What is it about?

The case study described in this article shows the use of different approaches and techniques that need to be utilised when treating patients presenting with a combination of venous and lymphatic disease (lymphovenous) in order to improve complex wound outcomes. T

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Why is it important?

A continuous flow of lymph is required to fight bacteria and prevent infection by recognising lymphatic disease in patients with venous ulcers we can ensure that we reduce the problems of hard protein rich oedema which effects the movement of fluid and increases infection and can increase the risk of recurrent ulceration and cellulitis leading to chronic wounds . If we target the lymphatic system in our treatment regimes it can lead to improved outcomes .


Leg ulcer care costs are increasing with very little progress being made with complex chronic wounds therefore concentrating on changing our assessment and treatment techniques to include lymphoedema can significantly improve healing outcomes. Therefore I hope this article stimulates clinicians to understand the lymphatic system more and the tole that it plays in wound healing.

Julie Stanton
Pioneer Wound healing and lymphoedema centres

Read the Original

This page is a summary of: Implementing a new regimen to manage a difficult-to-heal lymphovenous leg ulcer, British Journal of Nursing, August 2023, Mark Allen Group,
DOI: 10.12968/bjon.2023.32.15.s20.
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