Two-layer reduced compression system for lower limb wounds: a non-comparative evaluation

Br J Community Nurs. 2020 Apr 1;25(Sup4):S10-S16. doi: 10.12968/bjcn.2020.25.Sup4.S10.

Abstract

Leg ulceration is a debilitating condition in which various factors play a role in determining patients' quality of life (QoL), and compression therapy has been shown to improve QoL. The 3M Coban 2 Lite Compression System provides reduced compression (25-30 mmHg) ideal for patients with painful venous leg ulcers (VLU) who are unable to tolerate high-strength compression or those with mixed-aetiology leg ulcers (MLU) who have an ankle-brachial pressure index (ABPI)≥0.5. This non-comparative evaluation aims to report the initial clinical experiences with 3M Coban 2 Lite and evaluate the performance of this two-layer reduced compression bandage system in treating chronic VLUs and MLUs. In total, 30 patients (12 men (40%); mean age=68.5 years) were enroled for evaluation. The duration of the chronic wounds was 28 months (range=1.5-144 months); 16 patients had VLUs, while 14 had MLUs. Complete healing was achieved in 6 (20%) patients, and an overall mean reduction in wound surface area (4.11 cm2) was observed between the baseline and study endpoint (16 weeks). Thus, 3M Coban 2 Lite seems safe and effective for treating painful VLUs and MLUs in patients unable to tolerate high-strength compression.

Keywords: Mixed-aetiology leg ulcers; Reduced compression; Two-layer compression bandage system; Venous leg ulceration.

Publication types

  • Multicenter Study

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Chronic Disease / epidemiology
  • Chronic Disease / therapy*
  • Compression Bandages*
  • Female
  • Humans
  • Leg Ulcer / epidemiology
  • Leg Ulcer / psychology*
  • Leg Ulcer / therapy*
  • Male
  • Middle Aged
  • Quality of Life / psychology*
  • Treatment Outcome
  • United Kingdom / epidemiology
  • Varicose Ulcer / epidemiology
  • Varicose Ulcer / psychology*
  • Varicose Ulcer / therapy*