oa Wound Healing Southern Africa - Verum - a European approach for successful venous leg ulcer healing : review article
Background: Successful healing of venous leg ulcers can only be achieved by compression therapy in combination with moist wound healing. Therefore this treatment is recommended by therapy guidelines. Still it is a widely held belief that its implementation in daily practice is complicated or even impossible.
Aim: To generate further experience about the practicability of the recommended holistic therapy for venous leg ulcers.
Methods: 63 patients (Germany, Italy, Austria) were treated for 12 weeks in daily medical practice with a therapy concept including phase-adapted moist wound dressings, microbe-binding wound dressings and compression bandages in the initial oedema phase, followed by a compression stocking system with high stiffness characteristics.
Findings: 85% of all wounds reduced in size significantly; 53% of all wounds healed completely within 12 weeks. The patients' well-being was substantially improved leading to high compliance. As the majority of patients had not experienced any progress in healing for extended periods of time due to their complicated health situation or ineffective treatment the results were rated very positively by patients and physicians.
Conclusion: Holistic therapy concepts offer significant advantages and can successfully be implemented in daily practice independent of national or local wound care traditions.
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