The Use of Compression to Treat Venous Leg Ulcers: The Inadequacy of Current Compression Systems Especially in Tropical Nations

  • Harikrishna K. R. Nair


Venous leg ulcers are a chronic problem and the mainstay of treatment is compression bandaging. There are many systems of compression bandaging which include short stretch and four-layer bandaging. However, there is always a problem in these systems when it comes to the usage in tropical nations due to the prevalent heat and the humidity. Level of activity plays an important role. Therefore, the health care professional has to have the knowledge and the training to do it well so there is graduated pressure during static and dynamic activity. In addition, the patients have to be engaged and informed about the compression bandaging system so that they don’t remove it. This is crucial for the management of the venous ulcer. A proper system has to be used to allow venous return and manage the ulcer comprehensively. Proper dressings are also needed according to the wound bed, edge and the peri-wound skin.


Venous ulcer Compression bandaging Tropical nations Knowledge Training Compliance Dressing 


  1. 1.
    Partsch H, Mortimer P. Compression for leg wounds. Br J Dermatol. 2015;173:359–69.CrossRefGoogle Scholar
  2. 2.
    O’Meara S, Cullum N, Nelson EA, Dunville JC. Compression for venous leg ulcers. Cochrane Database Systemic Review. 2013;11:CD000265. Scholar
  3. 3.
    Lazareth I, Moffatt C, Dissemond J, Lesne Padieu AS, Truchetet F, Beissert S, Wicks G, Tilbe H, Sauvadet A, Bohbot S, Meaume S. Efficacy of two compression system in the management of VLUs: Results of a European RCT. J Wound Care. 2012;21:11.Google Scholar
  4. 4.
    Moody M. Comparison of Rosidal K and Surepress in the treatment of venous ulcers. Br J Nurs. 1999;8(6):345–55.CrossRefGoogle Scholar
  5. 5.
    Mazzei S, Mosti G, Collarte A, Dini V, Bahr S, Coulborne A, Hampel Kalthoff C, Zell C, Brambilla R, Abel M. Results of an observation study on thirteen mixed or arterial leg ulcer patients with a new two-component-system (TCS): EWMA 15-17, Copenhagen, Denmark (ID:47688); 2013.Google Scholar
  6. 6.
    Mazzei S, Mosti G, Collarte A, Dini V, Bahr S, Coulborne A, Hampel Kalthoff C, Zell C, Brambilla R, Abel M. Results of an observational study on 102 leg ulcer patients with a new two-component-system.Google Scholar
  7. 7.
    Nair HKR. Compendium of wound care dressing. 4th edn; 2017.Google Scholar
  8. 8.
    Manual of wound care. Malaysia: Ministry of Health; 2014.Google Scholar
  9. 9.
    Nelson EA, Bell-Syer SEM. Compression for preventing recurrence of venous ulcers. Cochrane Database Syst Rev. 2014;9:CD002303. Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Harikrishna K. R. Nair
    • 1
    • 2
  1. 1.Wound Care Unit, Department of Internal MedicineKuala Lumpur HospitalKuala LumpurMalaysia
  2. 2.Department of Surgery, Institute of Medical SciencesBanares Hindu UniversityVaranasiIndia

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