Venous leg ulcer dressing

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Read Emuaid's Story About One Simple Trick to Heal, Heal & Heal Your Wound. Emuaid© Gave Me My Life Back. I Am So Thankful For This Amazing Product Browse Our Huge Selection Of Discount Wound Dressing Products. Shop & Save Now The cornerstone of treatment for venous leg ulcers is compression therapy, but dressings can aid with symptom control and optimise the local wound environment, promoting healing There is no evidence to support the superiority of one dressing type over another when applied under appropriate multilayer compression bandagin Compression therapy, in the form of bandages or stockings, is considered to be the cornerstone of venous leg ulcer management. Dressings are applied underneath bandages or stockings with the aim of protecting the wound and providing a moist environment to aid healing

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The type of dressing used on a venous ulcer has little influence on healing when adequate compression is achieved. 19 Wound dressings that create and maintain a clean, moist microenvironment are considered optimal for wound healing for basic leg ulcer management There are many different types of bandage or elastic stockings used to treat venous leg ulcers, which may be made in 2, 3 or 4 different layers. The application of a compression bandage is a skilled procedure and should only be done by trained healthcare staff. The bandage is changed once a week, when the dressing is changed Compression therapy is considered the gold standard of care for prolonged treatment of venous ulcers. Compression therapy goals include edema management, venous reflux improvement, and enhanced healing. 1,2 Compression therapy can consist of one layer to various layers. 3 Elastic: bandages conforming to the size and shape of the leg

Venous leg ulcers are a common and recurring type of chronic wound. Compression therapy (bandages or stockings) is used to treat venous leg ulcers. Dressings that aim to protect the wound and provide a moist environment to aid ulcer healing are applied beneath compression devices. Foam dressings are one of several types of dressing available Doctor-prescribed advanced wound care dressings are vital to the healing of chronic leg ulcers. For patients coping with vein disease, diabetes, osteoarthritis, and other diseases that compromise the circulatory system, leg ulcers represent a potentially serious risk that could lead to health complications. According to American Family Physician, venous ulcers are the most common type of lower. Background: The efficacy of honey as a treatment for venous ulcers has not been evaluated, despite widespread interest. This trial aimed to evaluate the safety and effectiveness of honey as a dressing for venous ulcers. Methods: This community-based open-label randomized trial allocated people with a venous ulcer to calcium alginate dressings impregnated with manuka honey or usual care The given paper is devoted to the investigation of treatment methods for venous leg ulcers (VLUs) focusing on foam dressings. The major advantage of this type of advanced dressing is that it is highly absorbent and, therefore, may reduce the risk for maceration of peri-ulcer skin and does not require a secondary dressing

Urgo Medical North America, 3801 Hulen Street, Suite 251, Fort Worth, TX 7610 Venous ulcers are open skin lesions that occur in an area affected by venous hypertension.1 The prevalence of venous ulcers in the United States ranges from 1% to 3%.2, 3 In the United States, 10%. Background: Venous leg ulcers (VLUs) have a history of prolonged wound healing and high rates of recurrence.1,2 Venous insufficiency, an underlying cause of VLUs, can lead to fragile periwound skin prone to breakdown and medical adhesive-related skin injury.1 VLU periwound skin was examined in 5 patients following use of zinc barrier cream or elastomeric skin protectant* with topical wound.

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  1. Diabetic foot ulcers with features of infection require prompt treatment with a combination of a topical antimicrobial dressing and systemic antibiotics. 15 Atypical leg ulcers are characterised by more proximal locations and may occur despite palpable distal pulses
  2. Venous ulcers (open sores) can occur when the veins in your legs do not push blood back up to your heart as well as they should. Blood backs up in the veins, building up pressure. If not treated, increased pressure and excess fluid in the affected area can cause an open sore to form. Most venous ulcers occur on the leg, above the ankle
  3. bandaging should be used for treating venous leg ulcers. Silver and honey dressings should not be used routinely. Graduated compression hosiery is recommended to prevent recurrence of venous leg ulcers. The evidence that the SIGN recommendations were based on is updated by the evidence outlined below
  4. OF VENOUS LEG ULCERS Debridement describes any method that facilitates the removal of dead (necrotic) tissue, cell debris or foreign bodies from a wound (O'Brien, 2003). It is regarded as an essential part of wound bed preparation, as it enhances the potential for a wound to heal. Dead tissue in the wound not only physically prevents the.
  5. Venous Ulcer Treatment: A Practical Primer. Chronic venous ulcers—also known as stasis ulcers or venous leg ulcers (VLU)—likely represent the majority of chronic wounds seen in a typical wound care clinic. As great as 70 percent of lower extremity wounds are venous with a recurrence rate up to 90 percent
  6. Venous leg ulcers are most commonly found below the knee and above the ankle. The leg may become swollen, heavy or aching, causing the skin surrounding the ulcer to become dry, itchy, and sometimes brownish in color. For information regarding product availability in your market, please contact your local Acelity/KCI representative here
  7. In severe cases, the lower leg may have to be amputated. Treatment for chronic venous leg ulceration includes: cleaning the wound - using wet and dry dressings and ointments, or surgery to remove the dead tissue specialised dressings - a whole range of products are available to help the various stages of wound healing

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  1. A healthcare professional with expertise in wound management (such as a district nurse or tissue viability nurse) should be involved in the cleaning and dressing of a venous leg ulcer. Ensure that the ulcerated leg is washed normally in tap water and carefully dried
  2. The prevalence of leg ulcers is increasing 5.Data estimate 1.5% of the adult population have an ulcer and about 80% of all leg ulcers are venous leg ulcers 5.The cost of treating leg ulcers is estimated to be around £2 billion per year in the UK 8.It is essential that they are diagnosed and treated as soon as possible to achieve the best outcome for the patient and reduce the economic burden.
  3. e the choice of dressing. (Grade B) • All dressings should be accompanied by best practice wound care. (Grade A) • Best practice in the management of venous leg ulcers also involves the application of compression therapy. (Grade A
  4. Venous leg ulcers are often painful, both during and between dressing changes, and during surgical removal of dead tissue (debridement). Dressings, topical creams and lotions have been promoted to reduce the pain of ulcers. Two trials tested a dressing containing ibuprofen, however, the pain measures and time frames reported were different
  5. A venous leg ulcer is an open sore that can catch an infection from microbes very quickly. It is important to keep it clean at all times. Advanced Wound Care Dressings (AWC Dressings) can help keep them free from infection as well as aid in faster wound healing. After dead (necrotic) tissue is removed and the wound is cleaned, it should be covered with a light, wound healing dressing
  6. Dressings 1,3. Moisture balance: select a dressing that will be able to absorb the exudate from the ulcer; venous ulcers typically have high levels of exudate. Most dressings can be worn under compression therapy wraps; ensure that the exudate is controlled with the dressings selected. Exudate must be managed to avoid peri-wound maceration
  7. Leg ulcers usually occur secondary to venous reflux or obstruction, but 20% of people with leg ulcers have arterial disease, with or without venous disorders. Between 1.5 and 3.0 in 1000 people have active leg ulcers. Prevalence increases with age to about 20 in 1000 people aged over 80 years. We.

Patient-Centered Concerns Numerous articles on the pathophysiology of venous leg ulcers indicate that pain is a major concern for patients and practitioners.11,24 In an effort to address this issue, one facility established a program in an outpatient clinic to reduce pain during dressing changes.25 As part of this program, a minimally directed. Lower extremity venous disease affects millions of Americans and may ultimately lead to open, draining wounds that adversely affect quality of life. However, there are exciting developments in early diagnosis, prevention and treatment of venous leg ulcers (VLUs). On the treatment side, there are more choices now than ever before in compression products, which is greatly improving the patient.

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Venous leg ulcers (VLUs) are defined as open lesions between the knee and ankle joint that occur in the presence of venous disease.They are the most common cause of leg ulcers, accounting for 60-80% of them. The prevalence of VLUs is between 0.18% and 1%. Over the age of 65, the prevalence increases to 4%. On an average 33-60% of these ulcers While the leg ulcer was present, nurses visited twice a week to renew the dressing and apply freshly laundered compression hosiery. The ulcer is now healed, but Ms Brown's leg requires ongoing compression hosiery to reduce the risk of venous hypertension and subsequent recurrence of ulceration

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  1. 34 OstomyWound Management ABSTRACT Chronic venous insufficiency is the most common cause of leg ulcers. Its incidence increases as the population ages. Managing venous leg ulcers involves treating the cause, optimizing local wound care, and addressing patient-centered concerns. The cor-nerstone of the diagnosis of chronic venous insufficiency.
  2. of venous leg ulcers: results of a randomised, controlled trial. International Wound Journal. 2008; 5(2): 172-182. • NICE (2019). Medical Technologies Guidance 42 (MTG42) UrgoStart for treating diabetic foot ulcers and leg ulcers
  3. Initial wound assessment Size of wound Length mm Width mm Depth mm Venous Leg Ulcer treated with a silicone foam dressing Bernd von Hallern, DGKP, Praxis Dr.R.v.d. Daele 145. 65. 4. A patient with a recurring venous leg ulcer overthe last 40 years. The wound occurred for the first time after a fractureof the left lowerleg. A thrombosis in the.
  4. While compression is the most important component for venous leg ulcers, some ulcers produce very high amounts of exudate, especially during the first 1-2 weeks of treatment. For these cases Allevyn * Non-Adhesive can be used - a state of the art hydrocellular foam dressing which absorbs large amounts of exudate and also helps to create a.

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dressing family under compression. S2 Shared care in venous leg ulcer management role of superabsorbents Declaration of interest: this supplement was commissioned and supported by HARTMANN. Leanne Atkin, Shauna Chaplin, Sian Davies, Delm Finally, in a prospective, randomized trial from 1997 14 venous leg ulcers in 133 patients were treated with one of three dressings: 1) zinc paste bandages combined with compression; 2) zinc oxide-medicated stockings; 3) alginate dressings. 14 The authors reported that ulcers healed significantly faster (P<0.05) with the zinc paste bandages and. Wound Cleansers We suggest that venous leg ulcers be cleaned initially and at each dressing change with a neutral, nonirritating, nontoxic solution, performed with a minimum of chemical or mechanical trauma Since phases 1 and 2 of wound healing are severely impaired in chronic insufficiency of the leg veins, most venous leg ulcers do not reach the third phase without supportive wound treatment. In this last phase, too, the wound must have a balanced level of moisture and the dressing must not be allowed to adhere to the tender, young skin

Effectiveness of Dressings for Healing Venous Leg Ulcers

Objective . To compare the efficacy and cost-effectiveness of simple nonadherent dressings with other more expensive dressing types in the treatment of venous leg ulcers. Study Design . Retrospective cohort study. Location . The leg ulcer clinic at the University Hospital of South Manchester. Subjects and Methods . The healing rates of twelve leg ulcer patients treated with simple nonadherent. Because venous leg ulcers are associated with high levels of exudate that contain proteases and inflammatory cytokines that may damage surrounding healthy skin, current guidelines recommend the use of wound dressings that manage wound exudate while maintaining a moist wound bed Most leg ulcers are due to venous insufficiency and should respond well to simple dressings and adequate compression. But some leg ulcers will be complicated by an inadequate arterial supply, and a proportion may be due to unusual conditions, such as skin cancers, or dermatological conditions, such as pyoderma gangrenosum

Hartmann (2008) says venous leg ulcer is a chronic wound with a poor or absent healing tendency and that chronic wounds like venous leg ulcer also heal in a phase-specific manner. Regardless of the type of wound and the extent of tissue loss, every wound healing process proceeds in phases which overlap in time and cannot be separated from each. nity pharmacies meant dressings were not Keywords Community/Venous leg ulcer/Lower-limb assessment/Doppler Key points Delays in lower-limb assessments can result in inappropriate treatment of venous leg ulcers An assessment algorithm and a treatment pathway can help to standardise venous leg ulcer care Newly qualified nurses taking on community. More of venous leg ulcer healing, for alternative dressings and topical agents [see this blog on this review]. Protease-modulating matrix (PMM) treatments It is thought that one cause of non-healing of chronic ulcers is prolonged high concentrations of proteases (enzymes that break down proteins into peptides and amino acids) in the wound Leg ulcers are of huge socio-economic importance costing the NHS over one billion pounds per year. There are in excess of 100,000 active venous ulcers in the UK at any one time, 80% of these have treatment that is based in the community. A leg ulcer is not a diagnosis; it is a manifestation of an underlying disease process and so the concept should be of the patient with the leg ulcer

About venous leg ulcers. A leg ulcer is a long-lasting (chronic) sore that takes more than 4 to 6 weeks to heal. They usually develop on the inside of the leg, just above the ankle. The symptoms of a venous leg ulcer include pain, itching and swelling in the affected leg. There may also be discoloured or hardened skin around the ulcer, and the. Clinical Relevance. VLUs are the most common leg ulcers, with a prevalence of 1.69% in the elderly population. 1 Their economic burden in the United States has been estimated at $14.9 billion annually. 2 VLUs are linked to venous insufficiency, a slow-progressing chronic disease. They are chronic and recurrent by nature, with associated morbidity and reduced quality of life. 3 Cases are often. According to Vowden (2010), there are four phases to effective leg ulcer management: assessment, treatment, review of progress and management of the healed ulcer. [ 4] Hartmann (2008) says venous leg ulcer is a chronic wound with a poor or absent healing tendency and that chronic wounds like venous leg ulcer also heal in a phase-specific manner Venous ulcers are wounds that are thought to occur due to improper functioning of venous valves, usually of the legs (hence leg ulcers).: 846 They are the major occurrence of chronic wounds, occurring in 70% to 90% of leg ulcer cases. Venous ulcers develop mostly along the medial distal leg, and can be painful with negative effects on quality of life.. Dealing with the impact of venous leg ulcers (VLUs; Box 1) is challenging for both patients and health professionals.The typical clinical picture of long-term cyclical healing and recurrence has a profound negative physical and psychosocial impact on patients, is a significant burden on limited NHS funds, and places demands on community nurses' time

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Examination. 80% of all leg ulcers are venous ulcers and a large shallow relatively painless ulcer with an irregular granulating base in the 'gaiter' region of the leg (between the knee and ankle) is likely to be venous in origin [].There may be surrounding stasis dermatitis Leg ulcers. Leg ulcers are a type of chronic wound that may be subclassified into venous, arterial, and diabetic ulcers, depending on the underlying etiologies. These wounds may be colonized by bacteria or show signs of clinical infection, which then delay ulcer healing Subjects with a history of skin sensitivity to any of the components of the study dressings (AQUACEL® Extra™, AQUACEL®, & DuoDERM™ Extra Thin) Subjects whose wounds are considered clinically infected at baseline; Subjects whose leg ulcers are malignant, or who have had recent deep venous thrombosis or venous surgery within the last 3 months The field of venous leg ulcers is shifting towards developing innovative products to provide effective venous leg ulcer treatment procedures. Due to the trend of the adoption of compression therapy for the treatment, such as compression bandages and stockings is anticipated to have the potential in healing the venous leg ulcer at a rapid rate.

A 53-year-old male presented with a draining lateral venous stasis ulcer on his left lower leg that had been present for several months. Patient is a heavy smoker (1 pack a day) with a history of untreated hypertension, arterial compromise, and refused revascularization (ankle/brachial index: .82) Patient assessed as having a venous ulcer on the lower leg Wound bed preparation: • CLEANSE the ulcer at dressing changes (page 35) • Consider DEBRIDEMENT of non-viable tissue (Grade C, page 37) • Consider treating CLINICAL INFECTION (page 38-47) • Select appropriate PRIMARY DRESSING (Grade B, page 47) Prepare the surrounding skin: • CLEANSE the leg at dressing changes (page 35

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venous leg ulcer healing. They are useful for burns but not durable enough for venous leg ulcers. 7b.5 Laser therapy, phototherapy and ultrasound therapy have NOT been shown statistically to improve venous leg ulcers. Systemic 7c.1 Pentoxifylline used in conjunction with compression therapy improves healing of venous leg ulcers Venous leg ulcers Venous ulcers are: • Caused by venous valve incompetence and calf muscle insufficiency which leads to venous stasis and hypertension • A wound below the knee of more than 6 weeks' duration Elderly people, especially women, are particularly at risk of developing venous leg ulcers

Addressing the silent crisis of venous leg ulcers and its impact on patients. 9th January 2020. 12433. Dan Carradice. With the level of spending on wound care in the billions of pounds, both the financial and health-related impact of venous leg ulcers cannot be understated. Dan Carradice (Hull York Medical School, Hull, UK) speaks to Venous. bandaging in venous leg ulcers body image, reduced mobility, and discomfort associated with wearing bulky bandages (Maddox, 2012). COmpREssiON thERApy The 'gold standard' treatment for venous leg ulcers has long been multilayer compression therapy (NICE, 2012). This is a time-consuming and often costly treatment and involves the application o TREATMENT PROTOCOL FOR VENOUS STASIS ULCERS Page 1 of 3 Saskatchewan Lower Extremity Wound Pathway - Venous Stasis Ulcer Treatment Protocol 08.10.2017 Initiate dressing change at 2x per week and adjust frequency as appropriate. Frequency: _____ leg ulcer treatments, protocols, diabetic, wound of open venous leg ulcers in the UK is about 3 cases per 10,000 people, and many people experience recurrent episodes of prolonged ulceration. First-line treatment for venous leg ulcers is compression therapy, but a wide range of dressings and topical treatments are also used Hope for healing your VENOUS LE ULCER 10 11 As you know, treating venous leg ulcers can be challenging, both emotionally and physically. In addition, treatments like Apligraf do not address the underlying health conditions that lead to these types of ulcers. This means that, even after successful treatment of an ulcer, you are still at ris

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The wound care nurse in the clinic recommended the use of Adaptic dressings for the leg ulcer and oral food supplements high in protein, while waiting for the appointment. In April 2000, the patient visited the leg ulcer clinic. Doppler studies were done confirming the diagnosis of venous leg ulcer Your Venous Leg Ulcer Wound Home Skills Kit: Venous Leg Ulcers and Lymphedema | Your Venous Leg Ulcer 4 Venous Leg Ulcers A venous leg ulcer is an open wound between the knee and the ankle caused by problems with blood flow in the veins.1 Blood is carried down to the legs by arteries and back to the heart from the legs by veins The other trial ran- topical analgesic/anaesthetic or dressing and these could be domised a total of 185 patients aged over 18 years with compared with pain relief in connection with venous leg any painful, exuding wound of area at least 1 cm2 and ulceration. compared ibuprofen foam dressing with best local prac- Six trials (total 343. It is standard practice to use compression to treat venous leg ulcers. The early stages of treatment can be challenging to deal with a heavily draining wound. As compression is applied, usually more exude is derived. Several of the Eclypse dressings are specifically designed to accommodate heavy-exudating wounds AND compression therapy Foam Dressings for Venous Leg Ulcers Essay The given paper is devoted to the investigation of treatment methods for venous leg ulcers (VLUs) focusing on foam dressings. The major advantage of this type of advanced dressing is that it is highly absorbent and, therefore, may reduce the risk for maceration of peri-ulcer skin and does not require a.

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Debridement is an integral and usually agreed upon component of wound care in venous ulcers. Ancillary wound care has less consensus. Some advocate wet to dry dressing. Others will prefer advanced wound care. Prevention of Venous Ulcers. Venous ulcers are uncommon. Most chronic venous insufficiency patients do not progress to develop venous ulcers Today, the market offers a number of coatings for the treatment and care of venous leg ulcers, which we divide into three primary groups: passive or non-occlusive, interactive or semi and occlusive dressings, and active or biologic dressings. Biologic wound dressings are platelet products and other growth factors, human skin and human dermal. Venous ulcers are open sores in the skin that occur with sustained venous hypertension and malfunctioning of venous valves. A support stocking is worn over the dressing to hold the dressing in place and improve circulation in the leg and foot. Hydrocolloid Dressings - A hydrocolloid dressing is a special bandage with a breathable outer. Control and heal the wound: medical compression plays an important rule. The primary treatment of a venous leg ulcer includes controlling any infection and healing the wound. This may take several months, depending of the size of the wound. Managing pain and minimizing the edema as well as protecting the healthy skin are important Typically, leg ulceration is a chronic, relapsing condition; venous insufficiency is the most common cause, accounting for most leg ulcers 2, 3. The standard treatment of venous ulcers is compression of the lower leg by tight bandaging or hosiery to reduce hydrostatic pressure in the leg 4

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Introduction. Compression therapy is widely accepted as the gold standard for the management of venous leg ulcers (VLUs), as stated in many countries' clinical guidelines 1-11.Compression can dramatically increase the healing rates of VLUs as well as reduce their risk of recurrence 12, 13.However, despite this acceptance, compression therapy is underused across numerous geographies 14 Chronic venous insufficiency is the most common cause of leg ulceration, in the community.1,2 Major implicating factors for venous leg ulcers (VLUs) include family history, obesity, deep venous thrombosis, and increasing age.3 It is estimated that VLUs affect up to 3% of the adult popula-tion worldwide4 and are a major cause of morbidity an

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Chronic ulceration frequently affects the legs, in association with chronic venous insufficiency (45-80%), chronic arterial insufficiency (5-20%), diabetes (15-25%) and or peripheral neuropathy. About 1% of the middle-aged and elderly population is affected by leg ulceration. Ulcers are often precipitated by minor injury Chronic leg ulceration affects about 1% of the middle-aged and elderly population. It most commonly occurs after a minor injury in association with: Chronic venous insufficiency (45-80%) Chronic arterial insufficiency (5-20%) Diabetes (15-25%) Hypertension. Chronic leg ulcers may also be due to skin cancer, which may be diagnosed by a skin. Secondary dressing with different types of compression bandages48 (three layers, four layers of bandages, for example, Charing Cross method) is crucial to the healing of venous ulcers (these bandages must not be used if there is arterial insufficiency).49 Community based leg ulcer clinics with trained nurses using a four layer bandage is more. Venous leg ulcers are the most common type of leg ulcer, causing about 3 in 4 of all leg ulcers. They affect about 1 in 100 people in the UK at some stage in their lives. Venous leg ulcers become more common as you get older. Most are painless but some are painful. Without treatment, an ulcer may become larger and cause problems in the leg INTRODUCTION. Venous leg ulcers (VLUs) are the most common type of leg ulcer. They are wounds that occur on the leg or foot in the presence of venous disease and remain unhealed for at least 4 weeks. 1 They are mainly caused by incompetence valves in the blood vessels in the leg leading to venous stasis and hypertension. 2 Venous leg ulcers are a chronic condition that can cause pain, exudate.

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Clinicians frequently discussed managing venous leg ulcers using only topical dressing treatments, without compression therapy. Patients reported inadequate pain management for wound pain. Meanwhile, clinicians reported that they generally did not discuss wound pain management as part of overall venous leg ulcer management Venous ulcers develop from damage to the veins caused by an insufficient return of blood back to the heart. Unlike other ulcers, these leg wounds can take months to heal, if they heal at all

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Venous leg ulceration causes misery to patients, who suffer pain, wet dressings/bandages, disappointment with treatment, reduced mobility, loss of sleep, altered body image and, consequently, reduced quality of life (Hareendran et al, 2005). This article looks at one technique for the management of this condition — compression bandaging Justification for choosing the non-adherent dressing as comparison was that it has been shown that it is appropriate management of this type of ulcer and the non-adherent dressings avoid damage to the venous leg ulcer bed and reduce the risk of skin sensitivity. One of the weaknesses listed was the inability to conduct a double-blind trial Venous leg ulcers. Chronic venous diseases are very common. If the disease progresses, varicose veins and symptoms of chronic venous insufficiency occur which already associated with considerable impairment in quality of life. However, chronic venous leg ulcer, an open wound on the leg, is the most severe manifestation of this disorder About Venous Leg Ulcers. Venous leg ulcers are chronic wounds caused by venous insufficiency, most commonly found below the knee and above the ankle. Around 1% of the population are affected by venous leg ulcers and 3% of people over 80 1. Venous leg ulcers are characterized as a break in the skin that has been present for at least six weeks 2 Venous Leg Ulcers Abridged version. October 2011 Australian and New Zealand Clinical Practice Guideline for Prevention and Management of Venous Leg Ulcers CONTENTS Page Select a dressing and topical treatment 20 Dressings 20 Zinc-impregnated bandages 21 Topical pale shale oil 21 Apply compression 2