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[Compression therapy in leg ulcers].

J Dissemond1, K Protz2, S Reich-Schupke3

  • 1Klinik und Poliklinik für Dermatologie, Venerologie und Allergologie, Universitätsklinikum Essen, Hufelandstraße 55, 45122, Essen, Deutschland. joachim.dissemond@uk-essen.de.

Der Hautarzt; Zeitschrift Fur Dermatologie, Venerologie, Und Verwandte Gebiete
|February 26, 2016
PubMed
Summary
This summary is machine-generated.

Compression therapy effectively treats leg ulcers and edema with minimal side effects. Despite its long history and proven efficacy, current practices in Germany require improvement for optimal patient outcomes.

Keywords:
Compressing stockingsCompression bandagesContraindicationsEdemaMulticomponent bandage systems

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Area of Science:

  • Vascular Medicine
  • Dermatology
  • Rehabilitation

Background:

  • Compression therapy is a well-established treatment for leg ulcers and edema with a low side-effect profile.
  • Despite extensive evidence and tradition, the current application of compression therapy in Germany is suboptimal.
  • A variety of compression systems exist, including traditional bandaging, compression stockings, and newer velcro wrap systems.

Purpose of the Study:

  • To review the current landscape of compression therapy for leg ulcers and edema.
  • To highlight the available treatment options and their effectiveness.
  • To emphasize the need for individualized and functional therapy strategies.

Main Methods:

  • Review of existing literature and current practices in compression therapy.
  • Analysis of different compression materials and systems (Unna Boot, short-stretch, long-stretch, multicomponent bandages, compression stockings, velcro wraps).
  • Consideration of adjunctive therapies like intermittent pneumatic compression and donning devices.

Main Results:

  • Multiple effective compression modalities are available, offering personalized treatment approaches.
  • The choice of therapy should consider patient needs, adherence, and specific clinical indications.
  • Intermittent pneumatic compression and donning devices are valuable adjuncts to traditional methods.

Conclusions:

  • Optimizing compression therapy requires a tailored strategy considering patient-specific factors and available modalities.
  • Despite challenges, individualized compression therapy can achieve functional and accepted treatment outcomes for most patients with leg ulcers.
  • Further improvements in the implementation of compression therapy in Germany are warranted.