All about compression: A literature review

Carvalho, Magali Rezende de; Andrade, Isabelle Silveira de; Abreu, Alcione Matos de; Ribeiro, Andrea Pinto Leite; Peixoto, Bruno Utzeri; Oliveira, Beatriz Guitton Renaud Baptista de

doi:10.1016/j.jvn.2015.12.005

Cited by 9 publications

(5 citation statements)

References 19 publications

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“…Another issue could be related to the association of factors and growth to compression therapy, present in most studies. Compression therapy is already consecrated as a gold standard for the treatment of venous ulcers due to its effectiveness (29) . Therefore, it was expected that the ulcers presented good healing rates in both groups, which could explain the simple positive effect of growth factors on venous ulcers when compared to the promising results obtained in wounds of other etiologies.…”

Section: Comparison Between Treatment With Growth Factors or Standardmentioning

confidence: 99%

Treatment of venous ulcers with growth factors: systematic review and meta-analysis

2019

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Objective: To identify evidence about the effects of growth factor application on venous ulcer healing. Method: Systematic review and meta-analysis, including Randomized Clinical Trials. Searches: Ovid MEDLINE, EMBASE, CINAHL, Cochrane CENTRAL, LILACS, Web of Science, Digital Library of Theses and Dissertations; Google Scholar and list of references. Results: 802 participants were recruited from the 10 included studies: 472 in the intervention group (growth factors) and 330 as control. The relative risk for the complete healing outcome was 1.06 [95% CI 0.92-1.22], p = 0.41. Participants who received Platelet-Rich Plasma and Epidermal Growth Factor showed a slight tendency to achieve complete healing, but without statistical relevance (p <0.05). Most of the studies were classified as moderate risk of bias. Conclusion: The effect of the application of growth factors for complete healing in venous ulcers is not clear, and clinical trials with methodological quality are required for more accurate recommendations.

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Section: Comparison Between Treatment With Growth Factors or Standardmentioning

confidence: 99%

Treatment of venous ulcers with growth factors: systematic review and meta-analysis

2019

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“…3 Initial treatment usually involves compression stockings, although their use is limited by frailty, obesity, and skin fragility or contact dermatitis. 4,5 If the condition worsens, minimally invasive procedures, such as subfascial endoscopic perforator surgery 6 or endovenous laser ablation 7 are used. If these procedures are ineffective, drug therapy, such as pentoxifylline, 8 and surgeries, including high ligation and stripping of the great saphenous vein, are performed.…”

Section: Discussionmentioning

confidence: 99%

Varicose vein on right tibia, post-traumatic varicose ulcer, and bone exposure: A case report

Qin

Wang

et al. 2020

SAGE Open Medical Case Reports

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Varicose ulcer, a severe symptom of chronic venous insufficiency, may be refractory to treatment when accompanied by bone exposure. The lack of a blood supply and fresh granulation tissue on the exposed bone can result in a protracted healing time. A 59-year-old man suffered from varicose veins for 10 years, a varicose ulcer for 1 year, and an exposed right tibia for 40 days after using traditional Chinese medicinal plasters. The patient was treated with conventional high ligation and stripping of the great saphenous vein, segmental endovenous laser ablation, bone drilling, and a free skin graft. Patient outcome is satisfactory 2 years after discharge. We present a rare case of varicose ulcer in association with bone exposure. Tibia drilling with Kirschner wire was used to allow blood flow and provide nutrients for the formation of granulation tissue over the exposed bone and wound healing. Subsequently, free skin grafting was used during reconstructive surgery to replace skin loss on the right calf. Physicians encountering this rare condition in clinical practice should consider our treatment approach as a successful limb-preserving option for these patients.

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“…Vários estudos sugerem que o tratamento com compressão aumenta a taxa de cicatrização quando comparado com o tratamento sem compressão, e o índice tornozelo-braquial deve ser medido em todos os pacientes antes da aplicação da compresssão para excluir o risco de comprometimento arterial (9) . Para pacientes com úlceras venosas, os curativos de óxido de zinco são considerados de primeira linha para promover a cicatrização de feridas venosas (10)(11) .…”

Section: Introductionunclassified

Processo cicatricial de úlceras venosas de difícil cicatrização em tratamento com bota de Unna

Sousa¹,

Alexandre

Silva

et al. 2022

Rev Rene

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Objetivo: analisar o processo cicatricial de úlceras venosas tratadas com bota de Unna. Métodos: estudo longitudinal, prospectivo, com 14 indivíduos acometidos de úlcera venosa crônica, acompanhados em quatro momentos distintos. A coleta de dados foi realizada com base no perfil clínico, sociodemográfico e avaliação clínica das lesões. Dados analisados por meio dos testes de Friedman. Para a comparação das médias, utilizou-se o teste dos postos assinalados de Wilcoxon e, para as comparações múltiplas, utilizou-se a correção de Bonferroni (p<0,05). Resultados: o teste post hoc de Bonferroni revelou redução nos escores de dor (p=0,038), quantidade de exsudato (p=0,005) e borda seca (p=0,044). Observou-se melhora da cicatrização por meio da escala Pressure Ulcer Scale for Healing (p=0,004) após uso da bota de Unna entre o primeiro e quarto momento. Conclusão: houve redução dos indicadores da Pressure Ulcer Scale for Healing, dor, quantidade de exsudato e borda seca da lesão em paciente em uso de bota de Unna depois de quatro semanas. Contribuições para a prática: evidencia-se a necessidade de manejar indicadores como classificação de Pressure Ulcer Scale for Healing, dor, quantidade de exsudato e borda seca com base na Bota de Unna.

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All about compression: A literature review

Cited by 9 publications

References 19 publications

Treatment of venous ulcers with growth factors: systematic review and meta-analysis

Treatment of venous ulcers with growth factors: systematic review and meta-analysis

Varicose vein on right tibia, post-traumatic varicose ulcer, and bone exposure: A case report

Processo cicatricial de úlceras venosas de difícil cicatrização em tratamento com bota de Unna

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