Conservative and plastic surgical treatment of leg ulcers – Related resources
03.06.2016 • Sonuncu dəyişiklik 16.10.2015
This article is created and updated by the EBMG Editorial Team
Cochrane reviews
- Oral zinc sulphate might possibly not aid healing of leg ulcers, although the evidence is insufficient.
- Daily intermittent high-pressure compression may be more effective than low-pressure compression in treating symptoms of postphlebitic syndrome .
- There is insufficient evidence on electromagnetic therapy for treating venous leg ulcers .
Low level laser therapy is probably not beneficial for venous leg ulcer healing .
- High-frequency ultrasound seems to increase the healing of venous leg ulcers, although the evidence is insufficient .
- Negative pressure wound therapy may be more effective in healing post-operative foot wounds and ulcers of the foot in people with diabetes mellitus compared with moist wound dressings.Small trials provide weak evidence that topical negative pressure may be superior to saline gauze dressing in healing chronic wounds .
- There is insufficient evidence to recommend the use of silver-containing dressings or topical agents for treatment of infected or contaminated chronic wounds .Honey dressings might possibly not increase rates of healing in venous leg ulcers when used as an adjuvant to compression, but the evidence is insufficient. Honey might possibly improve healing times in mild to moderate superficial and partial thickness burns compared with some conventional dressings, but delay healing in partial- and full-thickness burns in comparison to early excision and grafting..
- There is insufficient evidence to determine whether the choice of topical agent or dressing affects the healing of arterial leg ulcers .
- Foam dressings may not be better or worse than other types of dressings for the healing of venous leg ulcers .
- Bilayer artificial skin, used in conjunction with compression bandaging, appears to increases the chance of healing a venous ulcer compared with compression and a simple dressing .
- Alginate dressings might possibly not be more or less effective in the healing of venous leg ulcers than hydrocolloid or plain non-adherent dressings but the evidence is insufficient.
Clinical guidelines
- Management of chronic venous leg ulcers. Scottish Intercollegiate Guidelines Network (SIGN). Guideline No. 120
Literature
- Werdin F, Tenenhaus M, Rennekampff HO. Chronic wound care. Lancet 2008 Nov 29;372(9653):1860-2.