Treatment of Chronic Venous Ulcers Using New Four Layers Compressive Bandage Dressing

Area of Science:

• Vascular Surgery
• Dermatology
• Wound Care

Background:

• Lower-extremity ulcers are a common and challenging outpatient condition.
• Chronic venous ulcers lead to high morbidity and healthcare costs.
• Standard compression therapy often shows limited efficacy and requires long-term treatment.

Purpose of the Study:

• To evaluate the efficacy of four-layer compressive bandages for managing chronic venous ulcers.
• To compare the effectiveness of Velfour four-layer hosiery bandages against conventional wound dressing.

Main Methods:

• Prospective study involving 35 patients with chronic venous ulcers.
• Group A (20 patients): treated with Velfour four-layer hosiery bandage.
• Group B (15 patients): treated with conventional wound dressing. Bandages applied weekly for three weeks.

Main Results:

• Deep vein thrombosis (DVT) was the primary cause in most patients (70-73.3%).
• Significant wound size reduction observed in Group A (0.7±0.81 cm) compared to Group B (1.73±0.77 cm) (p<0.00031).
• 55% of wounds in Group A healed by the third week, with others showing reduced size and discharge. Treatment cost was higher in Group A.

Conclusions:

• Four-layer compression bandaging with Velfour is an effective and reproducible treatment for chronic venous ulcers.
• The Velfour bandage method demonstrates significant wound healing benefits.
• This approach offers a viable and easy-to-implement treatment option for chronic venous ulcer management.