How to treat venous leg ulcers?

Efficient treatment of chronic wounds is based on the two underlying principles, wound debridement and treatment of the underlying condition. These principles describe the two main points of the medi® wound care concept. medi also offers versatile solutions for preventing relapse. Besides the tried-and-tested dual-component, below-the-knee compression stocking system, the mediven® ulcer kit, medi also offers a completely new approach to compression therapy with the circaid® juxtacures.

Efficient treatment of venous leg ulcers comprises:

  • Cleaning of the wound and care of the surrounding skin.
  • Compression treatment is an element of wound care, even if many people believe that wound care is restricted to cleaning and wound dressings.
  • Compression therapy is considered the “gold standard” of care for prolonged treatment of venous ulcers. Compression therapy goals include edema management, venous reflux improvement, and enhanced healing.1,2
  • Treatment of the underlying disease, means that the venous disease has to be treated. Medical compression stockings and inelastic compression wraps are used as disease-modifying treatment. The pressure should improve the blood circulation in your leg, boosting your body’s ability to heal the wound.
  • Intermittent pneumatic compression (IPC) is widely used to prevent deep venous thrombosis. However, IPC seems to have application to a broader base of circulatory diseases. The intermittent nature of pulsatile external compression produces beneficial physiologic changes, which include hematologic, hemodynamic, and endothelial effects, which should promote healing of VLUs. Clinical studies of the management of VLUs show that IPC increases overall healing and accelerates the rate of healing, leading to current guideline recommendations for care of patients with VLUs. 3
  • Solutions to effectively prevent recurrence.
venous leg ulcer treatment patient and clinician

Besides pain control and compression, wound management plays an important role in venous leg ulcers and should be carried out by clinicians or trained professionals only. You should never try to treat the wound yourself with ointments and bandages. Open wounds must be cleaned, and dead tissues removed. Special dressings make sure that the wound does not dry out and promote the healing process.

References:

  1. O’Donnell TF Jr., Passman MA, Marston WA, et al.; Society for Vascular Surgery; American Venous Forum. Management of venous leg ulcers: clinical practice guidelines of the Society for Vascular Surgery® and the American Venous Forum. J Vasc Surg. 2014;60(2)(suppl):3S-59S.
  2. Mauck KF, Asi N, Elraiyah TA, et al. Comparative systematic review and meta-analysis of compression modalities for the promotion of venous ulcer healing and reducing ulcer recurrence. J Vasc Surg. 2014;60(2)(suppl):71S-90S,e1-e2.
  3. .Comerota AJ. Intermittent pneumatic compression: physiologic and clinical basis to improve management of venous leg ulcers. J Vasc Surg. 2011 Apr;53(4):1121-9. doi: 10.1016/j.jvs.2010.08.059. Epub 2010 Nov 3. PMID: 21050701.