# lymphoedema
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# lymphoedema Tag

NHS Lower Leg Skin Tear Pathway

Our colleagues at the NHS have developed an excellent Pathway to appropriately manage skin tears that occur below knee. https://www.rdash.nhs.uk/wp-content/uploads/2019/07/TVWCM-v1-Appx-2-Lower-Body-Skin-Tear-Pathway.pdf  

Tips for dealing with loneliness

COVID19 and its necessary social isolation has placed vulnerable people in a position that loneliness has become an ever present reality. However, people who experience chronic wounds and lymphoedema are also too well aquainted with this void in interpersonal relationships. The link below contains some tips from

Wound hygiene – aggressive cleansing

Christine Murphy and her colleagues have recently published a new international consensus document which addresses the concept of wound hygiene for hard-to-heal wounds. The presumption is that the majority of stalled wounds will contain biofilm. It is suggested that disrupting biofilms via aggressive wound cleansing

All oedema is lymphoedema

Robyn Bjork and Suzie Ehmann recently wrote a clinical guidance document on compression and the lower limb. Their document has many points of interest about oedema aetiology and the determination of appropriate therapy. Just a few highlights are : 1. “All oedema is technically lymphoedema,

Undisturbed wound healing

Brindle & Farmer recently discussed the concept of combining wound bed preparation with “undisturbed wound healing”. The notion being that impediments to wound repair such as devitalised tissue, infection, unresolved inflammation and inappropriate exudate, are treated and then as the wound enters a proliferative or

The problem of VLU recurrence

Individuals who achieve closure of a venous leg ulcer but who then receive no ongoing therapy afterwards are subject to recurrence rates as high as 76% within the first year post treatment. Interventions available to reduce these recurrence rates include endovenous sclerotherapy, endovenous ablation, venous

Wound anaerobes and their management …

Bowler, Duerden and Armstrong wrote a fascinating article in 2001 on wound microbiology. This was before the impact of biofilm on non-healing wounds was appreciated (as it is today). They state that chronic wounds can have up to 48% of their microbial flora occupied by