Successful Healing of Chronic Venous Ulcers Using Four-Layer Compression Bandaging: A Case Report

Abstract

Chronic venous ulcers are a common and debilitating consequence of chronic venous insufficiency, often associated with prolonged healing times and recurrent infections. Compression therapy remains the cornerstone of treatment, with four-layer compression bandaging widely recognized for its efficacy in promoting venous return and facilitating ulcer healing. We report the case of a 62-year-old male with a non-healing venous ulcer over the medial aspect of the lower leg, present for over six months despite standard wound care. The patient was treated with a four-layer compression bandaging system, alongside local wound management and infection control. Significant reduction in ulcer size was observed within four weeks, with complete healing achieved by the tenth week. No recurrence was noted during three months of follow-up. This case highlights the effectiveness of four-layer compression bandaging as a non-invasive and practical approach to managing chronic venous ulcers, particularly in resource-constrained settings, and underscores the importance of early and sustained compression therapy in improving clinical outcomes.