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THERAPEUTIC GUIDELINES
Year : 2014  |  Volume : 5  |  Issue : 3  |  Page : 396  

Venous leg ulcer: Management aspect in Indian scenario


Department of Dermatology, Rajiv Gandhi Medical College, Thane, Maharashtra, India

Date of Web Publication31-Jul-2014

Correspondence Address:
Vishalakshi Vishwanath
Head of Department, Dermatology, Rajiv Gandhi Medical College, Thane, Maharashtra
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2229-5178.137827

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How to cite this article:
Vishwanath V. Venous leg ulcer: Management aspect in Indian scenario. Indian Dermatol Online J 2014;5:396

How to cite this URL:
Vishwanath V. Venous leg ulcer: Management aspect in Indian scenario. Indian Dermatol Online J [serial online] 2014 [cited 2019 Dec 9];5:396. Available from: http://www.idoj.in/text.asp?2014/5/3/396/137827

In India, many indigenous and traditional home remedies are commonly used including honey, neem oil, Aloe vera. However, there are no evidence based studies to advocate their use in leg ulcers. Honey-impregnated dressings did not significantly improve venous ulcer healing at 12 weeks compared with usual care in a large community-based open-label randomized trial (Level B). [1] Activated charcoal has been tried in malodorous leg ulcers. [2] Boiled potato peel (PP) dressing has been used in chronic leg ulcers (Level D). [3] The PP dressing acts as a barrier, thereby protecting the wound against exogenous agents and secondly the cork layer of the PP prevents dehydration, thereby providing a moist environment which is the single most important factor for wound healing. Honey-impregnated dressings have been used for its antiseptic/antibacterial effects and have shown a favorable outcome in wound healing in burn patients; in comparison to boiled PPs [4] and silver sulfadiazine. [5] (Level C).



 
   References Top

1.Jull A, Walker N, Parag V, Molan P, Rodgers A, Honey as adjuvant leg ulcer therapy trial collaborators. Randomized clinical trial of honey-impregnated dressings for venous leg ulcers. Br J Surg 2008;95:175-82.  Back to cited text no. 1
    
2.Sornakumar L, Kalarani M, Srinivas CR. Activated charcoal dressing in malodorous leg ulcers. Indian J Lepr 2010;82:147-8.  Back to cited text no. 2
    
3.Patange VS, Fernandez RJ, Motla MU, Mahajan SA. Dressing wounds with potato peel. Indian J Dermatol Venereol Leprol 1996;62:286-8.  Back to cited text no. 3
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4.Subrahmanyam M. Honey dressing versus boiled potato peel in the treatment of burns: A prospective randomized study. Burns 1996;22:491-3.  Back to cited text no. 4
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5.Gupta SS, Singh O, Bhagel PS, Moses S, Shukla S, Mathur RK. Honey dressing versus silver sulfadiazene dressing for wound healing in burn patients: A retrospective study. J Cutan Aesthet Surg 2011;4:183-7.  Back to cited text no. 5
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