The Use of Two-Layer Infused Compression Systems in Improving Wound and Periwound Tissue Outcomes

Introduction: Chronic venous leg ulcers (VLUs) can be challenging to heal and are often fraught with higher rates of cellulitis and subsequent hospitalizations (1). In addition to the wounds themselves, the fragile periwound skin and surrounding tissue can be just as sensitive and is easily prone breakdown. The sequela of venous disease can manifest itself as venous dermatitis, wound-related pain, or hardening and thickening of the skin. Calamine and zinc infused compression wraps* have the capacity to provide VLUs the edema control required in wound healing as well as the protective factors the periwound skin needs to be soothed, preserved, and moisturized. The compression wraps also provide ease of removal that does not cause pain or damage to the wound or periwound tissue.Methods:A three patient case series was completed for patients with VLUs that were chosen for calamine / zinc infused compression. Each patient was treated with a two-layer infused (calamine or zinc) compression system that was changed by home health or the wound clinic 2-3 times per week. Calamine / Zinc infused wraps were chosen for patients with VLUs that had susceptible periwound skin that had the potential for further breakdown or that required moisture. At clinic visits wound size, healing progression, and condition of peri-wound skin were all assessed.Results:All patients in this case series demonstrated positive wound healing outcomes with no significant complications related to the infused two-layer compression wraps. Positive healing outcomes include wound size decrease, periwound skin improvement, or a combination of both.Discussion: Two-layer infused compression systems provided VLUs the edema management they require for wound improvement as well as providing the periwound skin and surrounding tissue the appropriate protection and nourishment it needs. This case study strongly supports the role of infused two-layer compression wrap systems in healing VLUs and providing gentle support to the often fragile and easily irritated periwound venous skin.       References:1. Venous leg ulcers and prevalence of surgically correctable reflux disease in a national registry - Journal of Vascular Surgery: Venous and Lymphatic Disorders (jvsvenous.org)