Which of the following treatments is a first-line approach for managing venous stasis ulcers?

Compression therapy is recognized as a first-line approach for managing venous stasis ulcers due to its effectiveness in improving venous return, reducing edema, and promoting healing of the ulcer. Venous stasis ulcers arise from chronic venous insufficiency, where blood flow in the veins is impaired. Compression therapy helps to increase the pressure in the tissues, thereby enhancing venous return and reducing the pooling of blood, which is crucial for the healing process.

By applying compression dressings or bandages, the vascular dynamics are altered, leading to improved circulation and less swelling. This method addresses the underlying issue of venous hypertension, which is a significant factor in the development of these ulcers.

Other options, while important in certain contexts, do not serve as first-line treatments for venous stasis ulcers. Wound debridement is valuable in managing necrotic tissue but does not address the venous insufficiency. Topical antibiotics might be useful in preventing or treating infection but are not a fundamental part of ulcer management. Oral steroids can help with inflammation but are not indicated as a standard treatment for venous stasis ulcers. Hence, compression therapy stands out as the most appropriate and effective first-line treatment.