Venous cutdown
Unna's boot is a special type of compression bandage that is used to treat venous stasis ulcers and other skin conditions of the lower leg. It is named after the German dermatologist Paul Gerson Unna, who specialized in treating skin diseases.
History
Paul Gerson Unna was a German dermatologist who lived from 1850 to 1929. He was known for his work in dermatopathology, and he developed the Unna's boot as a treatment for venous stasis ulcers and other skin conditions of the lower leg.
Composition
Unna's boot is made from a gauze bandage that is impregnated with a mixture of zinc oxide, gelatin, glycerin, and water. This mixture helps to keep the skin moist and promotes healing.
Application
The Unna's boot is applied to the lower leg, from the foot to just below the knee. It is usually left in place for one to two weeks, and then replaced. The compression provided by the bandage helps to reduce swelling and improve circulation, which can help to heal venous stasis ulcers.
Uses
Unna's boot is used to treat a variety of skin conditions of the lower leg, including:
Side Effects
While Unna's boot is generally safe and effective, it can cause side effects in some people. These can include:
- Skin irritation
- Allergic reaction to the bandage material
- Infection if the bandage is not changed regularly
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Contributors: Prab R. Tumpati, MD