Care of Ulcer and Compression Therapy



Care of the ulcer and compression therapy (CT) are the least glamorous but pivotal considerations in the total care of patients with chronic venous insufficiency (CVI). The standard of care for venous ulcers varies widely over different countries and even in different centers in the same country. In this chapter, the standard and ideal care which is feasible on fiscal and logistic grounds would be reviewed.


Compression System Intermittent Pneumatic Compression Venous Ulcer Chronic Venous Insufficiency Compression Therapy 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


  1. 1.
    Gillespie DL. Venous ulcer diagnosis, treatment and prevention of recurrences. J Vasc Surg. 2010;52:8S–14.PubMedCrossRefGoogle Scholar
  2. 2.
    Mekkes JR, Loots MAM, Van Der Wal AC, Bos JD. Causes investigations and treatment of leg ulceration. Br J Dermatol. 2003;148:388–401.PubMedCrossRefGoogle Scholar
  3. 3.
    Royal College of Nursing. Clinical practice guidelines: the nursing management of patients with venous leg ulcers. Wigorn: 2nd edition. London: Wigorn; 2006. Publication Code: 003020. ISBN 1-904114-22-9.Google Scholar
  4. 4.
    O’Donnel Jr TF. Local treatment of venous ulcers. In: Gloviczki P, editor. Handbook of venous disorders; guidelines of the American Venous Forum. 3rd ed. London: Hodder Arnold; 2009. p. 457–71.Google Scholar
  5. 5.
    World Union of Wound Healing Societies (WUWHS). Principles of best practice: compression in venous leg ulcers; a consensus document. London: MEP Ltd; 2008.Google Scholar
  6. 6.
    Moneta GI, Partsch H. Compression therapy for venous ulceration. In: Gloviczki PP, editor. Handbook of venous disorders; guidelines of the American Venous Forum. 3rd ed. London: Hodder Arnold; 2009. p. 348–58.Google Scholar
  7. 7.
    Partsch H. Understanding the pathophysiological effects of compression. In: Calnes S, Moffat C, Thomas S, editors. Position document; understanding compression therapy. London: Medical Education Partnership Ltd; 2003. p. 3–4.Google Scholar
  8. 8.
    Hopkins A, Worboys F. Clinical practice development; understanding compression therapy to achieve tolerance. Wounds. 2005;1(3):26–34.Google Scholar
  9. 9.
    Wong IKY, Andriessen A, Lee DTF, Thompson D, Wong LY, David VK, Chao DVK, So WKW, Abel M. Randomised controlled trial comparing treatment outcome of two compression bandaging systems and standard care without compression in patients with venous leg ulcers. J Vasc Surg. 2012;55:1376–85.PubMedCrossRefGoogle Scholar
  10. 10.
    Milic DJ, Zivic SS, Boqdanovic DC, Jovanovic MM, Jankovic RJ, Milosevic ZD, Stamenkovic DM, Trenkic MS. Influence of different sub bandage pressure values on venous leg ulcers healing when treated with compression therapy. J Vasc Surg. 2010;51(3):656–61.Google Scholar
  11. 11.
    Moffat C. Four layer bandaging from concept to practice. Part I; the development of the four layer system. World Wide Wounds; 2004.
  12. 12.
    Hopkins A. How to apply effective multi layer compression bandaging. Wound Essent. 2006;1:38–42.Google Scholar
  13. 13.
    Moffat C. Four layer bandaging from concept to practice; part II. World Wide Wound; 2005.
  14. 14.
    Stephen-Haynes J. Compression – applying short stretch bandages. Wound Essent. 2009;4:62–4.Google Scholar
  15. 15.
    Lindsay ET, Muldoon JE, Hampton S. Short stretch bandage and the foot muscle pump: their relation to restricted mobility. J Wound Care. 2003;5:185–8.CrossRefGoogle Scholar
  16. 16.
    O’Meara S, Tierney J, Cullum N, Bland JM, Franks PJ, Mole T, Scriven M. Four layer bandaging compared with short stretch bandage for venous leg ulcers; systemic review and meta analysis of randomized controlled trials with data from individual patients. BMJ. 2009;338:b1344.PubMedCrossRefPubMedCentralGoogle Scholar
  17. 17.
    Johnson S. Compression hosiery in prevention and treatment of venous leg ulcers. World Wide Wounds; 2002.
  18. 18.
    Vernicke SH, Shapiro D, Shaw FD. Legging orthosis for venous and lymphatic insufficiency. Arch Phys Med Rehabil. 1987;68(7):459–61. 35.Google Scholar
  19. 19.
    Gloviczki P, Comerota AJ, Dalsing MC, Eklof BG, Gillespie DL, Gloviczi ML, Lohr JM, Mc Lafferty RB, Meissner MH, Murad MH, Padberg FT, Pappas PJ, Passman MA, Raffeto JD, Vasquez MA, Wakefield TW. The care of patient with varicose veins and associated chronic venous diseases: clinical practice guidelines of the society for vascular surgery and the American Venous Forum. J Vasc Surg. 2011;53(5 Suppl):2s–48.PubMedCrossRefGoogle Scholar
  20. 20.
    Valencia IC, Flabella A, Kirsner RS, Eaglestein WH. Chronic venous insufficiency and venous leg ulceration. J Am Acad Dermatol. 2001;44:401–23.PubMedCrossRefGoogle Scholar
  21. 21.
    Collins LG, Seraj S. Diagnosis and treatment of venous ulcer. Am Fam Physician. 2010;81(8):989–96.PubMedGoogle Scholar
  22. 22.
    Chuang LH, Soares MO, Watson JM, Bland JM, Cullum N, Iglesias C, Kang’ombe AR, Torgerson D, Nelson EA. Economic evaluation of a randomised controlled trial of ultrasound therapy for hard to heal venous leg ulcers. Br J Surg. 2011;98:1099–106.PubMedCrossRefGoogle Scholar

Copyright information

© Springer India 2015

Authors and Affiliations

  1. 1.General SurgeryAmrita Institute of Medical Sciences, Amrita LaneKochiIndia

Personalised recommendations