Biflex Self Adjust: a compression wrap system for lymphoedema and venous leg ulcers
Abstract
Compression is the foundation of treatment for chronic oedema, including lymphoedema and chronic venous insufficiency (CVI). However, adherence with conventional compression wraps is often poor. This article introduces Biflex Self Adjust, a new compression wrap system for lymphoedema and venous leg ulcers, a common consequence of CVI. A Velcro system and an integrated loop ensures patients can easily and quickly take Biflex Self Adjust on and off. Biflex Self Adjust uses a patented integrated device that allows healthcare professionals and patients to easily adjust the pressure. In addition, Biflex Self Adjust completely covers the limb using an optimised number of overlapping bandages, which helps prevent oedema migration. The open-cell foam used in Biflex Self Adjust allows moisture transfer, which enhances comfort. Case studies illustrate the effectiveness of the Biflex Self Adjust in clinical practice.
Traditionally, the lymphatic system has not received the attention it deserves, despite its critical biological and clinical significance (Borst et al, 2024; Greener, 2024). The lymphatic system includes a network of endothelial tubes (lymphatic capillaries), nodes and other organs, including the spleen and thymus (Borst et al, 2024; Panara et al, 2024). Nearly all tissues are supplied with capillary-like initial lymphatics, which drain into a network of collecting vessels before emptying into larger ducts (Borst et al, 2024; Karakousi et al, 2024; Petkova et al, 2024). However, the lymphatic system is more than a network of tubes (Greener, 2024). The lymphatic system maintains interstitial fluid levels and carries immune cells and antigens to lymph nodes (Borst et al, 2024; Karakousi et al, 2024; Petkova et al, 2024). Cells in lymph nodes contribute to immunity, release signals that control the growth and regeneration of several tissues, including the skin, and modulate metabolism (Karakousi et al, 2024; Pagliara et al, 2024). Chronic oedema (lymphoedema) arises when lymphatic drainage declines (National Lymphoedema Partnership (NLP), 2019).
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