An Innovative Approach for the Management of DVT Ulcer- A single case study

Abstract

Venous Ulcer Occurs due to increased venous hydrostatic pressure. It generally manifests on the medial side of lower one third of the leg in case of long saphenous varicosity and on the lateral aspect of lower leg in case of short saphenous varicosity. Venous ulcer is known as Gravitational ulcer and it is challenging problem in medical field. Leech therapy is an ancient way of treatment of various chronic wounds and skin disorder, which has been used in this study. The four-layer bandage system is mainly used in the management of venous ulcer which achieves healing in patients of both Deep, Superficial Venous Ulcers (DVT and Varicose Ulcers), is also used in this case. Our aim is to develop an effective new approach for the management of venous ulcer.
In this case study a patient of DVT Ulcer was treated with Leech Therapy and 4- Layer Bandage which shows significant improvement within 6 weeks of treatment. Leech therapy and 4-layer bandaging helps to improve blood circulation at the site of ulcer and reduces the venous stasis respectively which promotes the wound healing process in venous ulcer. This study was an observational single case study.
After Leech therapy with 4- LB, proper cleaning & dressing the ulcer healed completely within 6 weeks of treatment.
Discussion: Leech therapy corrects venous hypertension, reduces venous congestion. All the biochemical effect of medicinal Leech saliva prevents leakage of proteins and isolation of extra cellular matrix molecules and other healing factor and allows for healing of the wound. Along with Leech therapy, daily cleaning and dressing with compression bandage promotes wound healing by formation of new healthy tissue.