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Compression therapy in patients with venous leg ulcers
Author(s) -
Dissemond Joachim,
Assenheimer Bernd,
Bültemann Anke,
Gerber Veronika,
Gretener Silvia,
Kohlervon Siebenthal Elisabeth,
Koller Sonja,
Kröger Knut,
Kurz Peter,
Läuchli Severin,
Münter Christian,
Panfil EvaMaria,
Probst Sebastian,
Protz Kerstin,
Riepe Gunnar,
Strohal Robert,
Traber Jürg,
Partsch Hugo
Publication year - 2016
Publication title -
jddg: journal der deutschen dermatologischen gesellschaft
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.463
H-Index - 60
eISSN - 1610-0387
pISSN - 1610-0379
DOI - 10.1111/ddg.13091
Subject(s) - medicine , compression therapy , bandage , compression stockings , intensive care medicine , compression bandage , leg ulcer , venous leg ulcer , varicose ulcer , chronic venous insufficiency , physical therapy , surgery , thrombosis
Summary Wund‐D.A.CH. is the umbrella organization of the various wound care societies in German‐speaking countries. The present consensus paper on practical aspects pertinent to compression therapy in patients with venous leg ulcers was developed by experts from Germany, Austria, and Switzerland. In Europe, venous leg ulcers rank among the most common causes of chronic wounds. Apart from conservative and interventional wound and vein treatment, compression therapy represents the basis of all other therapeutic strategies. To that end, there are currently a wide variety of materials and systems available. While especially short‐stretch bandages or multicomponent systems should be used in the initial decongestion phase, ulcer stocking systems are recommended for the subsequent maintenance phase. Another – to date, far less common – alternative are adaptive Velcro bandage systems. Medical compression stockings have proven particularly beneficial in the prevention of ulcer recurrence. The large number of treatment options currently available enables therapists to develop therapeutic concepts geared towards their patients’ individual needs and abilities, thus resulting in good acceptance and adherence. Compression therapy plays a crucial role in the treatment of patients with venous leg ulcers. In recent years, a number of different treatment options have become available, their use and application differing among German‐speaking countries. The present expert consensus is therefore meant to outline concrete recommendations for routine implementation of compression therapy in patients with venous leg ulcers.