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Compression therapy is a key component in the effective management of people with lower limb problems associated with venous, lymphatic and fat disorders such as lipoedema. Individuals with lymphoedema, venous ulceration and lipoedema often require long-term compression therapy to prevent and manage problems such as chronic ulceration and skin changes, persistent swelling and shape distortion. Challenges remain in achieving acceptable, safe, effective and cost-efficient compression therapy choices. Adjustable compression wrap devices using hook and loop fasteners, commonly called VELCRO brand fasteners, present new opportunities for improving treatment outcomes, supporting patient independence and self-management in the use of compression therapy. This paper reports the findings of an evidence review of adjustable compression wrap devices in people with lymphoedema, chronic oedema, venous ulceration and lipoedema.

DECLARATION OF INTEREST

The authors have no conflict of interest to declare.

Maceration is the elixation of the skin by prolonged exposure to moisture that impedes healing due to failure of the skin protection and possible microbial infections. Modern wound dressings are expected to maintain a humid wound milieu without allowing exposure of the peri-wound skin to exudate and subsequent damage of the skin by maceration. Hence, it is of interest to analyze and compare the fluid management of PU-foam dressings under standardized conditions as close as possible to a real life situation. Therefore, a vertical maceration model using 40 mmHg compression was developed.