Medical: Wake Forest Case Study

Wake Forest Pilots a Study Investigating the Use of Milliken Dressings with Active Fluid Management Technology Under Compression for the Treatment of Venous Leg Ulcers

 Venous leg ulcers (VLU) are highly exuding wounds that require compression therapy to address increased venous hypertension. Dressing choice for this type of wound is extremely important as it must be kept on the wound surface for days under a compression wrap. The dressing must be able to absorb the exudate and maintain moisture balance at the wound dressing interface.

The purpose of the study, “Pilot Study Investigating the Use of Exudate Management Dressing Under Compression for the treatment of Venous Leg Ulcers” by Vlad et al., was to describe outcomes of VLU treatment with TRITEC Silver with Active Fluid Management® (AFM®) technology in combination with compression.

This 10-patient pilot study evaluated TRITEC Silver with AFM® technology under compression for management of venous leg ulcers. Every week the circumference of the calf and wound measurement was recorded. The primary objective was to measure the rate of wound closure using digital planimetry. Secondary objectives were also examined including pain, odor, periwound skin condition, edema and exudate amount. All dressings were applied and covered with ABD pads and compression, and digital photographs were obtained at each visit pre and post debridement. All patients had seven days between visits and were followed for a minimum of four weeks and maximum of 12 weeks depending on wound progression.

After four weeks, a 68% reduction in wound surface area was noticed. One patient was completely healed prior to four weeks and four other patients were experiencing less pain. The clinicians also favored the TRITEC Silver’s ease of use during the application and removal process.

This study concluded that TRITEC Silver with AFM® technology was a useful strategy in conjunction with multi-layer compression therapy for wound healing. The application, management, and removal of the dressing had positive clinical outcomes and good tolerability from both clinician and patient. The study indicated that TRITEC Silver with AFM® technology manages exudate and maintains moisture balance at the wound dressing interface.

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