Efficacy, safety and acceptability of a new two-layer bandage system for venous leg ulcers

Abstract

This new two-bandage compression system is effective and well accepted by patients.

Challenging the Use of Bandage Compression as the Baseline for Evaluating the Healing Outcomes of Venous Leg Ulcer-Related Compression Therapies in the Community and Outpatient Setting: An Integrative Review

“…Briefly, several authors reported that differences in the HRs are explained by the vast heterogeneity in the baselines due to the inclusion of ulcers with different sizes and of different duration [18, 19]. Our results confirm the above reports and show that the inclusion of ulcers of different sizes (large and short) and ulcers of different durations (short and long) contribute to severe heterogeneity in the baselines and differences in the HR among the reviewed bandages of four-LB, SSB compression, two-L SSB, four-L LSB, two-L LSB, and KTwo [12, 24, 27-30, 32, 34, 35, 42-44]. Again, this heterogeneity is still a significant limitation in the design of the current research, which needs to be addressed in future clinical studies.…”

Use of a Novel Two-layer Bandage in the Treatment of Chronic Venous Hypertension

“…7 Patients affected with venous ulcers experience a decrease in their overall health-related quality of life, including severe pain, impaired mobility, limited work capacity and negative emotions. 8,9 Risk factors for venous disease include family history of venous disease or inherited coagulopathy, employment with requirements for prolonged standing, smoking, obesity, hypertension and/or leg trauma. 5 Treatment of venous ulcers varies from multiple surgical procedures to the use of various topical agents combined with external pressure support to the legs.…”

“…4,8,10 Even with good compression therapy, approximately 40-50% of ulcers do not achieve complete closure within 6 months of therapy. 4,8,9 Because of this low healing rate and a recidivism rate of nearly 70%, multiple wound-healing agents, cytokine growth factors and cell-based devices have been used to determine if closure of venous ulcers can be facilitated without operative intervention. 1,[8][9][10][11] Topical compression therapy provides a means to treat or prevent adverse effects as noted above.…”

“…4,8,9 Because of this low healing rate and a recidivism rate of nearly 70%, multiple wound-healing agents, cytokine growth factors and cell-based devices have been used to determine if closure of venous ulcers can be facilitated without operative intervention. 1,[8][9][10][11] Topical compression therapy provides a means to treat or prevent adverse effects as noted above. Limb compression functions 1 alters the tissue gradient pressure which reduces edema and increases resorption 2 ; increases flow velocity 3 ; reduces orthostatic reflux, residual volume and ambulatory venous pressure; and 5 improves the muscle pump effectiveness and function.…”

Innovation in compression: smart bandage technology to improve bandage application and monitoring

“…Indeed, the healing rates reported for VLU vary considerably. [9][10][11][12][13][14][15][16][17][18][19] Technical solutions to variability in application of bandages include printed ovals or rectangles that change to circles or squares at the correct bandage extension; markings on orthostatic devices that are matched to a scale; bandage application at full stretch. Direct measurement of interface pressure may be used on application and for monitoring 20 but pressure is usually measured at only one anatomic location.…”