title: [Compression therapy of venous leg ulcers in the decongestion phase].
abstract: Compression therapy is the basis for successful treatment in most patients with venous leg ulcers. Concerning compression therapy, the initial phase of decongestion and the following phase of maintenance should be differentiated. While in the maintenance phase (ulcer) stocking systems are now frequently recommended, in the decongestion phase compression bandages are mostly still used, which however are often inappropriately applied. In German-speaking countries, compression therapy with short-stretch bandages has a long tradition. However, their correct application requires good training and monitoring, which is often lacking in daily practice. Less error-prone treatment alternatives are multicomponent systems, some of which have an optical marker for the control of the correct subbandage pressure. In another new type of compression system, which is called adaptive or wrap bandages, the compression pressure can be adjusted using a Velcro fastener. Accompanying intermittent pneumatic compression therapy can also be used in the decongestion phase. Thus, there are now several different treatment options that can be used for the decongestion phase in patients with venous leg ulcers. Often bandages with short-stretch materials are very prone to errors and should in most cases be replaced by other compression systems today. The patient's preference, need, and capability should be considered when selecting the appropriate system for the individual patient.
authors.affiliation: Klinik und Poliklinik für Dermatologie, Venerologie und Allergologie, Universitätsklinikum Essen, Hufelandstraße 55, 45122, Essen, Deutschland. joachim.dissemond@uk-essen.de.
authors.forename: J
authors.initials: J
authors.lastname: Dissemond
authors.affiliation: Klinik für Gefäßchirurgie und Gefäßmedizin, Schwarzwald-Baar-Klinikum, Villingen-Schwenningen, Deutschland.
authors.forename: S
authors.initials: S
authors.lastname: Eder
authors.affiliation: Dermatologische Klinik, UniversitätsSpital Zürich, Zürich, Schweiz.
authors.forename: S
authors.initials: S
authors.lastname: Läuchli
authors.affiliation: , Steinhäusl 126, 3033, Altlengbach, Österreich.
authors.forename: H
authors.initials: H
authors.lastname: Partsch
authors.affiliation: Klinik für Dermatologie, Venerologie und Allergologie, Ruhr-Universität Bochum, Bochum, Deutschland.
authors.forename: M
authors.initials: M
authors.lastname: Stücker
authors.affiliation: Hautarztpraxis, Paula-Modersohn-Platz 3, 79100, Freiburg, Deutschland.
authors.forename: W
authors.initials: W
authors.lastname: Vanscheidt
mesh_terms: D001458:Bandages; D058128:Compression Bandages; D006801:Humans; D011312:Pressure; D014647:Varicose Ulcer / Q000628:therapy
keywords: Adaptive Velcro bandages; Compression therapy; Decongestion phase; Multicomponent bandage systems; Venous leg ulcer