Balcombe L, Miller C, McGuiness W Approaches to the application and removal of compression therapy: a literature review. Br J Community Nurs.. 2017; 22:(10)

British Lymphology Society.. 2018.

Damstra RJ, Partsch H Prospective, randomized controlled trial comparing the effectiveness of adjustable compression Velcro wraps versus inelastic multi-component compression bandages in the initial treatment of leg lymphedema. J Vasc Surg Venous Lymphat Disord.. 2013; 1:(1)13-19

International Lymphoedema Framework.. 2006.

International Lymphoedema Framework.. 2012.

Miller C, Kapp S, Newall N Predicting concordance with multi-layer compression bandaging. J Wound Care.. 2011; 20:(3)101-112

Mo?att CJ, Keeley V, Franks PJ, Rich A, Pinnington LL Chronic oedema: a prevalent health care problem for UK health services. Int Wound J.. 2016; 14:(5)772-781

Mortimer P, Rockson S New developments in clinical aspects of lymphatic disease. J Clin Invest.. 2014; 124:(3)915-921

Mosti G, Cavezzi A, Partsch H, Urso S, Campana F Adjustable Velcro compression devices are more effective than inelastic bandages in reducing venous edema in the initial treatment phase: a randomised controlled trial. Eur J Vasc Endovasc Surg.. 2015; 50:(3)368-374

National Institute for Health and Care Excellence..

National Lymphoedema Partnership.. 2015.

NHS England.. 2018a.

NHS England.. 2018b.

Partsch H Compression for the management of venous leg ulcers: which material do we have?. Phlebology.. 2014; 29:(1)140-146

Partsch H, Schuren J, Mosti G, Benigni JP The static sti?ness index: an important parameter to characterise compression therapy in vivo. J Wound Care.. 2016; 25:(9)

Rooney L, Cooper-Stanton G, Cave-Senior J Compression therapy and exercise: enhancing outcomes. Br J Community Nurs.. 2018; 23:(07)343-346

Thomas S The use of compression wraps in the management of lymphoedema. J Lymphoedema.. 2017; 12:(01)32-38

Williams A An updated review of the evidence for adjustable compression wrap devices in the lower limb. Nurse Prescribing.. 2018; 15:(10)S6-S13

Best practice guidelines: the management of lipoedema. 2017.

Adjustable compression devices for chronic oedema and lipoedema: purpose, selection and application

02 June 2019
Volume 24 · Issue 6

The lymphatic system acts as a mechanism to maintain fluid balance, immune response and nutritional absorption (Mortimer and Rockson, 2014), and dysfunction of this system leads to oedema. It has been estimated that between 3:99 and 28.76 per 1000 people are affected by chronic oedema, with lipoedema affecting 1:72 000 as a long-term condition (Moffatt et al, 2016; Wounds UK, 2017). Lipoedema is characterised by increased fat disposition within the subcutaneous layer and can lead to the development of excessive interstitial fluid in the dermal layer, which is the main characteristic of chronic oedema (National Lymphoedema Partnership, 2015; Wounds UK, 2017). Compression therapy is considered to be one of the mainstays in the management of chronic oedema and lipoedema. The application of compression therapy in the form of bandages, hosiery or adjustable compression devices (ACDs) is often used to manage lymphatic failure (International Lymphoedema Framework (ILF), 2012). This is usually alongside the modalities that enhance patient outcomes during the long-term management of the condition, such as simple lymphatic drainage (ILF, 2006).

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