of 20 ulcers treated with the short-stretch bandage had healed. The differences were not statistically significant. After 15 weeks, the ulcer healing rate for the long-stretch bandage was 58% compared with 35% for the short-stretch bandage. The combined proportion of ulcers healed or improved was statistically significantly greater in the long-stretch bandage group.

Comparative systematic review and meta-analysis of compression modalities for the promotion of venous ulcer healing and reducing ulcer recurrence

“…16,[27][28][29][30][31][32][33][34][35][36][37][38][39][40][41][42][43][44][45] Most were RCTs; one was a non-RCT. 39 Many of the studies were at increased risk for bias due to lack of randomization or allocation reporting, or both, 16,[27][28][29][30]32,34,37,38,41,42,45 lack of blinding, 30,31,35,36,[39][40][41]43 blinding not reported, 16,[27][28][29]32,33,37,38,42,44,<...>…”

Compression Therapy

“…Inelastic material and four‐layer bandages may be more effective at reducing deep vein refluxes than elastic bandages 16 or in healing ulcers 17 . In other studies, long stretch appear to be more effective than short stretch bandages 18–20 and no differences between maximum and minimum subbandage pressures during walking could be demonstrated 21 . One may conclude that well‐applied long stretch bandages may be as effective as short stretch bandages.…”

Terapia compressiva para o tratamento de úlceras venosas: uma revisão sistemática da literatura

“…El vendaje inelástico cuando comparado con otros vendajes y/o medias compresivas, como en los estudios de Gould (9) , Moody (11) , Meyer a (12) , Jünger a (15) , Taradaj (19) y Brizzio (20) presentan discretas ventajas a favor del uso de la media elástica. Los principales resultados indicados por los autores fueron mayor reducción de la superficie de las úlceras; no requiere mano de obra especializada para su cambio, facilitando así el cotidiano de los pacientes y mejora del dolor.…”