BACKGROUND Up to 1% of adults will have a leg ulcer at some time. The majority of leg ulcers are venous in origin and are caused by high pressure in the veins due to blockage or weakness of the valves in the veins of the leg. Prevention and treatment of venous ulcers is aimed at reducing the pressure either by removing/repairing the veins, or by applying compression bandages/stockings to reduce...

The prolonged and recurrent nature of venous leg ulceration can be a source of great frustration to client and clinicians alike. Venous ulcers may have a significant effect on a person’s quality of life and treatment of this condition generates a burden on healthcare systems. It is a challenge to assist people with these ulcers to adhere to treatment and to generate and maintain positive lifest...

OBJECTIVES To compare the clinical effectiveness and cost-effectiveness of larval therapy with a standard debridement technique (hydrogel). DESIGN A pragmatic, three-arm, randomised controlled trial with an economic evaluation. SETTING Community nursing services, community leg ulcer clinics and hospital outpatient leg ulcer clinics. A range of urban and rural settings. PARTICIPANTS Patien...

Background:A skin condition known as varicose ulcer, sometimes called venous stasis is characterised by open wounds that do not heal. It most common in the areas surrounding lower ankle and foot. This case describes therapeutic evaluation Uni5 approach treatment for a patient with similar instance of identified ulcer on her extremities. Case Presentation:A 59-year-old woman who had significant ...

Venous ulcers occurs in 1% of adult population and is associated with chronic disability, diminished quality of life and high health care costs. Treatment is often slow, difficult and challenging. Poor prognostic factors include large ulcer size and prolonged duration. Moreover the recurrence rates may be as high as 70%. We present case report of 58 years old woman with very large bilateral ven...

Introduction: Treating patients with trophic ulcers (TUs) of venous etiology (VE) is a complicated socio-medical and economic problem. One of the ways to increase treatment efficiency can be a complex therapy, including combined laser action. Methods: The objective of this study was a comparative evaluation of the efficiency of traditional treatment methods in patients with chronic venous disea...

We propose a new dual treatment strategy for venous ulcer, consisting in simultaneous modulation of matrix metalloproteinases (MMPs) and heat shock proteins (HSPs) in the wound. One treatment method which can efficiently modulate both these substances is based on the application of dual-frequency ultrasound (LDM). This strategy was checked in a pilot study on 10 patients with chronic venous ulc...

In 1837, Piorry, a French professor of medicine stated, "It is rather difficult to understand why the investigation of veins has been passed over almost in silence, while such a great diagnostic value has been attached to the investigation of arteries." Even today, our understanding of venous disease pales in comparison to our understanding of arterial disease. This is despite the fact that mil...

Actico compression bandage system (Activa Healthcare) completes the prevention and treatment regime of venous leg ulcer management. Actico gives the patient comfort by being a simple two-layer compression bandage system that is also effective and which stays in place because of its cohesive nature. This product focus looks at the impact of venous leg ulcers, the use of compression and focuses o...