415284

Compression Therapy in Lymphedema: Safety and Effectiveness

Article

Last updated: 29 Mar 2025

Subjects

-

Tags

Surgery

Abstract

Background: Lymphedema showed increased frequency all over the world. Globally, it affects > 100 million. It had unwanted impact on the patient lifestyle and productivity.
The aim of the work: This study aimed to assess the value of compression therapy for lymphedema of either upper or lower limbs regarding its safety and efficacy.  
Patients and Methods: This study included 100 patients [72 females, and lower limb affection reported for 86 patients, with bilateral inclusion in 6 patients], who had primary or secondary lymphedema affecting lower and/or upper limbs. They were selected from Al-Azhar university Hospital [Damietta]. The limb circumference was recorded at different fixed 3 points before and after compression therapy.  Before applications of bandaging, a local steroid combined with antifungal and antiseptics were applied over the affected lim.  Then a multilayer bandage was applied [it started by gauze, mobiderm, short stretch and finally elastic bandage with compression around 30 mmHg]. This was applied for one week. Then layers were removed [except the last one] and limb was evaluated clinically after removal and weekly for the next 3 weeks. The last layer was removed    during the time of bed rest at the last 3 weeks of compression therapy.
Results: The follow up duration was 1-2 months. The final clinical evaluation revealed marked and significant reduction the volume of the limb. In addition, the quality of life was improved for all patients. Furthermore, no significant complications were recorded. However, the final outcome indicated the need to wear a compression stocking.
Conclusion: Compression therapy for lymphedema of the lower or the upper limbs using multilayer bandage [by Mobiderm] could be considered as a cost-effective, fast and easily applied. It is association with resorption of lymphedema and quick improvement of fibrosed tissues.

DOI

10.21608/ijma.2025.353835.2110

Keywords

Lymphedema, Compression, Bandaging, Mobiderm

Authors

First Name

Walied

Last Name

khereba

MiddleName

-

Affiliation

Department of Vascular and Endovascular Surgery, Damietta Faculty of Medicine, Al-Azhar University, Damietta, Egypt.

Email

wkhereba@yahoo.com

City

-

Orcid

0000-0002-5469-7590

First Name

Osama

Last Name

Moeen

MiddleName

-

Affiliation

Department of Vascular and Endovascular Surgery, Damietta Faculty of Medicine, Al-Azhar University, Damietta, Egypt.

Email

osmoeen@gmail.com

City

New Damietta

Orcid

0009-0006-2536-809X

First Name

Sameh E.

Last Name

Elimam

MiddleName

-

Affiliation

Department of Vascular and Endovascular Surgery, Faculty of Medicine for Girls, Al-Azhar University, Cairo, Egypt.

Email

elimam1982@gmail.com

City

Cairo

Orcid

0000-0001-7804-4933

First Name

Mohamed Yahia

Last Name

Zakaria

MiddleName

-

Affiliation

Department of Vascular and Endovascular Surgery, Faculty of Medicine, Al-Azhar University, Cairo, Egypt.

Email

dr.m.yahia.zakaria@gmail.com

City

Cairo

Orcid

0000-0002-0810-1266

First Name

Ahmed Ibrahim

Last Name

Badran

MiddleName

-

Affiliation

Department of Vascular and Endovascular Surgery, Faculty of Medicine, Tanta University, Tanta, Egypt.

Email

ahmed.badran@med.tanta.edu.eg

City

Tanta

Orcid

-

First Name

Mohamed

Last Name

Emad Eldin

MiddleName

-

Affiliation

Department of Vascular and Endovascular Surgery, Faculty of Medicine, Mansoura University, Mansoura, Egypt

Email

memad100100@gmail.com

City

Mansoura

Orcid

0000-0002-8787-4215

First Name

Ahmed T M

Last Name

Radwan

MiddleName

-

Affiliation

Clinical Fellow in Vascular Access and Renal Transplant Surgery Birmingham University Hospitals NHS Foundation Trust Birmingham B15 2GW, United Kingdom

Email

atradwan@doctors.org.uk

City

-

Orcid

0000-0002-4287-5003

Volume

7

Article Issue

4

Related Issue

54764

Issue Date

2025-04-01

Receive Date

2025-01-18

Publish Date

2025-04-01

Page Start

5,583

Page End

5,586

Print ISSN

2636-4174

Online ISSN

2682-3780

Link

https://ijma.journals.ekb.eg/article_415284.html

Detail API

http://journals.ekb.eg?_action=service&article_code=415284

Order

9

Type

Original Article

Type Code

816

Publication Type

Journal

Publication Title

International Journal of Medical Arts

Publication Link

https://ijma.journals.ekb.eg/

MainTitle

Compression Therapy in Lymphedema: Safety and Effectiveness

Details

Type

Article

Created At

29 Mar 2025