title: Prospective, randomized, controlled trial comparing a new two-component compression system with inelastic multicomponent compression bandages in the treatment of leg lymphedema.
abstract: BACKGROUND
  New, less-bulky, short-stretch compression bandages could be a valuable alternative in the management of lymphedema of the leg.
  
  
  OBJECTIVE
  To compare the effectiveness of a two-component compression (2CC) system in the treatment of leg lymphedema with that of the traditional treatment with conventional inelastic multicomponent compression bandages (IMC).
  
  
  METHODS
  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.
  
  
  RESULTS
  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.
  
  
  CONCLUSIONS
  Our results indicate that the 2CC system forms a suitable alternative to IMC in the conventional treatment of moderate to severe lymphedema.
authors.affiliation: Department of Dermatology, Phlebology, and Lymphology, Nij Smellinghe Hospital, Drachten, The Netherlands.
authors.forename: D-A A
authors.initials: DA
authors.lastname: Lamprou
authors.forename: Robert J
authors.initials: RJ
authors.lastname: Damstra
authors.forename: Hugo
authors.initials: H
authors.lastname: Partsch
mesh_terms: D000328:Adult; D000368:Aged; D058128:Compression Bandages; D004548:Elasticity; D005260:Female; D006801:Humans; D007866:Leg / Q000473:pathology*; D008209:Lymphedema / Q000473:pathology* / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D009929:Organ Size; D011312:Pressure; D011446:Prospective Studies; D014160:Transducers, Pressure; D016896:Treatment Outcome