Use of Super-Absorbent Dressings and Compression in the Management of Highly Exudative Bilateral Venous Stasis Ulcers

Lead Presenter

Supporting Presenters

Krista Bauer (Montgomery), RN, WCC, OMS
Kurt Holifield, RN, BSN, WCC, OMS
Kari Day, RN, BSN, WCC
Denise Gilmore, RN
Ashley L. Wardman, LPN

Presented At


Venous ulcers, a common type of lower extremity ulcers, can affect up to 3% of the United States population.1 These ulcers can be difficult to heal and may recur in 60%-70% of patients.2 Difficulties in venous stasis ulcer treatment include exudate and pain management. We present our experience using super-absorbent dressings* and compression therapy in the management of one patient with extensive bilateral venous stasis ulcers present for over 3 years. The 54-year-old male presented for care extensive exudate. Patient medical history included obesity, diabetes mellitus, chronic pain, and chronic opioid use. Previous treatments included split-thickness skin grafts and allografts. Due to the chronic pain, the patient refused hospitalization, excisional debridement, and use of negative pressure wound therapy. A treatment plan of biweekly hydro-mechanical debridement, iodine dressings and antimicrobial foam were implemented to remove slough and manage bioburden. After 3 months, bioburden was reduced, and the treatment focus switched to exudate management. Super-absorbent dressings with compression therapy were applied to both legs. Dressing changes occurred every 2-3 days. Over the next 6-months, exudate levels decreased and healthy granulation tissue was observed in the bilateral wounds. The patient was able to tolerate the use of super-absorbent dressings and compression therapy with minimal pain, resulting in improved wound bed appearance and reduced exudate levels in both leg wounds.

*KERRAMAX CARE™ Super-Absorbent Dressing (Systagenix Wound Management Ltd, Knutsford, UK)

1. Bonkemeyer Millan S, Gan R, Townsend PE. Venous ulcers: diagnosis and treatment. Am Fam Physician. 2019;100(5):298-305.
2. Parker CN, Finlayson KJ, Edwards HE. Predicting the likelihood of delayed venous leg ulcer healing and recurrences: development and reliability testing of risk assessment. Ostomy Wound Manage. 2017;63(10):16-33.

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