Experience in the Use of Hydrogel Wound Dressings to Stimulate Regenerative Processes of Healing of Venous Ulcers in Patients with Chronic Venous Insufficiency


  • I.I. Arseniy SI «Institute of General and Emergency Surgery named after V.T. Zaitsev of NAMS», Kharkiv, Ukraine




chronic venous insufficiency, trophic ulcer, hyaluronic acid


This article presents the experience of complex treatment of trophic ulcers of venous etiology using of the adsorption bacteriostatic wound coverings in 54 patients. The features of the application of these dressings with their modification as well as the stimulation of regenerative processes using the hydrogel dressings with hyaluronic acid are described. These results suggest that the use of adsorption bacteriostatic wound coverings promotes faster regression of clinical symptoms and closure of venous trophic ulcers and reduces the duration of hospital stay compared to standard treatment. In turn the use of hydrogel wound coverings can reduce pain associated with dressing change and improve the patient’s quality of life.


Амбулаторная ангиология: Руководство для врачей / Под ред. Кириенко А.И., Кошкина В.Н., Богачева В.Ю. — М.: Литтерра, 2007. — С. 257-279.

Богданец Л.И., Березина C.C., Кириенко А.И. Концепция влажного заживления венозных язв // Хирургия. — 2007. — № 5. — С. 60-63.

Ашера Е. Сосудистая хирургия по Хаймовичу: Рук-во для врачей / Под ред. Покровского А.В.: Пер. с англ. — М.: Бином. Лаборатория знаний, 2012. — 685 с.

Кириенко А.И., Богданец Л.И., Кузнецов А.Н. Новые возможности местного лечения венозних трофических язв // Вестник дерматологии и венерологии. — 2000. — № 3. — С. 64-66.

Abbade L.P., Lastöria S. Venous ulcer: epidemiology, physiopathology, diagnosis, and treatment // Int. J. Dermatol. — 2005. — 44 (6). — Р. 449-456.

Araujo T., Valencia I., Federman D.G., Kirsner R.S. Ma­naging the patient with venous ulcers // Ann. Intern. Med. — 2003. — 138 (4). — Р. 326-334.

Ballard K., McGregor F. Avance: silver hydropolymer dressing for critically colonized wounds // Br. J. Nurs. — 2002. — 11 (3). — Р. 206-211.

Daniels S., Sibbald R.G., Ennis W., Eager C.A. Evaluation of a new composite dressing for the management of chronic leg ulcer wounds // J. Wound Care. — 2002. — 11 (8). — Р. 290-294.

Amir O., Liu A., Chang A.L.S. Stratification of highest-risk patients with chronic skin ulcers in a Stanford retrospective cohort includes diabetes, need for systemic antibiotics, and albumin levels // Ulcers. — 2012. — Article ID 767861.

Parsons D., Bowler P.G., Myles V., Jones S. Silver antimicrobial dressings in wound management: a comparison of antibacterial, physical, and chemical characteristics // WOUNDS. — 2005. — 17 (8). — Р. 222-232.

Partsch H., Menzinger G., Mostbeck A. Inelastic leg compression is more effective to reduce deep venous refluxes than elastic bandages // Dermatol. Surg. — 1999. — 25 (9). — Р. 695-700.

Rich A., McLachlan L. How living with a leg ulcer affects people’s daily life: a nurse-led study // J. Wound Care. — 2003. — 12 (2). — Р. 51-54.

Landis S.J. Chronic Wound Infection and Antimicrobial Use // Advances in Skin & Wound Care: The Journal for Prevention and Healing. — 2008. — Vol. 21, № l1. — Р. 531-540.





Original Researches