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Updated: Sep 10, 2025

Occlusion of the Great and Small Saphenous Vein Using Copolymeric Glue Based on N-Butyl Cyanoacrylate and Methacryloxy Sulfolane
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The Lindsay Leg Club model and a venous ulcer case study

Sylvie Hampton1

  • 1MA BSc (Hons) DpSN RGN, Tissue Viability Consultant and Lymphoedema Nurse, Wound Care Consultants Ltd.

British Journal of Community Nursing
|August 27, 2025
PubMed

Insights

This case study shows effective treatment for a chronic leg ulcer using multi-component wound care. The patient

Area of Science:

  • Vascular Medicine
  • Wound Care
  • Geriatric Medicine

Background:

  • Chronic leg ulcers are a significant challenge in geriatric patients, often linked to comorbidities.
  • Mr H, an 85-year-old male with a history of heart bypass surgery, presented with a 9-year non-healing leg ulcer.
  • Leg ulcers significantly impact patient quality of life and healthcare resource utilization.

Purpose of the Study:

  • To illustrate a successful treatment protocol for a long-standing, non-healing leg ulcer in an elderly patient.
  • To highlight the efficacy of a comprehensive wound management approach.

Main Methods:

  • The patient received four-layer compression bandaging.
  • Wound cleansing was performed regularly using non-cytotoxic solutions.
  • Primary dressings were selected based on wound exudate levels.

Main Results:

  • The chronic leg ulcer healed completely within 8 weeks, exceeding the expected 12-week healing time.
  • The patient was subsequently enrolled in a Well Leg Programme for ongoing management.
  • The treatment demonstrated rapid and effective resolution of a previously intractable wound.

Conclusions:

  • A tailored, multi-component wound care strategy, including compression bandaging and appropriate dressings, can effectively heal chronic leg ulcers in elderly patients.
  • Early intervention and adherence to a structured treatment plan are crucial for successful outcomes.
  • The Well Leg Programme provides essential long-term support for ulcer recurrence prevention.

Keywords:
Well Leg Programmecompression therapypsychological wellbeingunhealed woundsvenous leg ulcers

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