People living with chronic oedema and VLUs want to engage fully in everyday activities - without feeling uncomfortable or self-conscious about what’s on their legs and feet. 3M can help manage challenges related to VLUs.
Venous Leg Ulcers are the most common type of lower extremity wound, afflicting approximately 1% of the western population during their lifetime.1 VLUs also represent a significant burden for patients and healthcare systems.2
3M can help you manage challenges related to Venous Leg Ulcers and improve patient outcomes so that people can fully engage and participate in normal everyday activities.
Resources required to manage VLUs and associated comorbidities cost the NHS £941.1 million.3
26-69% of healed VLUs reoccur within the first 12 months of closure.4
28% of patients experience > 10 VLU episodes in their lifetime.5
Venous leg ulcer management includes a combination of best-practice skin and wound care principles with a therapeutic goal of reducing chronic oedema and promoting wound healing.6,7,8 In 2015, Wounds International published a simplified approach to venous leg ulcer care. The consensus document simplified the assessment and management of venous leg ulcers into three main steps, or an ABC model of care.22
A comprehensive assessment should be taken to ascertain past medical history, current mobility, pain levels, nutrition, home and work environments, caregiver/family involvement and patient concerns.
Reducing the pain and discomfort of VLUs includes best practice skin and wound care and managing chronic oedema, which can help in managing VLUs.
When sufficient pressure is applied to a patient’s calf with compression therapy, it can result in reduced venous ambulatory hypertension and venous pooling, reduced chronic oedema and inflammation, improved venous and lymphatic return, and reduced leg pain.10,11,12,13
Maintaining an optimal wound environment has been shown to play a key role in the promotion of wound healing. Best practice guidelines support the use of advanced skin and wound care products as important aspects of standardized wound care practices.1,2
3M's comprehensive portfolio of solutions spans the entire spectrum of advanced wound care and skin integrity needs. From dressings that can manage exudate or provide a barrier to bacterial contamination, to products that help protect your patients’ skin, 3M gives you the effective solutions and supports your wound care patients' needs to help encourage healing and help them get back to their lives.
Find solutions below based on the type of wound care application you require.
The 3Mᵀᴹ Cobanᵀᴹ 2 Two-Layer Compression System provides effective compression therapy, which has been shown to contribute to effective VLU management through oedema reduction, decreased pain and improvement in a patient’s daily activities.2,14 A retrospective analysis of the records of 675 patients who had newly diagnosed venous leg ulcers compared Coban 2 Compression System to two other compression systems. Treatment with Coban 2 Compression System demonstrated better health related quality of life.15
3M™ Coban™ 2 Two-Layer Compression System
The Coban 2 Compression System is easy to apply and remove, and delivers sustained therapeutic compression, to treat a range of conditions including venous leg ulcers and chronic oedema. Coban 2 Compression System is indicated for use with an ABPI (Ankle brachial pressure index) > or equal to 0.8 and < or equal to 1.2.
3M™ Coban™ 2 Lite Two-Layer Compression System
The Coban 2 Lite Compression System is engineered to stay in place and deliver comfortable, effective, light compression for patients with ankle brachial pressure index (ABPI) greater than or equal to 0.5. Or for patients that cannot tolerate high compression.
Skin damage such as maceration and erythema are often associated with VLUs. Research supports the routine protection of periwound skin from excess exudate, mechanical trauma, and protection of at-risk, compromised skin as essential steps in VLU wound management and wound bed preparation.16
3M™ Cavilon™ Durable Barrier Cream
Cavilon Durable Barrier Cream is a concentrated, fragrance‑free moisturising barrier cream that creates an invisible, breathable barrier over the skin to moisturise and protect the skin from the irritating effects of bodily fluids.
3M™ Cavilon™ No Sting Barrier Film
Cavilon No Sting Barrier Film helps to protect skin from body fluids, adhesives and friction. The alcohol-free barrier film applies without stinging, and forms a breathable, transparent film for long-lasting protection.
3M™ Cavilon™ Advanced Skin Protectant
Cavilon Advanced Skin Protectant creates a highly durable, ultra-thin barrier that attaches to wet, weepy skin23 and lasts up to seven days23 — providing long-lasting skin protection.
Wound healing starts with addressing underlying issues such as bioburden and inflammation. Effective wound management strategies may include the use of topical advanced wound care products to help address the underlying issues of bioburden and inflammation.
3M™ Promogran Prisma™ Collagen Matrix with ORC and Silver
In the presence of exudate, 3M™ Promogran Prisma™ Matrix transforms into a soft, conformable, biodegradable gel to provide an optimal healing environment that is conducive to granulation tissue formation, epithelialization and rapid wound healing. Using Promogran Prisma Matrix early in the management of VLUs may lead to improved success rates.19
3M™ Silvercel™ Non-Adherent Hydro-Alginate Antimicrobial Dressing
3M™ Silvercel™ Non-Adherent Antimicrobial Alginate Dressing is a non-adherent, hydro-alginate dressing which provides sustained release of silver ions for up to seven days and works effectively against a broad spectrum of wound pathogens, including MRSA, MRSE and VRE.
In order to maintain an optimal wound environment, it’s necessary to manage exudate and provide protection from outside contaminants while also enabling easy application and removal of dressings to facilitate healing.
3M™ Tegaderm™ Silicone Foam Dressing
Tegaderm Silicone Foam Dressings start with a strong-yet-gentle adhesive. A unique multi-layer design absorbs and evaporates moisture away from the skin, helping reduce the potential for skin maceration. It lifts and locks fluid away from the skin, helping to promote an optimal healing environment.
3M™ Kerramax Care™ Super-Absorbent Dressing
Combines a unique wicking layer to distribute exudate throughout the dressing and absorptive polymers that absorb and retain high levels of exudate into a durable yet conformable dressing.
Based on wound assessment and clinical judgment, NPWT may be appropriate for VLU management, and 3M offers a portfolio of proven NPWT options that are indicated in the management of a variety of wounds, including venous insufficiency. Negative pressure wound therapy has been shown to be effective for patients with VLU wounds present for more than 30 days.20,*
*npwt is not indicated for use with compression.
3M™ ActiV.A.C.™ Therapy System
The ActiV.A.C. Therapy System is a portable NPWT device for the mobile patient, with features to help maintain the prescribed pressure at the wound site and detect leaks.
3M™ V.A.C.® Therapy System
V.A.C.® Therapy can help to reduce hospitalization time and the risk of complication, which in turn helps facilitate patient transitions from inpatient to outpatient care settings.
3M™ Veraflo™ Therapy System
Veraflo Therapy combines the benefits of V.A.C.® Therapy with automated instillation and dwell of topical wound solution to provide simulateous cleansing and granulation tissue formation.
3M™ Veraflo™ Cleanse Choice Dressing Kit
The Veraflo Cleanse Choice Dressing features three foam layers to provide application options for wounds with varying depths, and allows for single or duo pad application.
3M™ Snap™ Therapy System
The Snap Therapy System is a disposable NPWT system that combines the simplicity of advanced wound dressings with the proven benefits of negative pressure wound therapy in a discreet design and allows patient mobility.
An 86-year-old woman presented to the clinic for management of a trauma injury measuring over 20cm in length to the lateral right leg following a fall. Previous medical history included anaemia and hypertension. Previous treatment included various dressings, which did aid healing but did not address the underlying disease. A full assessment of the leg and ulcer indicated clear evidence of venous disease with hemosiderin staining and underlying oedema.
The ulcer required exudate management and the limb required oedema reduction. The wound was cleansed and emollients were applied to improve the surrounding skin. 3M™ Kerramax Care™ Super-Absorbent Dressing was applied to manage the exudate and the 3M™ Coban™ 2 Two-Layer Compression System to reduce the oedema. After 2 weeks, the exudate and oedema were sufficiently reduced; the dressing regimen was changed to a non-adherent dressing. The Coban 2 Layer Compression System was continued. The wound was almost healed at 12 weeks. At that point the compression system was discontinued, and a 2-layer hosiery kit was implemented with a foam dressing. The wound progressed to complete healing after 15 weeks.
Final comments The patient reported that combination of the Kerramax Care Dressing and Coban 2 Layer Compression System was very comfortable; the low profile allowed her to continue wearing her usual footwear. The compression system did not slip during wear and was easy to remove at the weekly check-up visits. The recommended long-term management plan would be to wear compression hosiery; however, this patient declined. She did agree to continue to moisturise her skin with emollients to reduce the risk of skin breakdown.
As with any case study, the results and outcomes should not be interpreted as a guarantee or warranty of similar results. Individual results may vary depending on the patient’s circumstances and condition.
Patient data and photos courtesy of Robert J. Snyder, DPM, MBA, MSc, CWSP, FFPM RCPS (Glasgow), Barry University School of Public Medicine.
Feel confident about the VLU treatment you select for your patients. Across eight case studies published by Wounds International, the efficacy of 3M™ Kerramax Care™ Super-Absorbent Dressing and 3M™ Coban™ 2 Two-Layer Compression System were evaluated.
The products demonstrated positive clinical performance for patients with venous leg ulcers (VLUs) across different care settings.
A recent study of 2,400 patients concluded treating newly diagnosed venous leg ulcers (VLU) with Coban 2 Compression System instead of KTwo® and Actico® appears to afford a more cost-effective use of NHS-funded resources in clinical practice. Use of Coban 2 Compression System reduced the estimated total cost of leg ulcer management per VLU by 16% over 12 months.
There is an easy, quick end effective folding technique when applying Kerramax Care Super-Absorbent Dressing, particularly in combination with compression therapy such as 3M™ Coban 2™ Two-Layer Compression System. The video shows how in 45 seconds.
The combination of the Kerramax Care Super-Absorbent Dressing and Coban 2 Compression System is designed to help clinicians and patients with the management of Venous Leg Ulcers (VLUs). In this supplement, eight cases are presented evaluating the clinical performance of the Kerramax Care Super-Absorbent Dressing and Coban 2 Compression System on various patients with VLUs being treated in different care settings.
Deepen your clinical expertise with training opportunities and educational resources designed especially for you.
3M webinars and archived events keep you up to date with the latest product guidelines and scientifically supported standards of care.
4 x 1-hour modules including anatomy and physiology, differential diagnosis, Ankle Brachial Pressure (ABPI) and an introduction to compression therapy.
View or download the following resource guides to get step-by-step instructions on how to apply compression therapy for a variety of patients using the Coban 2 Compression System.
Download the following resource guides to get step-by-step instructions on how to apply compression therapy for a variety of patients using the Coban 2 Compression System.
Explore this full-leg application guide for the Coban 2 Compression System including materials and positioning, compression therapy instructions, and bandage removal.
This application guide is for the Coban 2 Compression System on patients with extreme leg contours.
See how to apply the Coban 2 Compression System on patients with very thin legs and vulnerable bony prominences.
Share the following resources with your patients to provide guidance and help answer questions regarding VLUs.
This guide provides an overview of what your patients need to know about the causes, risks, prevention, treatment and trouble signs associated with VLUs and compression therapy.
Important information: Patients should consult with their healthcare provider regarding their special conditions and treatments in addition to the information provided in this guide.
When pressure injuries can’t be avoided, establish a standard of care that treats the whole patient. 3M can help with solutions to support therapy goals established between you and your patients.
Your patients count on you to help them stay out of the hospital and reduce the pain and discomfort caused by diabetic foot ulcers. We offer negative pressure wound therapy (NPWT), advanced wound dressings, and skin integrity solutions to help your patients on their journey to healing.
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Note: Specific indications, contraindications, warnings, precautions and safety information exist for these products and therapies. Please consult a physician and product instructions for use prior to application. This material is intended for healthcare professionals.