Intro; Preface; Compression and Chronic Wounds; Contents; Contributors; Chapter 1: The Public Health Burden of Chronic Wounds Needs a Whole Systems Approach; 1.1 What Principles Underpin Public Health and Its Research?; 1.2 The Health Gap Across England; 1.3 The Social Determinants of Health; 1.3.1 The Burden of Chronic Wounds in England; 1.4 What is the Inequality in Outcome Surrounding Chronic Wounds; 1.5 Principles Behind a 'Whole Systems Approach' to Improving Wound Care
1.6 A Potential 'Whole Systems Flow Model' Applied to Wound Care: The Manchester Amputation Reduction Strategy (MARS Project) 1.7 How Does This Relate to Compression and Chronic Wounds?; 1.8 Summary; References; Chapter 2: Physics of Using Compression to Treat Venous Leg Ulcers and Other Conditions of the Lower Extremities; 2.1 Introduction; 2.1.1 Definitions; 2.1.2 Laplace's Law; 2.1.3 Pascals Law; 2.2 Compression Materials; 2.2.1 Pressure; 2.2.2 Stiffness; 2.2.3 Graduation of Pressure Along a Limb; 2.2.4 Application and Maintenance; 2.3 Effects of Compression
2.3.1 Compression Effects on Venous Circulation 2.3.2 Compression Effects on Arterial Circulation; 2.3.3 Compression Effects on Microcirculation; 2.3.4 Compression Effects on Edema and Tissue Structure; 2.3.4.1 Capillary Filtration; 2.3.4.2 Contractions of the Lymphangion; 2.3.4.3 Tissue Structure; 2.4 Compression Effects in Clinical Indications; 2.4.1 Thromboprophylaxis (Anti-Stasis Action); 2.4.2 Compression After Ablation of Varicose Veins; 2.4.3 Leg-Ulcers, Lipodermatosclerosis; 2.4.3.1 Reduction of Venous Hypertension; 2.4.3.2 Anti-Inflammatory Action
2.4.4 Occupational Edema, Dependency Syndrome 2.4.5 Chronic Edema Due to Systemic Disorders; 2.4.5.1 Is Compression Indicated in Cardiac Insufficiency?; 2.4.6 Chronic Venous Insufficiency, Postthrombotic Syndrome (Venous Edema); 2.4.7 Lymphoedema (Failure of Lymphatics); 2.4.7.1 Therapy Phase; 2.4.7.2 Maintaining Limb Volume; 2.4.8 Compression in Non-vascular Indications; References; Chapter 3: Delivering Compression to Treat Chronic Wounds in the UK & Ireland; 3.1 The Benefits of Compression Therapy for Treatment of Chronic Wounds
3.2 Prevalence of Wounds and Conditions Requiring Compression Therapy 3.3 Burden of Wound Care to Healthcare Systems; 3.4 Different Forms of Compression; 3.5 Compression Bandages; 3.5.1 Inelastic Compression Bandages; 3.5.2 Elastic Compression Bandages; 3.6 Compression Hosiery; 3.7 Adjustable Velcro Wraps; 3.8 General Limitations of Compression Therapy; 3.8.1 Recording ABPI; 3.9 Pressure Application; 3.10 Non-compliance; 3.10.1 Evidence for Compression; 3.11 Controversies in Compression; 3.12 Conclusion; References; Chapter 4: Difficult to Compress Legs with Venous Disease; 4.1 Introduction
0
8
8
8
8
This book evaluates the various evidence-based arguments for the use of compression to treat chronic wounds. It describes the growing health burden caused by these lesions with vast sums spent on wound management and its associated complexities around the world. Since compression is the mainstay of treatment in venous conditions ranging from varicose veins through venous leg ulcers, the authors have also evaluated the use of compression techniques in the successful management of lymphoedema and certain orthopaedic conditions. Compression and Chronic Wound Management provides a balanced text on how to apply scientific knowledge to ensure pragmatic clinical practice. It therefore represents an essential resource for residents, specialists and researchers in wound management, whether they are dermatologist, vascular medicine physicians and surgeons, or orthopaedic practitioners.