NDLI: Evaluation of the performance of a new compression system in patients with lymphoedema.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Franks, Peter J. Moffatt, Christine J. Murray, Susie Reddick, Martina Tilley, Andrea Schreiber, Anne
Spatial Coverage	Canada
Description	Country affiliation: United kingdom Author Affiliation: Franks PJ ( St Luke's Crypt, Sydney Street, London, UK. Peter.franks@cricp.org.uk)
Abstract	In the acute phase of lymphoedema, patients require comprehensive decongestive therapy (CDT), which includes skin care, an exercise regimen, manual lymphatic drainage (MLD) and regular bandaging. This study was established to determine the effectiveness of a new system of bandage therapy, the 3M™ Coban™ 2 compression system. In total, 24 patients were entered into the study (12 from UK and 12 from Canada) with a variety of clinical presentations. The mean age of the groups was 57·4 years, which varied from 26 to 79 years. Body mass index (BMI) averaged 38·9 kg/m(2), with a range from 22·7 to 67·5 kg/m(2). Of the total, eight were women with arm lymphoedema, the remainder being men and women with lymphoedema of the lower limb. All were considered to be in need of CDT. After 19 days, the reduction of limb volume was measured, which indicated a mean limb volume reduction of 1210 ml (95% confidence interval, CI, 780-1641, P < 0·001). Leg affected patients experienced greater reduction than arm affected patients (1596 ml versus 438 ml), although both groups experienced significant reduction in limb volumes (both P < 0·001). Mean percentage changes in limb volume were 14·9% and 16·1% for legs and arms, respectively. The Measure Your Medical Outcome Profile questionnaire indicated significant improvement in symptoms considered important by the patient (P < 0·0001), which also led to improvements in skin quality by reducing skin thickness and firmness. The Coban 2 compression system provides good oedema reduction in both arms and legs to reduce limb volume and improvements in symptoms associated with lymphoedema.
File Format	HTM / HTML
ISSN	17424801
Issue Number	2
Volume Number	10
e-ISSN	1742481X
Journal	International Wound Journal
Language	English
Publisher	Wiley-Blackwell
Publisher Date	2013-04-01
Publisher Place	Great Britain (UK)
Access Restriction	Subscribed
Subject Keyword	Discipline Traumatology Compression Bandages Lymphedema Therapy Wound Healing Adult Aged Arm Pathology Canada Female Humans Leg Male Middle Aged Organ Size Treatment Outcome Great Britain Evaluation Studies Journal Article
Content Type	Text
Resource Type	Article
Subject	Surgery Dermatology

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