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Official Journal of the Italian Association for Cutaneous Ulcers
Indexed/Abstracted in: EMBASE, Scopus, Emerging Sources Citation Index
Online ISSN 1827-1774
Crespi A. 1, Martinoli M. 2, Ferrari A. 3, Lombardi A. 4
1 Dipartimento di Chirurgia Generale ASL 13 Novara
2 Dipartimento di Chirurgia Generale ASL 13 Novara
3 CPS - Ambulatorio ionfermieristico Lesioni Cutanee P.O. San Rocco - Galliate ASL 13 Novara
4 CPSE - Cure Domiciliari di Novara - ASL 13
Aim. Multi-layer bandages were developed from the principle that several layers of low-elasticity bandage can be applied in combination, thus obtaining optimal pressure and avoiding the risk of applying excessive pressure, as can occur with high-elasticity bandages. The composition of multi-layer bandages is complex. The healing of venous ulcers of the leg using “Profore” 4-layer bandages is reported. It was decided to use “Profore” because their characteristics are such that they can provide adequate compression while avoiding excessive pressure, and for this reason are well tolerated by the patient; they may also be applied by experts nursing staff.
Methods. 19 patients with mono- or bilateral venous ulcer of the leg were treated. Venous aetiology was documented through echo-colour-Doppler examination. All patients were able to walk. The bandage was applied by expert nursing staff, weekly or twice weekly depending on the tightness of the bandage or the degree of exudation of the lesion.
Results. Parameters observed to determine outcome were: healing of the ulcer, reduction of swelling of the leg (at time T0 and at time T1), reported symptoms (numerical scale T0-T1), patient compliance, tolerability of the bandage, patient’s quality of life (analogue scale T0-T1), time required to apply the bandage, staff satisfaction.
Conclusion. Use of “Profore” 4-layer bandages resulted in healing in all 19 patients with venous ulcer of the leg within 6-8 weeks.