Compression therapies for chronic venous leg ulcers: interventions and adherence

Abstract

Compression therapy has been the mainstay for the treatment of lower extremity edema, venous insufficiency, and particularly, venous ulcerative disease. Though modern surgical treatments exist, none are completely effective without good compressive options to allow for decreased swelling and better oxygenation of damaged tissues. This review article will describe the pathophysiology and presentation of lower extremity venous ulcerations, as well as current options for compression therapy. The benefits, along with the major pitfall of nonadherence, will also be discussed.

Effect of Compression Bandage on the Healing of Diabetic Foot Ulcers: A Scooping Review

“…Compressions Therapy are management for wound healing management by reducing venous pressure so as to increase venous return which can reduce blood pressure in systemized superficial veins, compression dressings can also accelerate venous blood return to the heart by increasing the flow of deep veins which can reduce oedema by applying a pressure difference between the capillaries and tissues, (3). Bandages that are applied under high pressure are more effective than bandages with low pressure, but there is no significant comparison between application in several types of high pressure, (4) Types of compression dressings are the first bandage pressure between 14-17 mmHg, the second bandage pressure between 18-24 mmHg, the third bandage pressure between 25-35 mmHg, high bandage pressure to 60 mmHg, (5). Pressure dressings can be applied in a number of techniques to cover all pressure using bandages, stockings, and intermittent pneumatic compression.…”