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Poster EBP-002

Benefits of Novel Textile and Short Stretch bandaging on Venous Wounds

Tia C Gray, PTA, CLT, CWT

Delilah Easom, MD – MD, Wound Care, Mercy

Symposium on Advanced Wound Care Spring Spring 2022

Background: Phlebo-lymphedema occurs as a result of chronic venous insufficiencies in the venous values failing t prevent retrograde flow of venous blood during muscle pump activity. This in turn increases blood capillary pressure and net filtration triggering the lymphatic system's safety factor. Without treatments, dynamic insufficiency occurs and over time results in damage to the lymphatic system and a reduced transport capacity of the lymphatic vessels.

Compression therapy remains the cornerstone of management for patients with chronic venous insufficiency and recurrent venous legs ulcers. Compression therapy delivers static force to skin regulating cell gene expression to synthesize proteins required for clearing dermatitis and healing wounds,

EdemaWear is especially effective when used as a contact layer on edematous skin and non-healing wounds. Fuzzy Whale technology (EdemaWear), which is a novel textile that delivers compression under a series of longitudinal ridges running parallel to the limb preventing a tourniquet effect that could interfere with limb circulation and lymphatic drainage. Compression bandaging (Low stretch bandages) provides both compression and resistance using a high working, low resting pressure to stretch, thereby increasing venous and lymphatic return.

The use of graduated compression bandages, edema wear, and foam based wound dressing were used for the treatment of venous leg ulcers. Case studies (n=2), with photos before, during , and after will clearly demonstrate the tissue deformation produced and clinical healing progression that followed the incorporation of the augmented compression, textile as a direct interface with the wound combined with standard short stretch compression bandaging and foam based wound dressing. details of the case included, comorbidities, life/day to day challenges, previous treatment intervention and detailed treatment application will be included.

References

Peer Review Publications 2020R Gary Sibbald et al, "Evaluation of Longitudinal and Tubular Compression Treatment for Lower Limb Edema "Advanced in skin & Wound care, December 2020

Suzie Ehman et al, Experimental Simulation Study to Assess Pressure Distribution of Different Compression Application Applied Over an Innovative Primary Wound Dressing" Wounds, August 2020

Matthew Livingston, "Skin & Wound Management Under the Wraps" Today's Wound care, November/December 2012 S EN 13726-1:2002-Test methods of Primary Dressings.Part 1: Aspects of absorbency. Section 3.2.2.

Bishop, SM et al. 2013. A comparison of the vitro bio-physical performance characteristics of silicone foam dressings used in wound management. *ConvaTec product bullentinS EN 13726-1:2002. test methods of primary wound dressings. Part 1: Aspects of absorbency. Section 3.2.2.

Bishop, SM, et al. 2013. A comparison of the vitro biophysical performance characteristics of silicone foam dressings used in wound management. *ConvacTec product bulletin

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