Department of Dermatology, Phlebology, and Lymphology, Nij Smellinghe Hospital, Drachten, The Netherlands.
New, less-bulky, short-stretch compression bandages could be a valuable alternative in the management oflymphedema of the leg.
To compare the effectiveness of a two-component compression (2CC) system in the treatment of leglymphedema with that of the traditional treatment with conventional inelastic multicomponent compression bandages (IMC).
Thirty hospitalized patients with moderate to severe unilateral lymphedema (stage II-III) of the leg were included. Patients were divided in two groups; one (n=15) received a 2CC, and the other (n=15) received IMC. Primary outcome was volume reduction of the affected leg; secondary outcome was loss of interface pressure.
Median leg volumes before bandaging were 4,150 mL (2CC) and 4,360 mL (IMC). Median volume reduction after 2 hours was 120 mL (2.9%) with the 2CC system and 80 mL (1.8%) with IMC (p>.05). After 24 hours, volume reduction was 8.4% and 4.4% respectively (p>.05). Interface pressure dropped significantly within 2 hours of bandage application in both groups.
Our results indicate that the 2CC system forms a suitable alternative to IMC in the conventional treatment of moderate to severe lymphedema.