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The purpose of this trial is to study the effect of the 3M Coban 2 Layer Compression System (hereafter C2L) in the treatment of leg lymphedema compared to the traditional treatment with Trico bandages.
The goal of this prospective, randomized, controlled trial with CE marked product is to study the effectiveness (volume reduction) of 24-hour compression therapy for lymphedema, comparing C2L and Trico bandaging. Therefore 30 patients with leg lymphedema are included.
Application of marketed compression bandages (C2L or Trico bandages) used for treatment by trained specialists with assessment of the subbandage pressure and volume reduction.
Measurements are carried out at:
Volumetry:
Measurements after 0h, 2h and 24 h by using classic water displacement apparatus.
Pressure:
Measurements after 0h, 2h (pre and post bandage change) and 24 h;
for the pressure measurement a Kikuhime (large pads) dice is used. At each new bandaging to document the SSI and the effect of dorsiflexion in the supine position
Statistical analysis; Analysis of variance (ANOVA) comparing volume, supine subbandage pressure with and without dorsiflexion, and SSI for the used bandages
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| 1 | Active Comparator | Regular compression therapy with non elastic trico bandaging |
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| 2 | Active Comparator | New two layer compression bandage coban 2 |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Regular Compression therapy (Trico bandages) | Other | Application of marketed Trico compression bandages used for treatment by trained specialists with assessment of the subbandage pressure and volume reduction. The bandages are applicated in patients with leg lymphedema at t=0 hour, t=2 hours. Comparison is made at t=2 hours, t= 24 hours |
| Measure | Description | Time Frame |
|---|---|---|
| volume decrease in relation to interface pressure after application of two types of bandages. | enrollment of 30 patients |
| Measure | Description | Time Frame |
|---|---|---|
| Pressure drop after 2 hours and 24 hours of bandaging | after application, at 2 hours and 24 hours after application of bandage |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| RJ Damstra, MD | Nij Smellinghe Hospital | Principal Investigator |
| H Partsch, PhD | Private practice, wien | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Nij Smellinghe hospital | Drachten | Provincie Friesland | 9202NN | Netherlands |
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| New Compression therapy (C2L bandages) | Other | Application of marketed compression bandages C2L used for treatment by trained specialists with assessment of the subbandage pressure and volume reduction. he bandages are applicated in patients with leg lymphedema at t=0 hour, t=2 hours. Comparison is made at t=2 hours, t= 24 hours |
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