Four Layer Bandage Versus Two Layer Bandage in Management of Venous Leg Ulcers

Tawfeek, Hossam Ahmed; Soror, Waleed Abdelbadee; Ibrahem, Mostafa Kamal; Ellithy, Mahmoud Ali

doi:10.21608/zumj.2025.366285.3868

Four Layer Bandage Versus Two Layer Bandage in Management of Venous Leg Ulcers

Document Type : Original Article

Authors

¹ Professor of Vascular Surgery, Faculty of Medicine, Zagazig University, Egypt

² Department of Vascular Surgery, Faculty of Medicine, Zagazig University, Egypt

³ Assistant Professor of Vascular Surgery, Faculty of Medicine, Zagazig University, Egypt

10.21608/zumj.2025.366285.3868

Abstract

Background: Venous leg ulcers are the most prevalent kind of leg ulcers. The key to managing venous ulcers is lowering ambulatory venous hypertension (AVH), which lowers edema and inflammation in the leg and, if kept at optimal venous pressure, promotes ulcer healing and prevents recurrence. Comparing the healing of ulcers treated with compression using two-layer and four-layer techniques was the goal of this study. Methods: This Randomized Control Trial study was conducted at the vascular surgery department Zagazig university hospitals, included 42 patients with venous leg ulcers, 21 were given four-layer (group A) compression therapy, and the other 21 were given two-layer (group B) compression therapy. Outcomes after both therapies were analyzed. Results: We discovered that most patients who received a four-layer bandage for VLU needed more than four weeks of follow-up. Nevertheless, it took more than four weeks of follow-up for all patients using a two-layer bandage for the ulcer to fully heal, the period was statistically significant between the two groups (8.52 ± 2.89 for four-layer group vs.12.92 ± 4.39 for the two-layer group, p <0.001HS). We found that Most of the studied patients within both groups had complete healing by the end of follow-up time 81% of four layers compression group versus 61.9% of other group p = 0.389 NS with no significant difference between them. Conclusion: Compared to a two-layer bandage, a four-layer bandage is more successful at improving the healing status and reducing the size of the ulcer region.

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