Wytyczne Polskiego Towarzystwa Leczenia Ran w sprawie gojenia owrzodzeń żylnych goleni

Jawień, Arkadiusz; Rybak, Zbigniew; Cencora, Andrzej; Szewczyk, Maria T.; Górkiewicz-Petkow, Anna; Oszkinis, Grzegorz

doi:10.1066/s10003060043

Cited by 2 publications

(12 citation statements)

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“…The rate of recurrences documented 12-18 months post-surgery ranges between 6% and 58% [26]. In contrast, there are no data with regard to the long-term benefits -the latter is disputed among dermatologists and surgery specialists and constitute an unanswered question for further research [12,13,22].…”

Section: Secondary Preventionmentioning

confidence: 99%

“…30 mm Hg) rather than to discontinue this treatment. It should be ascertained beforehand if patient-reported difficulties can be eliminated; sometimes changing the brand and type of stockings can be associated with considerable benefits and improve patient cooperation more effectively than a reduction in compression [13,21,29]. The type of compression, thickness of the material and its physical characteristics are modulated by many factors, such as elastomer properties, structure of fibers, and the method of manufacturing.…”

Section: Secondary Preventionmentioning

confidence: 99%

“…Continuation of compression therapy is postulated to be the most efficient method of prevention [9]. Experts in the field unambiguously point out to the high effectiveness of this method in the prevention of recurrent ulceration [10][11][12][13]. Pharmacological therapy plays a vital supportive role and out of many drugs, efficacy of only three (pentoxifylline, sulodexide and diosmine) is confirmed by studies [13].…”

Section: Introductionmentioning

confidence: 99%

“…The preventive measures include [13,22,25]: • Continuation of causative treatment (compression therapy) or surgical intervention.…”

Section: Secondary Preventionmentioning

confidence: 99%

“…Effective causative treatment involving the continuous compression therapy or alternative methods, enabling the reduction of venous hypertension-related consequences, constitutes the basis of post-treatment prevention of ulceration [12,13,[22][23][24].…”

Section: Secondary Preventionmentioning

confidence: 99%

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Prevention of recurrent venous ulceration

Szewczyk¹,

Cwajda‐Białasik²,

Jawień³

2012

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A b s t r a c tConservatively treated venous ulceration should be considered a chronic condition, characterized by consecutive periods of exacerbation, healing, and recurrence. Healing of venous ulceration can be considered a therapeutic success, particularly in the case of chronic wounds. The skin, weakened by many years of venous hypertension, becomes more susceptible to destruction, mechanical injuries, and the progression of the disease. Consequently, the application of tertiary prevention becomes the basis for the prevention of venous hypertension, which can potentially lead to the reactivation of inflammation, trophic lesions, and destruction of tissues. K Ke ey y w wo or rd ds s: : venous ulceration, recurrent ulceration, prevention.

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Section: Secondary Preventionmentioning

confidence: 99%

Section: Secondary Preventionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

“…The preventive measures include [13,22,25]: • Continuation of causative treatment (compression therapy) or surgical intervention.…”

Section: Secondary Preventionmentioning

confidence: 99%

Section: Secondary Preventionmentioning

confidence: 99%

See 3 more Smart Citations

Prevention of recurrent venous ulceration

Szewczyk¹,

Cwajda‐Białasik²,

Jawień³

2012

pdia

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Comparison of the effectiveness of compression stockings and layer compression systems in venous ulceration treatment

Szewczyk¹,

Jawień²,

Cierzniakowska³

et al. 2010

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IntroductionThe aim of the research was to compare the dynamics of venous ulcer healing when treated with the use of compression stockings as well as original two- and four-layer bandage systems.Material and methodsA group of 46 patients suffering from venous ulcers was studied. This group consisted of 36 (78.3%) women and 10 (21.70%) men aged between 41 and 88 years (the average age was 66.6 years and the median was 67). Patients were randomized into three groups, for treatment with the ProGuide two-layer system, Profore four-layer compression, and with the use of compression stockings class II. In the case of multi-layer compression, compression ensuring 40 mmHg blood pressure at ankle level was used.ResultsIn all patients, independently of the type of compression therapy, a few significant statistical changes of ulceration area in time were observed (Student’s t test for matched pairs, p < 0.05). The largest loss of ulceration area in each of the successive measurements was observed in patients treated with the four-layer system – on average 0.63 cm2/per week. The smallest loss of ulceration area was observed in patients using compression stockings – on average 0.44 cm2/per week. However, the observed differences were not statistically significant (Kruskal-Wallis test H = 4.45, p > 0.05).ConclusionsA systematic compression therapy, applied with preliminary blood pressure of 40 mmHg, is an effective method of conservative treatment of venous ulcers. Compression stockings and prepared systems of multi-layer compression were characterized by similar clinical effectiveness.

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Wytyczne Polskiego Towarzystwa Leczenia Ran w sprawie gojenia owrzodzeń żylnych goleni

Cited by 2 publications

References 0 publications

Prevention of recurrent venous ulceration

Prevention of recurrent venous ulceration

Comparison of the effectiveness of compression stockings and layer compression systems in venous ulceration treatment

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