Grosgrain Stockings in the Treatment of Primary Congenital Lymphedema

Abstract

The aim of the present study was to evaluate grosgrain c stockings in the reduction and maintenance of the results of treatment for lymphedema.Method: A prospective clinical trial was performed with 45 patients who made use of grosgrain stockings as monotherapy for the treatment of lower limb lymphedema with the analysis of the volumetric reduction using bioimpedance at the Clinica Godoy-Brazil. These stockings are hand-crafted and adapted to each patient, with adjustments made as necessary. Results:The mean reduction in volume was from 7.1 to 6.0 L (standard deviation: 1.56 L). This reduction was statistically significant (p-value < 0.0001, paired t-test). A total of 17 (18.8%) of the 90 limbs did not undergo reductions, but rather had discrete numerical increases. However, these increases were not statistically significant in this group of patients (p-value = 0.08, paired t-test). Conclusion:Grosgrain stockings are effective for the treatment of primary congenital lymphedema when used in accordance with the recommended instructions.

Lymphedema and Elephantiasis of the Lower Limbs: Normalization or Nearly Normalization

“…Manual lymphatic therapy, mechanical lymphatic therapy, cervical lymphatic therapy and compression mechanisms are the main components of the Godoy method for the treatment of lower limb lymphedema [ 6 , 15 , 22 , 29 , 36 ]. Hygiene care directed at the prevention of infection is evaluated on an individual basis [ 41 ].…”

“…For such, elastic bandages or laced stockings are the most frequently employed [32][33][34]. Hand-crafted stockings made with grosgrain material have been developed and evaluated over the years and have proved to be effective at reducing edema either alone or in conjunction with another therapy [35][36][37][38][39][40].…”

Treatment of elephantiasis with physiological retraction of the skin to clinical standards of normality

“…Intensive treatment was performed for 10 days, involving 8 hour per day of mechanical lymphatic therapy with the RAGodoy® device, Figure 2 , which performs passive plantar flexion and extension, 15 min of cervical lymphatic therapy per day, and the use of grosgrain compression stockings. [ 6 - 8 ] The type of compression stocking developed by Godoy and Godoy, Figure 3 , custom-made according to the size of the limb, uses eyelets to allow a certain amount of adjustment directly by the patient. Grosgrain is a fabric that stretches along its length, thereby allowing normal movement of the limb.…”

Multi-segment bioimpedance in the evaluation of treatment for secondary lower limb lymphedema: Gynecological cancer

“…Several approaches to treatment for lower limb lymphedema have been reported in the literature. However, an intensive form of treatment, denominates Godoy Method®, proposes a reduction in the volume of the limb by approximately 50% in five days and reaching normality or near normality by the end of the first phase of treatment [10][11][12][13]. A variety of methods for limb volume evaluation are reported in the literature.…”