This article discusses how key qualitative studies investigating patient experiences can act as an indicator of quality and guide healthcare professionals in service development and evaluation in tissue viability. There is a wealth of information available to suggest that leg ulceration affects individuals' quality of life. Commissioners are requesting that clinicians demonstrate quality-based ...

16. Kumins NH, Weinzweig N, Schuler JJ. Free tissue transfer provides durable treatment for large non healing venous ulcers. J Vasc Surg 2000;32:848-54. 17. Steffe TJ, Caffee HH. Long-term results following free tissue transfer for venous stasis ulcers. Ann Plast Surg 1998;41:131-7. 18. Reddy MM, Reddy MD. Role of free tissue transfer in the management of chronic venous ulcer. Indian J Plast Su...

This study aims to demonstrate the analgesic efficacy of electrostimulation (ES), a recognised treatment for leg ulcers. Patients treated by ES for leg ulcers between 2011 and 2013 were included in the study. The pain score obtained with the numerical rating scale (NRS) was reported before the start of the ES (D0), after 3 days (D3) and 1 week following treatment initialisation. The analgesic t...

Background: Behcet’s disease (Silk Road disease), a rare immune-mediated multisystem inflammatory disorder described by intermittent oralaphthae and genital ulcer, backsliding uveitis, mucocutaneous, articular, gastrointestinal, neurological vascular manifestations, with no cure.It is brought about changes in the: a) arteries that flexibly blood to the body tissues b) veins return lungs, rear o...

In this non-comparative clinical evaluation, 36 subjects with venous leg ulcers, 85% of which were indolent or deteriorating, were treated with Urgotul® lipidocolloid wound dressing and the K-Four® multilayer compression bandaging system for 12 weeks or to healing –– whichever occurred first. Results show that Urgotul® was an ideal dressing in combination with K-Four®‚ being easy to apply (98.7...

Phenytoin (diphenlhydantion or Dilantin) is a highly effective and widely prescribed anticonvulsant agent and antiarrhythmic agent in the treatment of grand mal and psychomotor epilepsy. Phentoin was introduced into therapy in 1937 for effective convulsive disorder with a common side effect being gingival hyperplasia. In dermatology due to the stimulatory effect on the connective tissue it is u...

These two case studies report how a cohesive short-stretch bandage was employed to promote venous leg ulcer healing. The two patients were obese and in addition had champagne bottle shaped legs. The cohesive short-stretch bandage was applied following the shape of the leg. By using a cohesive short-stretch bandage this provided bandage stability. This sustained compression resulted in oedema an...

Chronic oedema is a long-term condition as its title suggests. It causes disruption to patients’ lives and can be costly to treat if managed inappropriately. Leg ulcers in patients with chronic oedema occur more frequently than acknowledged by many healthcare professionals. This client group requires a specifi c management plan if the oedema is to be controlled and the ulceration healed. LEG UL...