The Clinical Management and Outcome of Venous Ulcers in Legswith Deep-venous Obstruction
Identifieur interne : 002545 ( Istex/Corpus ); précédent : 002544; suivant : 002546The Clinical Management and Outcome of Venous Ulcers in Legswith Deep-venous Obstruction
Auteurs : M. Bello ; J. Naik ; M. J. Scriven ; T. Hartshorne ; N. J. M. LondonSource :
- European Journal of Vascular & Endovascular Surgery [ 1078-5884 ] ; 2000.
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Abstract
Objective as a result of a serious complication from compression bandaging in a patient with venous ulceration and deep-vein obstruction, a policy of incremental compression in such limbs has been developed. The purpose of this retrospective study is to review the outcome of this policy. Design limbs with deep-venous obstruction (stenosis or occlusion) were treated initially with 3-layer compression bandaging and reviewed 24 h later. If 3-layer bandaging was tolerated, it was re-applied for a further 48 h. If there were no problems, then 4-layer bandaging was applied and the patient reviewed at 24 and 72 h. If 4-layer bandaging could not be tolerated, the limb was returned to 3-layer bandaging. Results of 325 limbs seen in a venous-ulcer clinic, 22 (7%) had deep-vein obstruction. Fifteen (68%) limbs were able to tolerate 4-layer bandaging, five (23%) could tolerate 3-layer bandaging and two limbs (9%) could only tolerate class 2 compression hosiery. The overall 1-year healing rate was 55%. There were no serious complications from bandaging. Conclusions a protocol of incremental compression bandaging is safe in ulcerated legs with deep-vein obstruction and produces healing in up to 55% of cases.
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DOI: 10.1053/ejvs.1999.0967
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ISTEX:51593C147490C6AE02D6F79B7EED287D627F098DLe document en format XML
<record><TEI wicri:istexFullTextTei="biblStruct"><teiHeader><fileDesc><titleStmt><title xml:lang="en">The Clinical Management and Outcome of Venous Ulcers in Legswith Deep-venous Obstruction</title><author><name sortKey="Bello, M" sort="Bello, M" uniqKey="Bello M" first="M." last="Bello">M. Bello</name><affiliation><mods:affiliation>Leicester University Department of Surgery, Clinical Sciences Building, Leicester Royal Infirmary, Leicester, LE2 7LX, U.K.</mods:affiliation></affiliation></author><author><name sortKey="Naik, J" sort="Naik, J" uniqKey="Naik J" first="J." last="Naik">J. Naik</name><affiliation><mods:affiliation>Leicester University Department of Surgery, Clinical Sciences Building, Leicester Royal Infirmary, Leicester, LE2 7LX, U.K.</mods:affiliation></affiliation></author><author><name sortKey="Scriven, M J" sort="Scriven, M J" uniqKey="Scriven M" first="M. J." last="Scriven">M. J. Scriven</name><affiliation><mods:affiliation>Leicester University Department of Surgery, Clinical Sciences Building, Leicester Royal Infirmary, Leicester, LE2 7LX, U.K.</mods:affiliation></affiliation></author><author><name sortKey="Hartshorne, T" sort="Hartshorne, T" uniqKey="Hartshorne T" first="T." last="Hartshorne">T. Hartshorne</name><affiliation><mods:affiliation>Leicester University Department of Surgery, Clinical Sciences Building, Leicester Royal Infirmary, Leicester, LE2 7LX, U.K.</mods:affiliation></affiliation></author><author><name sortKey="London, N J M" sort="London, N J M" uniqKey="London N" first="N. J. M." last="London">N. J. M. London</name><affiliation><mods:affiliation>Leicester University Department of Surgery, Clinical Sciences Building, Leicester Royal Infirmary, Leicester, LE2 7LX, U.K.</mods:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">ISTEX</idno><idno type="RBID">ISTEX:51593C147490C6AE02D6F79B7EED287D627F098D</idno><date when="2000" year="2000">2000</date><idno type="doi">10.1053/ejvs.1999.0967</idno><idno type="url">https://api.istex.fr/document/51593C147490C6AE02D6F79B7EED287D627F098D/fulltext/pdf</idno><idno type="wicri:Area/Istex/Corpus">002545</idno><idno type="wicri:explorRef" wicri:stream="Istex" wicri:step="Corpus" wicri:corpus="ISTEX">002545</idno></publicationStmt><sourceDesc><biblStruct><analytic><title level="a" type="main" xml:lang="en">The Clinical Management and Outcome of Venous Ulcers in Legswith Deep-venous Obstruction</title><author><name sortKey="Bello, M" sort="Bello, M" uniqKey="Bello M" first="M." last="Bello">M. Bello</name><affiliation><mods:affiliation>Leicester University Department of Surgery, Clinical Sciences Building, Leicester Royal Infirmary, Leicester, LE2 7LX, U.K.</mods:affiliation></affiliation></author><author><name sortKey="Naik, J" sort="Naik, J" uniqKey="Naik J" first="J." last="Naik">J. Naik</name><affiliation><mods:affiliation>Leicester University Department of Surgery, Clinical Sciences Building, Leicester Royal Infirmary, Leicester, LE2 7LX, U.K.</mods:affiliation></affiliation></author><author><name sortKey="Scriven, M J" sort="Scriven, M J" uniqKey="Scriven M" first="M. J." last="Scriven">M. J. Scriven</name><affiliation><mods:affiliation>Leicester University Department of Surgery, Clinical Sciences Building, Leicester Royal Infirmary, Leicester, LE2 7LX, U.K.</mods:affiliation></affiliation></author><author><name sortKey="Hartshorne, T" sort="Hartshorne, T" uniqKey="Hartshorne T" first="T." last="Hartshorne">T. Hartshorne</name><affiliation><mods:affiliation>Leicester University Department of Surgery, Clinical Sciences Building, Leicester Royal Infirmary, Leicester, LE2 7LX, U.K.</mods:affiliation></affiliation></author><author><name sortKey="London, N J M" sort="London, N J M" uniqKey="London N" first="N. J. M." last="London">N. J. M. London</name><affiliation><mods:affiliation>Leicester University Department of Surgery, Clinical Sciences Building, Leicester Royal Infirmary, Leicester, LE2 7LX, U.K.</mods:affiliation></affiliation></author></analytic><monogr></monogr><series><title level="j">European Journal of Vascular & Endovascular Surgery</title><title level="j" type="abbrev">YEJVS</title><idno type="ISSN">1078-5884</idno><imprint><publisher>ELSEVIER</publisher><date type="published" when="2000">2000</date><biblScope unit="volume">19</biblScope><biblScope unit="issue">1</biblScope><biblScope unit="page" from="62">62</biblScope><biblScope unit="page" to="64">64</biblScope></imprint><idno type="ISSN">1078-5884</idno></series></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">1078-5884</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Compression bandaging</term><term>Continuous flow</term><term>Deep-vein obstruction</term><term>Long saphenous vein</term><term>Pain.</term><term>Venous ulceration</term></keywords></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Objective as a result of a serious complication from compression bandaging in a patient with venous ulceration and deep-vein obstruction, a policy of incremental compression in such limbs has been developed. The purpose of this retrospective study is to review the outcome of this policy. Design limbs with deep-venous obstruction (stenosis or occlusion) were treated initially with 3-layer compression bandaging and reviewed 24 h later. If 3-layer bandaging was tolerated, it was re-applied for a further 48 h. If there were no problems, then 4-layer bandaging was applied and the patient reviewed at 24 and 72 h. If 4-layer bandaging could not be tolerated, the limb was returned to 3-layer bandaging. Results of 325 limbs seen in a venous-ulcer clinic, 22 (7%) had deep-vein obstruction. Fifteen (68%) limbs were able to tolerate 4-layer bandaging, five (23%) could tolerate 3-layer bandaging and two limbs (9%) could only tolerate class 2 compression hosiery. The overall 1-year healing rate was 55%. There were no serious complications from bandaging. Conclusions a protocol of incremental compression bandaging is safe in ulcerated legs with deep-vein obstruction and produces healing in up to 55% of cases.</div></front></TEI><istex><corpusName>elsevier</corpusName><keywords><teeft><json:string>obstruction</json:string><json:string>venous</json:string><json:string>bandaging</json:string><json:string>compression bandaging</json:string><json:string>saphenous</json:string><json:string>long saphenous vein</json:string><json:string>stenosis</json:string><json:string>surg</json:string><json:string>venous ulceration</json:string><json:string>ulceration</json:string><json:string>hosiery</json:string><json:string>compression hosiery</json:string><json:string>leicester</json:string><json:string>limb</json:string><json:string>scriven</json:string><json:string>vasc</json:string><json:string>vasc endovasc surg</json:string><json:string>colour</json:string><json:string>abpi</json:string><json:string>healing rate</json:string><json:string>endovasc</json:string><json:string>clinician</json:string><json:string>duplex</json:string><json:string>ulcerated legs</json:string><json:string>serious complications</json:string><json:string>ulcerated</json:string><json:string>incremental</json:string></teeft></keywords><author><json:item><name>M. Bello</name><affiliations><json:string>Leicester University Department of Surgery, Clinical Sciences Building, Leicester Royal Infirmary, Leicester, LE2 7LX, U.K.</json:string></affiliations></json:item><json:item><name>J. Naik</name><affiliations><json:string>Leicester University Department of Surgery, Clinical Sciences Building, Leicester Royal Infirmary, Leicester, LE2 7LX, U.K.</json:string></affiliations></json:item><json:item><name>M.J. Scriven</name><affiliations><json:string>Leicester University Department of Surgery, Clinical Sciences Building, Leicester Royal Infirmary, Leicester, LE2 7LX, U.K.</json:string></affiliations></json:item><json:item><name>T. Hartshorne</name><affiliations><json:string>Leicester University Department of Surgery, Clinical Sciences Building, Leicester Royal Infirmary, Leicester, LE2 7LX, U.K.</json:string></affiliations></json:item><json:item><name>N.J.M. London</name><affiliations><json:string>Leicester University Department of Surgery, Clinical Sciences Building, Leicester Royal Infirmary, Leicester, LE2 7LX, U.K.</json:string></affiliations></json:item></author><subject><json:item><lang><json:string>eng</json:string></lang><value>Venous ulceration</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>Deep-vein obstruction</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>Compression bandaging</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>Continuous flow</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>Long saphenous vein</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>Pain.</value></json:item></subject><language><json:string>eng</json:string></language><originalGenre><json:string>Full-length article</json:string></originalGenre><abstract>Objective as a result of a serious complication from compression bandaging in a patient with venous ulceration and deep-vein obstruction, a policy of incremental compression in such limbs has been developed. The purpose of this retrospective study is to review the outcome of this policy. Design limbs with deep-venous obstruction (stenosis or occlusion) were treated initially with 3-layer compression bandaging and reviewed 24 h later. If 3-layer bandaging was tolerated, it was re-applied for a further 48 h. If there were no problems, then 4-layer bandaging was applied and the patient reviewed at 24 and 72 h. If 4-layer bandaging could not be tolerated, the limb was returned to 3-layer bandaging. Results of 325 limbs seen in a venous-ulcer clinic, 22 (7%) had deep-vein obstruction. Fifteen (68%) limbs were able to tolerate 4-layer bandaging, five (23%) could tolerate 3-layer bandaging and two limbs (9%) could only tolerate class 2 compression hosiery. The overall 1-year healing rate was 55%. There were no serious complications from bandaging. Conclusions a protocol of incremental compression bandaging is safe in ulcerated legs with deep-vein obstruction and produces healing in up to 55% of cases.</abstract><qualityIndicators><score>4.031</score><pdfVersion>1.2</pdfVersion><pdfPageSize>595 x 842 pts (A4)</pdfPageSize><refBibsNative>true</refBibsNative><keywordCount>6</keywordCount><abstractCharCount>1213</abstractCharCount><pdfWordCount>1763</pdfWordCount><pdfCharCount>10640</pdfCharCount><pdfPageCount>3</pdfPageCount><abstractWordCount>189</abstractWordCount></qualityIndicators><title>The Clinical Management and Outcome of Venous Ulcers in Legswith Deep-venous Obstruction</title><pii><json:string>S1078-5884(99)90967-X</json:string></pii><genre><json:string>research-article</json:string></genre><host><title>European Journal of Vascular & Endovascular Surgery</title><language><json:string>unknown</json:string></language><publicationDate>2000</publicationDate><issn><json:string>1078-5884</json:string></issn><pii><json:string>S1078-5884(00)X0023-8</json:string></pii><volume>19</volume><issue>1</issue><pages><first>62</first><last>64</last></pages><genre><json:string>journal</json:string></genre></host><categories><wos><json:string>science</json:string><json:string>surgery</json:string><json:string>peripheral vascular disease</json:string></wos><scienceMetrix><json:string>health sciences</json:string><json:string>clinical medicine</json:string><json:string>cardiovascular system & hematology</json:string></scienceMetrix><inist><json:string>sciences appliquees, technologies et medecines</json:string><json:string>sciences biologiques et medicales</json:string><json:string>sciences medicales</json:string></inist></categories><publicationDate>2000</publicationDate><copyrightDate>2000</copyrightDate><doi><json:string>10.1053/ejvs.1999.0967</json:string></doi><id>51593C147490C6AE02D6F79B7EED287D627F098D</id><score>1</score><fulltext><json:item><extension>pdf</extension><original>true</original><mimetype>application/pdf</mimetype><uri>https://api.istex.fr/document/51593C147490C6AE02D6F79B7EED287D627F098D/fulltext/pdf</uri></json:item><json:item><extension>zip</extension><original>false</original><mimetype>application/zip</mimetype><uri>https://api.istex.fr/document/51593C147490C6AE02D6F79B7EED287D627F098D/fulltext/zip</uri></json:item><istex:fulltextTEI uri="https://api.istex.fr/document/51593C147490C6AE02D6F79B7EED287D627F098D/fulltext/tei"><teiHeader><fileDesc><titleStmt><title level="a" type="main" xml:lang="en">The Clinical Management and Outcome of Venous Ulcers in Legswith Deep-venous Obstruction</title></titleStmt><publicationStmt><authority>ISTEX</authority><publisher>ELSEVIER</publisher><availability><p>©2000 Harcourt Publishers Ltd</p></availability><date>2000</date></publicationStmt><notesStmt><note type="content">Section title: Regular Article</note></notesStmt><sourceDesc><biblStruct type="inbook"><analytic><title level="a" type="main" xml:lang="en">The Clinical Management and Outcome of Venous Ulcers in Legswith Deep-venous Obstruction</title><author xml:id="author-0000"><persName><forename type="first">M.</forename><surname>Bello</surname></persName><affiliation>Leicester University Department of Surgery, Clinical Sciences Building, Leicester Royal Infirmary, Leicester, LE2 7LX, U.K.</affiliation></author><author xml:id="author-0001"><persName><forename type="first">J.</forename><surname>Naik</surname></persName><affiliation>Leicester University Department of Surgery, Clinical Sciences Building, Leicester Royal Infirmary, Leicester, LE2 7LX, U.K.</affiliation></author><author xml:id="author-0002"><persName><forename type="first">M.J.</forename><surname>Scriven</surname></persName><affiliation>Leicester University Department of Surgery, Clinical Sciences Building, Leicester Royal Infirmary, Leicester, LE2 7LX, U.K.</affiliation></author><author xml:id="author-0003"><persName><forename type="first">T.</forename><surname>Hartshorne</surname></persName><affiliation>Leicester University Department of Surgery, Clinical Sciences Building, Leicester Royal Infirmary, Leicester, LE2 7LX, U.K.</affiliation></author><author xml:id="author-0004"><persName><forename type="first">N.J.M.</forename><surname>London</surname></persName><affiliation>Please address all correspondence to: N. J. M. London, Department of Surgery, Clinical Sciences Building, Leicester Royal Infirmary, Leicester LE2 7LX, U.K.</affiliation><affiliation>Leicester University Department of Surgery, Clinical Sciences Building, Leicester Royal Infirmary, Leicester, LE2 7LX, U.K.</affiliation></author><idno type="istex">51593C147490C6AE02D6F79B7EED287D627F098D</idno><idno type="DOI">10.1053/ejvs.1999.0967</idno><idno type="PII">S1078-5884(99)90967-X</idno></analytic><monogr><title level="j">European Journal of Vascular & Endovascular Surgery</title><title level="j" type="abbrev">YEJVS</title><idno type="pISSN">1078-5884</idno><idno type="PII">S1078-5884(00)X0023-8</idno><imprint><publisher>ELSEVIER</publisher><date type="published" when="2000"></date><biblScope unit="volume">19</biblScope><biblScope unit="issue">1</biblScope><biblScope unit="page" from="62">62</biblScope><biblScope unit="page" to="64">64</biblScope></imprint></monogr></biblStruct></sourceDesc></fileDesc><profileDesc><creation><date>2000</date></creation><langUsage><language ident="en">en</language></langUsage><abstract xml:lang="en"><p>Objective as a result of a serious complication from compression bandaging in a patient with venous ulceration and deep-vein obstruction, a policy of incremental compression in such limbs has been developed. The purpose of this retrospective study is to review the outcome of this policy. Design limbs with deep-venous obstruction (stenosis or occlusion) were treated initially with 3-layer compression bandaging and reviewed 24 h later. If 3-layer bandaging was tolerated, it was re-applied for a further 48 h. If there were no problems, then 4-layer bandaging was applied and the patient reviewed at 24 and 72 h. If 4-layer bandaging could not be tolerated, the limb was returned to 3-layer bandaging. Results of 325 limbs seen in a venous-ulcer clinic, 22 (7%) had deep-vein obstruction. Fifteen (68%) limbs were able to tolerate 4-layer bandaging, five (23%) could tolerate 3-layer bandaging and two limbs (9%) could only tolerate class 2 compression hosiery. The overall 1-year healing rate was 55%. There were no serious complications from bandaging. Conclusions a protocol of incremental compression bandaging is safe in ulcerated legs with deep-vein obstruction and produces healing in up to 55% of cases.</p></abstract><textClass xml:lang="en"><keywords scheme="keyword"><list><head>Keywords</head><item><term>Venous ulceration</term></item><item><term>Deep-vein obstruction</term></item><item><term>Compression bandaging</term></item><item><term>Continuous flow</term></item><item><term>Long saphenous vein</term></item><item><term>Pain.</term></item></list></keywords></textClass></profileDesc><revisionDesc><change when="2000">Published</change></revisionDesc></teiHeader></istex:fulltextTEI><json:item><extension>txt</extension><original>false</original><mimetype>text/plain</mimetype><uri>https://api.istex.fr/document/51593C147490C6AE02D6F79B7EED287D627F098D/fulltext/txt</uri></json:item></fulltext><metadata><istex:metadataXml wicri:clean="Elsevier, elements deleted: tail"><istex:xmlDeclaration>version="1.0" encoding="utf-8"</istex:xmlDeclaration><istex:docType PUBLIC="-//ES//DTD journal article DTD version 4.5.2//EN//XML" URI="art452.dtd" name="istex:docType"></istex:docType><istex:document><converted-article version="4.5.2" docsubtype="fla" xml:lang="en"><item-info><jid>YEJVS</jid><aid>90967</aid><ce:pii>S1078-5884(99)90967-X</ce:pii><ce:doi>10.1053/ejvs.1999.0967</ce:doi><ce:copyright type="full-transfer" year="2000">Harcourt Publishers Ltd</ce:copyright></item-info><head><ce:dochead><ce:textfn>Regular Article</ce:textfn></ce:dochead><ce:title>The Clinical Management and Outcome of Venous Ulcers in Legswith Deep-venous Obstruction</ce:title><ce:author-group><ce:author><ce:given-name>M.</ce:given-name><ce:surname>Bello</ce:surname></ce:author><ce:author><ce:given-name>J.</ce:given-name><ce:surname>Naik</ce:surname></ce:author><ce:author><ce:given-name>M.J.</ce:given-name><ce:surname>Scriven</ce:surname></ce:author><ce:author><ce:given-name>T.</ce:given-name><ce:surname>Hartshorne</ce:surname></ce:author><ce:author><ce:given-name>N.J.M.</ce:given-name><ce:surname>London</ce:surname><ce:cross-ref refid="FNAST"><ce:sup>f1</ce:sup><ce:footnote id="FNAST"><ce:label>f1</ce:label><ce:note-para>Please address all correspondence to: N. J. M. London, Department of Surgery, Clinical Sciences Building, Leicester Royal Infirmary, Leicester LE2 7LX, U.K.</ce:note-para></ce:footnote></ce:cross-ref></ce:author><ce:affiliation><ce:textfn>Leicester University Department of Surgery, Clinical Sciences Building, Leicester Royal Infirmary, Leicester, LE2 7LX, U.K.</ce:textfn></ce:affiliation></ce:author-group><ce:date-accepted day="13" month="8" year="1999"></ce:date-accepted><ce:abstract><ce:section-title>Abstract</ce:section-title><ce:abstract-sec><ce:simple-para><ce:bold>Objective</ce:bold> as a result of a serious complication from compression bandaging in a patient with venous ulceration and deep-vein obstruction, a policy of incremental compression in such limbs has been developed. The purpose of this retrospective study is to review the outcome of this policy. <ce:bold>Design</ce:bold> limbs with deep-venous obstruction (stenosis or occlusion) were treated initially with 3-layer compression bandaging and reviewed 24 h later. If 3-layer bandaging was tolerated, it was re-applied for a further 48 h. If there were no problems, then 4-layer bandaging was applied and the patient reviewed at 24 and 72 h. If 4-layer bandaging could not be tolerated, the limb was returned to 3-layer bandaging. <ce:bold>Results</ce:bold> of 325 limbs seen in a venous-ulcer clinic, 22 (7%) had deep-vein obstruction. Fifteen (68%) limbs were able to tolerate 4-layer bandaging, five (23%) could tolerate 3-layer bandaging and two limbs (9%) could only tolerate class 2 compression hosiery. The overall 1-year healing rate was 55%. There were no serious complications from bandaging. <ce:bold>Conclusions</ce:bold> a protocol of incremental compression bandaging is safe in ulcerated legs with deep-vein obstruction and produces healing in up to 55% of cases.</ce:simple-para></ce:abstract-sec></ce:abstract><ce:keywords><ce:section-title>Keywords</ce:section-title><ce:keyword><ce:text>Venous ulceration</ce:text></ce:keyword><ce:keyword><ce:text>Deep-vein obstruction</ce:text></ce:keyword><ce:keyword><ce:text>Compression bandaging</ce:text></ce:keyword><ce:keyword><ce:text>Continuous flow</ce:text></ce:keyword><ce:keyword><ce:text>Long saphenous vein</ce:text></ce:keyword><ce:keyword><ce:text>Pain.</ce:text></ce:keyword></ce:keywords></head></converted-article></istex:document></istex:metadataXml><mods version="3.6"><titleInfo lang="en"><title>The Clinical Management and Outcome of Venous Ulcers in Legswith Deep-venous Obstruction</title></titleInfo><titleInfo type="alternative" lang="en" contentType="CDATA"><title>The Clinical Management and Outcome of Venous Ulcers in Legswith Deep-venous Obstruction</title></titleInfo><name type="personal"><namePart type="given">M.</namePart><namePart type="family">Bello</namePart><affiliation>Leicester University Department of Surgery, Clinical Sciences Building, Leicester Royal Infirmary, Leicester, LE2 7LX, U.K.</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">J.</namePart><namePart type="family">Naik</namePart><affiliation>Leicester University Department of Surgery, Clinical Sciences Building, Leicester Royal Infirmary, Leicester, LE2 7LX, U.K.</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">M.J.</namePart><namePart type="family">Scriven</namePart><affiliation>Leicester University Department of Surgery, Clinical Sciences Building, Leicester Royal Infirmary, Leicester, LE2 7LX, U.K.</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">T.</namePart><namePart type="family">Hartshorne</namePart><affiliation>Leicester University Department of Surgery, Clinical Sciences Building, Leicester Royal Infirmary, Leicester, LE2 7LX, U.K.</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">N.J.M.</namePart><namePart type="family">London</namePart><affiliation>Leicester University Department of Surgery, Clinical Sciences Building, Leicester Royal Infirmary, Leicester, LE2 7LX, U.K.</affiliation><description>Please address all correspondence to: N. J. M. London, Department of Surgery, Clinical Sciences Building, Leicester Royal Infirmary, Leicester LE2 7LX, U.K.</description><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre type="research-article" displayLabel="Full-length article"></genre><originInfo><publisher>ELSEVIER</publisher><dateIssued encoding="w3cdtf">2000</dateIssued><copyrightDate encoding="w3cdtf">2000</copyrightDate></originInfo><language><languageTerm type="code" authority="iso639-2b">eng</languageTerm><languageTerm type="code" authority="rfc3066">en</languageTerm></language><physicalDescription><internetMediaType>text/html</internetMediaType></physicalDescription><abstract lang="en">Objective as a result of a serious complication from compression bandaging in a patient with venous ulceration and deep-vein obstruction, a policy of incremental compression in such limbs has been developed. The purpose of this retrospective study is to review the outcome of this policy. Design limbs with deep-venous obstruction (stenosis or occlusion) were treated initially with 3-layer compression bandaging and reviewed 24 h later. If 3-layer bandaging was tolerated, it was re-applied for a further 48 h. If there were no problems, then 4-layer bandaging was applied and the patient reviewed at 24 and 72 h. If 4-layer bandaging could not be tolerated, the limb was returned to 3-layer bandaging. Results of 325 limbs seen in a venous-ulcer clinic, 22 (7%) had deep-vein obstruction. Fifteen (68%) limbs were able to tolerate 4-layer bandaging, five (23%) could tolerate 3-layer bandaging and two limbs (9%) could only tolerate class 2 compression hosiery. The overall 1-year healing rate was 55%. There were no serious complications from bandaging. Conclusions a protocol of incremental compression bandaging is safe in ulcerated legs with deep-vein obstruction and produces healing in up to 55% of cases.</abstract><note type="content">Section title: Regular Article</note><subject lang="en"><genre>Keywords</genre><topic>Venous ulceration</topic><topic>Deep-vein obstruction</topic><topic>Compression bandaging</topic><topic>Continuous flow</topic><topic>Long saphenous vein</topic><topic>Pain.</topic></subject><relatedItem type="host"><titleInfo><title>European Journal of Vascular & Endovascular Surgery</title></titleInfo><titleInfo type="abbreviated"><title>YEJVS</title></titleInfo><genre type="journal">journal</genre><originInfo><dateIssued encoding="w3cdtf">200001</dateIssued></originInfo><identifier type="ISSN">1078-5884</identifier><identifier type="PII">S1078-5884(00)X0023-8</identifier><part><date>200001</date><detail type="volume"><number>19</number><caption>vol.</caption></detail><detail type="issue"><number>1</number><caption>no.</caption></detail><extent unit="issue pages"><start>1</start><end>108</end></extent><extent unit="pages"><start>62</start><end>64</end></extent></part></relatedItem><identifier type="istex">51593C147490C6AE02D6F79B7EED287D627F098D</identifier><identifier type="DOI">10.1053/ejvs.1999.0967</identifier><identifier type="PII">S1078-5884(99)90967-X</identifier><accessCondition type="use and reproduction" contentType="copyright">©2000 Harcourt Publishers Ltd</accessCondition><recordInfo><recordContentSource>ELSEVIER</recordContentSource><recordOrigin>Harcourt Publishers Ltd, ©2000</recordOrigin></recordInfo></mods></metadata><serie></serie></istex></record>Pour manipuler ce document sous Unix (Dilib)
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