Abstrak:
Complexity venous vascular disease the leading is chronic venous insufficiency (CVI) and worse condition in C6 (active ulcers) CEAP classification. CVI lead diminished quality of life and not productivity more than 150.000 new patient in USA yearly. Complication CVI the highest grade is venous leg ulcers. Venous leg ulcers (VLUs) defined as open skin lesion between knee and ankle join that remain unhealed for at least four weeks as stasis ulcers causes of venous incompetence valve. VLUs estimated healing time in European country is 13 months, seriously problem is recurrence rate to 60% in a year. VLUs category hard to heal, the annual US Payer burden for VLUs is estimate at $14.9 billion. Given Compression therapeutic therapy (CTT) positively impact wound healing VLUs and support treatment has health on quality of life, vary widely healing rate 40% to 95% with CTT. CTT is gold standard for support healing in VLUs after select appropriate dressing to apply. CTT need high pressure more than 40mmhg and have 3C principles: comfort, continuous and consistence. Method show case a man 75 y.o ulcer inside left leg malleolar 7 months, itching, changed skin color and cramp. DUS examination: Severe CVI GSV to malleolar sinistra, reflux valve vein, no DVT. C6, Ep, As, Pr Classification. ABPI test 0.8. Wound Assessment finding biofilm colony wound bed, size 6cm X 5cm, dry skin periwound. Wound care management adopted from moist wound healing, application 3C principles high pressure bandaging as gold standard procedure VLUs. Patient rejected laser ablation therapy. Result healing time 12 weeks with support 3C principle CTT. Conclusion appropriate dressing selection case VLUs need skill set. CTT are gold standard to supporting valve vein incompetence lower leg. Three principles comfort, continuous and consistence pressure to support treatment for healing wound VLUs.
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