Combination of hydrocolloid dressing and medical compression stockings versus Unna's boot for the treatment of venous leg ulcers.
BACKGROUND
Various therapeutic approaches have been developed to manage venous ulcers. In this study the effectiveness of a hydrocolloid dressing (Comfeel Ulcer Dressing) in comparison to the Unna boot, the prototype of rigid bandages, was evaluated.


METHODS



METHODS
Prospective, comparative study.


METHODS
University hospital.


METHODS
Sixty patients diagnosed with post-thrombotic chronic venous insufficiency with venous ulcers were randomly assigned to two groups of 30 patients.


METHODS
In group A, the Unna boot, and in group B, hydrocolloid dressing in addition to the elastic compression were used.


METHODS
The two groups were compared in terms of 1) complete healing, 2) weekly wound surface reduction, 3) time to complete healing, 4) performance characteristics (ease-of-use score), 5) pain during application and at home, 6) application time.


RESULTS
The duration of the ulcers was 16.6 +/- 5.8 weeks in group A and 16.9 +/- 6.2 in group B (p >0.05). Previous ulcer recurrence was 74% (20/27 patients) in group A and 73% (19/26 patients) in group B (p >0.05). The initial ulcer size was 6.38 +/- 1.2 cm2 in group A and 6.19 +/- 0.8 cm2 in group B (p >0.05). The complete healing rates were 74.07% (20/27) in group A and 80. 76% (21/26) in group B (p >0.05). The weekly wound surface reductions were 1.28 +/- 0.72 cm2/week and 1.16 +/- 0.38 cm2/week in groups A and B, respectively (p >0.05). The ulcer healing time was 6.85 +/- 3.60 weeks in group A, whereas it was 6.65 +/- 3.31 weeks in group B (p >0.05). Ease-of-use score was 9.04 +/- 2.38 in group A and 17.27 +/- 3.27 in group B and the difference was significant (p <0.0001). A higher degree of pain was reported by the patients who were treated with the Unna boot, both during application (group A 3.69 +/- 1.35, group B 1.88 +/- 1.48, p <0.0001) and at home (group A, 3.27 +/- 1.08, group B, 1.88 +/- 1.11, p <0.0001). The average time spent on Unna boot changes was 150.59 +/- 34.73 min, compared to 134.54 +/- 43.39 min in group B (p >0.05).


CONCLUSIONS
These results demonstrate the superiority of hydrocolloid dressing plus elastic compression treatment in terms of patient convenience.
Koksal
Cengiz
C
SSK Sureyyapasa Thoracic and Cardiovascular Disease Hospital, Turkey. cengizkoksal@hotmail.com
Bozkurt
A Kursat
AK
D000328:Adult; D000368:Aged; D001458:Bandages; D047070:Bandages, Hydrocolloid; D002908:Chronic Disease; D003102:Colloids / Q000627:therapeutic use*; D005260:Female; D006801:Humans; D007871:Leg Ulcer / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D012008:Recurrence; D018709:Statistics, Nonparametric; D014647:Varicose Ulcer / Q000628:therapy*; D014945:Wound Healing
D003102:Colloids