mediven® flat knit care compass

Individual solutions in lipoedema and lymphoedema therapy

mediven® flat knit care plan

Expert advice with the mediven flat knit care compass

Every lipoedema and lymphoedema patient is unique: Everyone has special requirements for flat knit care and their own individual story. You understand them all. We would be happy to provide you with support in the form of information on advising and caring for your patients: Offer every patient the right care for their personal needs and the right material thickness.

Are you already aware of our care compass for the treatment of lipoedema and lymphoedema? You can use it as a guide for your consultation: Use it to quickly and reliably identify the right quality for a patient’s individual care.

Care compass leg

Step 1: Indication

Indication    

mediven®
550 leg
mediven® cosy mediven mondi®
Primary and secondary lymphoedema  
 

 

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Lipoedema  
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Scar treatment  
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Post-operative and post-traumatic oedema  
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Mixed forms such as phlebo-lymphoedema, lipo-lymphoedema  
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Step 2: Consider the stage

Indication

Diagnosis

Characteristics

mediven®
550 leg

mediven® cosy

mediven mondi®

Lipoedema


Illus. lipoedema stage III

 

Stage 1 Smooth skin surface, uniform thickening of the subcutis at certain points  
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Stage 2 Wave-like skin surface, knot-like structures in thickened subcutis  
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Stage 3

Coarse nodular skin surface, circumferential augmentation with overhanging tissue parts  
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Lymphoedema


Illus. lymphoedema stage II

Stage 1 Spontaneously reversible, oedema of soft consistency; elevation reduces swelling, pitting of the skin  
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Stage 2 Spontaneously irreversible, hardened oedema; elevation does not eliminate swelling, skin does not pit  
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Stage 3 Unformed swelling of extreme dimensions, severely hardened skin, formation of blisters and fistulae  
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Step 3: Consider patient-specific criteria

Criteria Material*
  Light Medium Strong
Connective tissue normal to firm soft to firm very soft to hardened
Weight normal body weight

increased body weight

substantially increased body weight

Deepened skin wrinkles / calibre jumps none moderate strong
Severity of the disease I II III
Recommended mediven® compression stockings: mediven mondi®

mediven® cosy

mediven® 550 leg

* Please note that this recommendation does not replace the diagnosis of a doctor or the advice of a medical specialist. The choice of the optimal compression stocking depends on the indication and the individual needs of the patient.

Care compass arm

Step 1: Indication

Step 2: Consider the stage

Indication

Diagnosis

Characteristics

mediven®
550 arm

mediven esprit®

Lipoedema


Illus. lipoedema stage II

Stage 1 Smooth skin surface, uniform thickening of the subcutis at certain points  
  •  
 
 
  •  
 
Stage 2 Wave-like skin surface, knot-like structures in thickened subcutis  
  •  
 
 
  •  
 

Stage 3

Coarse nodular skin surface, circumferential augmentation with overhanging tissue parts  
  •  
 

 

Lymphoedema


Illus. lymphoedema stage II

Stage 1 Spontaneously reversible, oedema of soft consistency; elevation reduces swelling, pitting of the skin  
  •  
 
 
  •  
 
Stage 2 Spontaneously irreversible, hardened oedema; elevation does not eliminate swelling, skin does not pit  
  •  
 
 
  •  
 
Stage  3 Unformed swelling of extreme dimensions, severely hardened skin, formation of blisters and fistulae  
  •  
 
 

Step 3: Consider patient-specific criteria

Criteria Material*
   Light / Medium Strong
Connective tissue normal to firm very soft to hardened
Weight normal body weight

increased to substantially increased body weight

Deepened skin wrinkles / calibre jumps none / moderate moderate / strong
Severity of the disease I - II II - III
Recommended mediven® compression armsleeves: mediven esprit®    
    mediven® 550 arm

* Please note that this recommendation does not replace the diagnosis of a doctor or the advice of a medical specialist. The choice of the optimal compression stocking depends on the indication and the individual needs of the patient.

Interview with Dr Catarina Hadamitzky

"There is not yet sufficient proof as to whether lipoedema returns after liposuction or can be cured in the long term in this way. What is certain is that, even after liposuction, experts recommend conservative therapy with flat knit medical compression stockings. As a specialist in the field of plastic and cosmetic surgery, Dr Catarina Hadamitzky operates on lipoedema patients regularly. Her conclusion: “Lipoedema patients who undergo operations are very active and need lots of freedom to move around. After liposuction I recommend particularly flexible, soft and elastic medical compression stockings.”

Dr Hadamitzky, what are the main considerations when selecting medical compression stockings in the treatment of lipoedema and lymphoedema?

“In order to provide these oedema patients with individual care, a large selection of flat knit medical compression stockings with various material thicknesses and properties is required. This is because each lipoedema and lymphoedema patient has different needs in terms of optimum care. The mediven cosy compression stockings are particularly suitable for lipoedema patients without additional lymphoedema thanks to their high level of longitudinal elasticity. They are easy to don, flexible, give lots of freedom to move and there is a large selection of fashionable options.”

Does the fashion aspect play an important role in addition to the medical effectiveness?

“A broad range of colours and patterns has a significant impact on the success of compression therapy with flat knit stockings. This increases acceptance and therefore compliance with therapy, especially with younger female patients. On a daily basis I experience patients placing particular value on having lots of freedom to make fashion choices in the context of their lipoedema therapy.”

What are the considerations when it comes to the material?

“Patients with lipo-lymphoedema need stockings with a very high level of wall stability. Patients with just lipoedema manage well with medium wall stability both before and after liposuction. They often wear their compression garments (as recommended) when exercising. A flat knitted stocking, such as mediven cosy, offers here the necessary freedom of movement with the resulting optimal wearing comfort. ”

Does this mean you also recommend compression after liposuction?

“It is still unclear how long the improvement that is experienced continues after liposuction and whether the lipoedema may return after a certain period of time. The current guidelines on treating lipoedema also recommend that patients use conservative therapy measures, for example flat knit medical compression stockings. These items need to be particularly flexible, soft and elastic. In my experience, lipoedema patients who undergo operations are very active and need lots of freedom to move around. It is important to prescribe patients a flat knit compression stocking that is comfortable to wear and easy to don for long-term therapy. In my opinion, a stocking like the mediven cosy is optimal for care after liposuction. Female patients with lipo-lymphoedema generally require stronger materials.”

Dr Hadamitzky, many thanks for the interview.

Show remarks:

Intended purpose

mediven® 550 leg: Flat-knitted medical compression stocking used for compression of the lower extremities, mainly for the treatment of disorders of the lymphatic system.

mediven® cosy: Flat-knitted medical compression stocking used for compression of the lower extremities, mainly for the treatment of disorders of the lymphatic system.

mediven® mondi: Flat-knitted medical compression stocking used for compression of the lower extremities, mainly for the treatment of disorders of the lymphatic system.

mediven® 550 arm: Flat-knitted medical compression stocking used for compression of the upper extremities, mainly for the treatment of disorders of the venous and lymphatic systems.

mediven® esprit®: Flat-knitted medical compression stocking used for compression of the upper extremities, mainly for the treatment of disorders of the venous and lymphatic systems.