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GIORNALE ITALIANO DI DERMATOLOGIA E VENEREOLOGIA
A Journal on Dermatology and Sexually Transmitted Diseases
Official Journal of the Italian Society of Dermatology and Sexually Transmitted Diseases
Indexed/Abstracted in: EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
Impact Factor 1,014
Giornale Italiano di Dermatologia e Venereologia 2004 October;139(5):473-8
language: English, Italian
Evaluation of a multilayer bandaging kit (Profore®) for the therapy of venous leg ulceration. Personal experience
Mazzatenta C., Martini P.
Dermatology Unit “Campo di Marte” Hospital, ASL n. 2, Lucca, Italy
Aim. The aim of this paper was to evaluate the daily use of a bandaging kit for the therapy of venous leg ulcers (Profore® - Smith & Nephew) in terms of easiness of application, side effects, comfort and clinical efficacy.
Methods. The specific technique of application of the 4-layer bandaging kit has been demonstrated to the nurses of our outpatient service in a short practical session. The ulcers were covered with the non-adherent mesh supplied with the bandaging kit or with hydrocolloids or hydrofibers. Evaluation criteria were reproducibility of the bandaging, patient comfort, side effects and percent of complete healing at 12, 24, 36 and 52 weeks.
Results. The modalities of use of the kit have been quickly learned from the nurses of our Operative Unit. All the patients have well tolerated the bandage without particular side effects. We have treated a total of 38 ulcers in 33 patients. The percentages of complete healing were: 45.5% at 12 weeks, 63.3% at 24, 81.1% at 36, and 87.9% at 52 weeks.
Conclusion. The Profore® bandaging kit seems to be very manageable and easily usable in the daily practice. In our small sample of patients, the bandage has revealed remarkably effective in inducing the healing of a high number of patients in relatively short time. The system could also be a standard point of reference for clinical studies comparing different types of bandaging for the therapy of venous leg ulcers.