<p>Background: In this case report the authors present an individual with a medical history of severe bilateral leg lymphoedema, multiple bilateral ulceration, type 2 diabetes, and morbid obesity. Aim: To determine the efficacy of a commercially available compression system (Coban™ 2 Compression System; 3M) on an individual with severe bilateral leg lymphoedema, and multiple bilateral ulceration. Methods: Employing the Coban 2 Compression System toe-boot bandaging technique, objective and subjective data on leg volume, tissue compositional changes and wound healing were collected at baseline and three times per week over a 4-week follow-up period. Under-bandage pressures were controlled using a pressure monitor during bandage application. Results: The patient’s total limb volume decreased during treatment; circumference volume measurements showed a 3 L reduction in the left leg, and a 1.3 L reduction in the right leg. Limb volume decreased by 2.1 L in the left leg, and 2.1 L in the right. Bioimpedance spectroscopy data measured a reduction of 3.2 L in the left leg and 3.0 L in the right leg. Tissue fluids reduced by 55% in the superficial tissue of both calves during the intervention period. The reduction of the total wound size was 21.7 cm2 in the left leg and 19.95 cm2 in the right leg. Conclusion: Treatment with Coban 2 Compression System improved wound healing and decreased leg volume in the present case.</p>
