Lymphoedema in Practice
Education that inspires. Credibility that empowers.

Continuous Education from 3M

  • 3M supports continued education and access to thought leaders, peers, and educational content that translates knowledge into positive health outcomes. Better compliance with healthcare guidelines can positively impact patient outcomes and satisfaction. Find guidelines, best practice statements and consensus documents for managing chronic oedema and lymphoedema below.

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Key Evidence to support 3M Coban 2 Layer Compression System

Oedema reduction

  • Oedema reduction

    Key Message: Using subbandage pressure measurements obtained at application and prior to removal on day 7, Coban 2 Layer system delivers comfortable, skin friendly, sustained compression supporting edema reduction and ulcer healing.

    Results: Coban 2 Layer system demonstrated a better capacity to maintain pressure over time and proved to be effective in treating venous leg ulcers with the additional benefits of high tolerability and ease of application and removal.

    Relevance: Coban 2 Layer was as effective as the zinc based bandages described in this study with the advantage of being easier to apply and remove.

    Authors: Giovanni Mosti, MD; Aldo Crespi, MD, Vincenzo Mattaliano, MD. Wounds 2011;23(5):126-134.

Patient comfort

  • patient comfort coban 2

    Key Message: Safety of Coban 2 Lite compression system was demonstrated in patients with ABPIs of 0.5-0.8 and was well tolerated by patients who normally would not be placed into compression. Coban 2 Lite system also provided beneficial effects on the dermal capillary system.

    Results: Average resting pressure was 28 mmHg, no pain or pressure related skin damage occurred, and the Laser Doppler assessments indicated significant improvements of dermal microcirculation under Coban 2 Lite system.

    Relevance: Approximately 30% of patients require reduced compression and because clinicians are afraid they may cause harm, they modify the products they use to create “less than” pressures. This results in “less than” effectiveness. Here is a bandage that when applied as directed, provides safe and effective compression for an at-risk population.

    Authors: Arnold A, Lutze S, Jünger M, Haase H, Bichel J*, Schuren J*, Ladwig A J Clin Microcirc Hemorheol 2013, vol. 53(3), 281-293.

Slippage reduction

  • slippage reduction coban 2

    Key Message: An article summarizing the clinical challenges with traditional multilayer compression bandages and how Coban 2 Layer compression system meets the criteria of an ideal bandage and has been proven through a number of clinical studies to be effective with reduced slippage and patient comfort.

    Results: Coban 2 Layer systems are suitable for a wide variety of patients with reduced slippage and effective, consistent pressures to manage edema.

    Relevance: Respected clinical authors have summarised the studies and experience supporting the efficacy of Coban 2 Layer systems.

    Authors: Vowden K, Vowden P, Partsch H, Treadwell T. Wounds International 2011; 2(1).

Wound healing

  • wound healing coban 2

    Key Message: Highest level of evidence supporting Coban 2 Layer Compression System compared to Profore™

    Results: Over 7 day wear study, there was statistically less slippage, significantly higher improvements in physical symptoms and daily living scores, and no differences in wound healing with Coban 2 Layer compression system than with Profore. In addition, 72% of the patients preferred Coban 2 Layer compression system over Profore.

    Relevance: Clinical problems associated with traditional 3 and 4 layer bandage systems include: slippage, bulky, hot and painful at night

    Authors: Moffatt C, Edwards L, Collier M, Treadwell T, Miller M, Shafer L, Sibbald G, Brassard A, McIntosh A, Reyzelman A, Price P, Kraus SM Walters SA, Harding KG Int Wound J 2008:5(2):267-279.

Improve clinical and cost effectiveness in venous leg ulcer treatment

  • cost effective leg ulcer treatment

    The Health Information Network (THIN) database contains information on more than 11 million patients from 562 primary care practices across the UK and has been shown to be representative of the UK population in terms of demographics and disease distribution. This real-life study assessed clinical outcomes and cost-effectiveness of three compression systems (3M™ Coban™ 2 Layer Compression System, *UrgoKTwo™ and **Profore™) in treating newly diagnosed VLUs in the UK, from the perspective of the NHS.

    ** Profore is a trademark of Smith & Nephew

Looking for more information?

  • The Primary Care Dermatology Society (PCDS) is the leading society for GPs with an enthusiasm for dermatology and skin surgery

  • Works to disseminate information, promote research and increase awareness of all aspects of good clinical practice in wound prevention and management

  • Improving clinical care for people with wounds, committed to ensuring the highest possible standards of research, development and education to support industrial and clinical developments in wound healing.

  • Charity with the remit of supporting the delivery of well-informed high quality care by clinicians well versed in the principles of best practices in all aspects of Tissue Viability.

  • Wound care education company providing conferences, events, roadshows and journals in the fields of wound care and tissue viability

  • Funds and promotes research into the causes, treatment and prevention of vascular disease in the UK.