Prevention of venous leg ulcer recurrence

Shenoy, Manjunath Mala

doi:10.4103/2229-5178.137824

Cited by 21 publications

(18 citation statements)

References 25 publications

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“…Compression therapy using various bandages and stockings is an integral part of management and prevention of venous ulcers. 29,30 Allergic contact dermatitis to synthetic rubber, neoprene, in compression stockings has been reported. 32,33 Modern dressing-related contact dermatitis is infrequent but has also been reported.…”

Section: Discussionmentioning

confidence: 99%

Contact sensitivity in patients with venous leg ulcer: A multi‐centric Indian study

Rai

Shenoy

Viswanath

et al. 2018

International Wound Journal

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Venous leg ulcers are the most common form of non-healing leg ulcers. They are subjected to treatments such as topical medications, dressings, and compression therapies. This can lead to exposure to a number of allergens with subsequent sensitisation and contact dermatitis of the regional skin. This may contribute to the poor ulcer healing. To detect the various contact sensitisers in patients with venous leg ulcers through patch testing, patients from 6 centres across India with venous leg ulcers of longer than 6 weeks duration were enrolled for the study. They were patch tested using a special parch test kit with 27 antigens. A total of 172 patients were included in the study; 82 (48.2%) tested positive for at least 1 antigen. Among them, polyvalent sensitisation was noted in 71% of patients. Wood tar mix (10.4%) and the framycetin (8.7%) were the most common allergens. There is a high frequency of allergic sensitisation to various ingredients of topical therapies used in the venous ulcer management, which may interfere with wound healing. Avoiding them can help obtain a better therapeutic outcome.

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Section: Discussionmentioning

confidence: 99%

Contact sensitivity in patients with venous leg ulcer: A multi‐centric Indian study

Rai

Shenoy

Viswanath

et al. 2018

International Wound Journal

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“…The ongoing use of the therapy is emphasized, with the highest level of compression the patient can bear, in order to guarantee the reduction of venous hypertension in the lower limbs, permitting the patient's greater adherence and the reduction of the risk of varicose ulcer relapse. (18) There is evidence on the correct use of compressive stockings to reduce the relapse rate of varicose ulcers. Research results confirm that, within three years, relapse levels were lower in the group of patients wearing high compression stockings, and there was not sufficient evidence to support the selection of different types, brands or lengths of these stockings.…”

Section: Discussionmentioning

confidence: 99%

“…(18) No randomized clinical trials were found that compare ulcer relapse with and without limb raising. A prospective longitudinal study indicated that raising the legs for at least one hour was associated with a smaller number of relapses.…”

Section: Discussionmentioning

confidence: 99%

Prevenção de recidiva de úlcera varicosa: um estudo de coorte

et al. 2016

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Objective: Determine the relapse rate of varicose ulcer and check the association between relapse and prevention measures adopted. Methods: Cohort study involving 50 patients over 18 years of age post-healing of varicose ulcer monitored over ten years. Relapse was assessed through direct inspection during the clinical assessment, and the preventive measures used were informed by the patient. Pearson's chi-square test was used with p ≤0.05. Results: Relapse of varicose ulcer corresponded to 62.2%, mostly in women, followed by elderly, illiterate and retired people. The following combination was effective to prevent relapses: use of compressive stockings, rest and application of moisturizer. Conclusion: The relapse rate of varicose ulcer was high and the main combination of preventive measures applied was the use of compressive stockings, rest and application of moisturizer. ResumoObjetivo: Determinar a taxa de recidiva de úlcera varicosa, e verificar a associação entre recidiva e medidas de prevenção adotadas. Métodos: Estudo de coorte com 50 pacientes maiores de 18 anos com úlcera varicosa pós-cicatrização acompanhados durante 10 anos. A recidiva foi avaliada por meio de inspeção direta durante a avaliação clínica, e as medidas de prevenção usadas foram informadas pelo paciente. Utilizou-se o teste qui quadrado de Pearson, sendo significante p-value ≤0,05. Resultados: A recidiva de úlcera varicosa foi de 62,2%, a maioria em mulheres, seguida por idosos, analfabetos e aposentados. Mostrou-se medida eficaz na prevenção de recidivas o seguinte conjunto: uso da meia de compressão, repouso e aplicar creme hidratante. Conclusão: A taxa de recidiva de úlcera varicosa foi elevada e as principais medidas de prevenção aplicadas em conjunto foram usar meia de compressão, repousar e aplicar creme hidratante.

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“…Rest, physical activity, and compression therapy are of utmost importance for VU healing and prevention of its recurrence. One literature review showed scientific evidence that indicates simple and practical measures to assist in edema reduction of the lower limbs, such as raising the legs when lying and avoiding an orthostatic position for a long time (13) .…”

Section: They Recommended Physical Exercise But I Do Not Do It Becaumentioning

confidence: 99%

Experiência de pessoas adultas e idosas frente à adesão aos cuidados com a úlcera varicosa

Silva

Jesús

Tavares

et al. 2019

Rev. Gaúcha Enferm.

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Resumo OBJETIVO Compreender a experiência de pessoas adultas e idosas frente à adesão aos cuidados com a úlcera varicosa. MÉTODO Pesquisa qualitativa fundamentada em pressupostos da Fenomenologia Social de Alfred Schütz, com 12 pessoas adultas e idosas, em tratamento de úlcera varicosa em Serviço Especializado, em Minas Gerais. Os depoimentos foram obtidos de outubro a novembro de 2015 e analisados, categorizados e discutidos a partir do referencial teórico-filosófico adotado e literatura temática. RESULTADOS Dos depoimentos emergiram as categorias temáticas: “Crenças, atividades pessoais e sociais dificultando a adesão ao cuidado”; “Ser protagonista na relação de cuidado com a úlcera varicosa” e “Motivação para aderir ao cuidado”. CONCLUSÕES A relação intersubjetiva estabelecida entre as pessoas com úlcera varicosa e os profissionais de saúde emergiu como força potencializadora da adesão ao cuidado. Valorizar a relação de reciprocidade de perspectivas entre estes atores sociais pode promover maior adesão ao cuidado com a úlcera varicosa.

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Prevention of venous leg ulcer recurrence

Cited by 21 publications

References 25 publications

Contact sensitivity in patients with venous leg ulcer: A multi‐centric Indian study

Contact sensitivity in patients with venous leg ulcer: A multi‐centric Indian study

Prevenção de recidiva de úlcera varicosa: um estudo de coorte

Experiência de pessoas adultas e idosas frente à adesão aos cuidados com a úlcera varicosa

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