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Multilayer bandaging plus compression hosiery was better than hosiery alone for unilateral lymphedema of a limb

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 QUESTION: In patients with unilateral lymphedema of a limb, is a course of multilayer bandaging (MLB) plus compression hosiery more effective than hosiery alone for reducing limb volume?


Randomised {allocation concealed*}, blinded {outcome assessors and statisticians},* controlled trial with final follow up at 24 weeks.


A lymphedema clinic with hospital sites in London and Surrey, UK.


90 consecutive patients who had unilateral upper limb or lower limb lymphedema, with swelling ≥20% excess volume over the normal limb. For patients with cancer, at least 12 months had to have elapsed since cancer treatment, with no active disease. Exclusion criteria were paralysis, history of compromised arterial flow in the limb, or limbs too big for hosiery. 83 patients (mean …

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  • Source of funding: no external funding.

  • For correspondence: Dr P S Mortimer, Royal Marsden Hospital, Downs Road, Sutton, Surrey SM2 5PT, UK. Fax +44 (0)2086 613124.

  • A modified version of this abstract also appears in Evidence-Based Nursing.

  • * See glossary.

  • Information provided by author.