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Kikuhime Device in the Management of Venous Leg Ulcers

Authors Karafa M, Karafova A

Received 27 May 2020

Accepted for publication 7 August 2020

Published 3 September 2020 Volume 2020:15 Pages 1533—1539

DOI https://doi.org/10.2147/CIA.S264567

Checked for plagiarism Yes

Review by Single anonymous peer review

Peer reviewer comments 3

Editor who approved publication: Dr Richard Walker


Marian Karafa, Anna Karafova

Faculty of Physical Education, Gdansk University of Physical Education and Sport, Gdansk, Poland

Correspondence: Marian Karafa
Gdansk University of Physical Education and Sport, Department of Physiotherapy, Kazimierza Górskiego 1, Gdansk 80-336, Poland
Tel +48 883641324
Email marian.karafa@awf.gda.pl

Abstract: The effectiveness of compression therapy in the treatment of venous leg ulcers has been confirmed in many scientific studies. The healing process depends on many of its parameters, such as the type of compression bandages, their elastic properties and sub-bandage pressure. However, there is no standard protocol that would ensure success for all patients. A pressure of about 83 mmHg provides complete compression for both superficial and deep veins; however, applying compression bandages under such high pressure is a difficult task, even for experienced therapists. Here, we present the case of a 61-year-old woman with approximately 2.5-year-old venous ulcer in her left leg due to chronic venous insufficiency (CVI). Our study aimed to show that routine pressure control at each bandage renewal using the Kikuhime device, as well as their twice daily application in the first week of therapy reduced the healing time of a venous leg ulcer with an area of about 20 cm2 to four weeks.

Keywords: venous ulcers, compression therapy, sub-bandage pressure, Kikuhime device

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