Abstract
Introduction: The benefit of intermittent pneumatic compression (IPC) for the prevention of venous thromboembolism and lymphedema has been well established in the literature. Recent evidence suggests that IPC plays a beneficial role in circulation, hemodynamic peripheral pump, intravascular coagulation and arterial skin perfusion. Despite such evidence, the use of IPC in the treatment of resistant and chronic venous leg ulcers, has received little attention in practice. Case Presentation: We would like to report the case of successfully treated chronic and bilateral venous leg ulcer in an obese patient with IPC application and a review of the literature. Results: The use of IPC as an adjuvant therapy to the traditional multilayered compression therapy permitted significant resolution of the ulcers, reduced secondary infection incidence and prevented ulcer recurrence. Conclusion: In obese, minimally mobile patients with venous ulcers not responding to the traditional multilayered compression therapy application of IPC, an adjuvant therapy is recommended.
Highlights
IntroductionChronic leg ulcers are a common condition that affects 3% to 5% of the aging population (>65) and results in poor quality of life
The benefit of intermittent pneumatic compression (IPC) for the prevention of venous thromboembolism and lymphedema has been well established in the literature
There are a number of variations in the application of intermittent pneumatic compression, using single or multiple sleeves or by using different types of pumps and compression cycles
Summary
Chronic leg ulcers are a common condition that affects 3% to 5% of the aging population (>65) and results in poor quality of life. Venous disease contributes to 72% of chronic leg ulcers, where as mixed arterio-venous disease (14.5%), arterial insufficiencies and other medical conditions play a less attributing role (Table 1). Their care demands a wide range of input from various specialties on an inpatient and outpatient basis (topical agents, dressings, multilayered compression bandages, graduated compression stockings, vein stripping and skin grafting). We would like to report a successfully treated case of a chronic and bilateral lower limb venous ulceration in an obese patient using intermittent pneumatic compression (IPC) as an adjuvant therapy to the traditional multilayered compression dressing
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