Wound debridement. double focal compression bandaging technique.

“Double focal compression bandaging technique” is a modality of compression therapy, based on physiological concepts, such as arteriogenesis and angiogenesis. In this technique, we only use bandages and gauze to obtain pressure gradients, in the wound bed, which leads to stimulating arteriogenesis and angiogenesis around the area, which healing vascular leg ulcers. This technique was presented in the 15th World Congress Union Internationale de Phlebologie, October 2005, Rio (Brazil). Over time, we have observed that the use of this technique involves performing two types of debridement: autolytic and mechanical. Focused pressure, by placing padding on the wound bed, makes any other type of debridement unnecessary. The results of this clinical experience, in more than 150 patients with leg ulcers treated with this technique, show that it is not necessary to perform any other type of debridement.