Use of a two-layer compression system in severe bilateral leg lymphoedema with ulceration: A case report

Malou van Zanten, Beth Kean

Research output: Contribution to journalArticlepeer-review

1 Citation (Scopus)


Background: In this case report the authors present an individual with a medical history ofsevere bilateral leg lymphoedema, multiple bilateral ulceration, type 2 diabetes, and morbid obesity. Aim: To determine the efficacy ofa commercially available compression system (Coban™ 2 Compression System; 3M) on an individual with severe bilateral leg lymphoedema, and multiple bilateral ulceration. Methods: Employing the Coban 2 Compression System toe-boot bandaging technique, objective and subjective data on leg volume, tissue compositional changes and wound healing were collected at baseline and three times per week over a 4-week follow-up period. Under-bandage pressures were controlled using a pressure monitor during bandage application. Results: The patient's total limb volume decreased during treatment; circumference volume measurements showed a 3 L reduction in the left leg, and a 1.3 L reduction in the right leg. Limb volume decreased by 2.1 L in the left leg, and 2.1 L in the right. Bioimpedance spectroscopy data measured a reduction of3.2 L in the left leg and 3.0 L in the right leg. Tissue fluids reduced by 55% in the superficial tissue ofboth calves during the intervention period. The reduction of the total wound size was 21.7 cm2 in the left leg and 19.95 cm2 in the right leg. Conclusion: Treatment with Coban 2 Compression System improved wound healing and decreased leg volume in the present case.

Original languageEnglish
Pages (from-to)24-26
Number of pages3
JournalJournal of Lymphoedema
Issue number2
Publication statusPublished or Issued - 2013
Externally publishedYes


  • Chronic ulcer
  • Compression
  • Lymphoedema
  • Wound healing

ASJC Scopus subject areas

  • Hematology

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