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Sermsathanasawadi, Nuttawut, Tanakorn Tarapongpun, Rattana Pianchareonsin, Nattawut Puangpunngam, Chumpol Wongwanit, Khamin Chinsakchai, Pramook Mutirangura, and Chanean Ruangsetakit. "Customizing elastic pressure bandages for reuse to a predetermined, sub-bandage pressure: A randomized controlled trial." Phlebology: The Journal of Venous Disease 33, no. 9 (December 25, 2017): 627–35. http://dx.doi.org/10.1177/0268355517746434.
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Objective A randomized clinical trial was performed to compare the effectiveness of unmarked bandages and customized bandages with visual markers in reproducing the desired sub-bandage pressure during self-bandaging by patients. Method Ninety patients were randomly allocated to two groups (“customized bandages” and “unmarked bandages”) and asked to perform self-bandaging three times. The achievement of a pressure between 35 and 45 mmHg in at least two of the three attempts was defined as adequate quality. Results Adequate quality was achieved by 33.0% when applying the unmarked bandages, and 60.0% when applying the customized bandages ( p = 0.02). Use of the customized bandage and previous experience of bandaging were independent predictors for the achievement of the predetermined sub-bandage pressure ( p = 0.005 and p = 0.021, respectively). Conclusion Customized bandages may achieve predetermined sub-bandage pressures more closely than standard, unmarked, compression bandages. Clinical trials registration ClinicalTrials.gov (NCT02729688). Effectiveness of a Pressure Indicator Guided and a Conventional Bandaging in Treatment of Venous Leg Ulcer. https://clinicaltrials.gov/ct2/show/NCT02729688
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BPharm, Steve Thomas. "Bandages and bandaging." Nursing Standard 4, no. 39 (June 26, 1990): 4–6. http://dx.doi.org/10.7748/ns.4.39.4.s66.
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McMurran, A. E. L., I. Khan, S. Mohamad, M. Shakeel, and H. Kubba. "Should the duration of head bandaging be reduced after pinnaplasty? A systematic review." Journal of Laryngology & Otology 128, no. 11 (October 13, 2014): 948–51. http://dx.doi.org/10.1017/s0022215114002114.
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AbstractBackground:It is common practice to use head bandages for 7–10 days following pinnaplasty. However, head bandages are often troublesome for patients and can lead to serious complications.Method:A systematic review was performed to evaluate the use of head bandages after pinnaplasty. A search of Medline, Embase (Ovid) and CINAHL (EBSCO collections), the Cochrane Library, Pubmed (US National Library of Medicine) and Google Scholar identified 34 related articles. Of these, 14 were deemed relevant and 2 randomised controlled trials, 1 cohort study, 3 case series and 1 literature review met the inclusion criteria.Results:The two randomised controlled trials show no statistically significant difference in complications when a head bandage was used for the standard 7–10 days, for 24 hours or not at all. The three case series show that using a head bandage for 24 hours or not at all are safe alternatives. The review article recommended that when head bandages are applied after pinnaplasty it should be for the shortest duration possible.Conclusion:Based on the available evidence, not using a head bandage at all or using one for a maximum of 24 hours following pinnaplasty is recommended.
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Smith, P. D. Coleridge, J. H. Scurr, and K. P. Robinson. "Optimum Methods of Limb Compression following Varicose Vein Surgery." Phlebology: The Journal of Venous Disease 2, no. 3 (September 1987): 165–72. http://dx.doi.org/10.1177/026835558700200309.
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It has been shown that bandages rapidly lose their ability to compress the leg in ambulant patients. However, they are still widely used following varicose vein surgery. We have measured the compression produced by crepe bandages, elastocrepe bandages or graduated high compression stockings following varicose vein surgery. Pressures exerted by the bandages and stockings were measured during the first 24 h following operation. Initially the bandages exerted greater pressures than the stockings. However, the bandaging techniques lost 13-38% of their compression in the first hour and 29–48% in 24 h compared with 3-5% for the compression stocking. Further testing of the bandages on a standard wooden leg and a commercial fabric testing machine confirmed that the loss of compression in the bandaged groups was due to the poor elastic qualities of crepe and elastocrepe bandages. The stockings provided a more constant compression with maintained graduation compared with the bandages.
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Tennant, W. G., K. G. M. Park, and C. V. Ruckley. "Testing Compression Bandages." Phlebology: The Journal of Venous Disease 3, no. 1 (March 1988): 55–61. http://dx.doi.org/10.1177/026835558800300108.
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Compression bandaging is the mainstay of the treatment of chronic venous leg ulcers. Using the Borgnis Medical Stocking Tester, six bandages in common use; (Blue Line, J-Press, Medirip, Elastocrepe, Crepe, and Elastoplast), were studied for the pressures attained, and the ability to sustain pressure. Each bandage was applied 10 times by one of two observers using a standard technique. Pressure measurements were taken hourly for 4h. The pressure exerted by Crepe fell by 63%, and that exerted by Elastoplast fell by 40% over the 4-h test period. Medirip and Blue Line gave the best sustained support. Bandages available on the UK drug tariff are in the main unsatisfactory for the treatment of chronic venous disease.
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Roush, J. K., K. L. Bilicki, G. Baker Baker, and M. D. Unis. "Effect of bandaging on postoperative swelling after tibial plateau levelling osteotomy." Veterinary and Comparative Orthopaedics and Traumatology 23, no. 04 (2010): 240–44. http://dx.doi.org/10.3415/vcot-09-04-0046.
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Summary Objective: To compare the effects of bandaging on immediate postoperative swelling using a modified Robert-Jones bandage after tibial plateau levelling osteotomy (TPLO) in dogs. Study design: Prospective case series. Methods: Dogs undergoing a TPLO were randomly placed into two groups. Group 1 received a modified Robert-Jones bandage postoperatively for a 24 hour period and Group 2 was not bandaged. Hindlimb circumference was measured at the level of the mid-patella, the distal aspect of the tibial crest, the midpoint of the tibial diaphysis and the hock. Measurements were recorded and compared in each group preoperatively and at 24 hours and 48 hours post-operatively. Interobserver variability was compared between the two observers. Results: There was no significant difference in postoperative swelling, as measured by the percentage change in circumference, between bandaged and unbandaged operated limbs after the TPLO at 24 and 48 hours at any site. Some significant differences in measurement at particular sites were observed between the two different observers, but there was a significant linear correlation at all sites between observers. The observer with the least experience consistently had slightly higher measurements at these sites. Clinical relevance: The use of a modified Robert-Jones bandage after TPLO did not prevent statistically significant postoperative swelling, and thus may not be indicated for this purpose. Postoperative bandages placed to control swelling after other small animal orthopaedic procedures should be evaluated individually for efficacy.
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Satpathy, A., S. Hayes, and S. Dodds. "Is compression bandaging accurate? The routine use of interface pressure measurements in compression bandaging of venous leg ulcers." Phlebology: The Journal of Venous Disease 21, no. 1 (March 1, 2006): 36–40. http://dx.doi.org/10.1258/026835506775971207.
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Objective: To test the use of a low-cost, portable, battery-powered sub-bandage pressure monitor as a part of a quality control measure for graduated compression bandaging in the leg ulcer clinics. Methods: A total of 25 healthy volunteers (mean age 40 years) providing 50 limbs were bandaged with a 4-layer compression bandaging system. Interface pressure was measured by placing pressure sensors on the skin at three points (2 cm above the medial malleolus, on the widest part of the calf and on a point midway between them) in supine and standing positions. A further 16 patients (mean age 62 years) providing 22 limb measurements also participated in this study. Bandages were reapplied in patients with the help of the pressure monitors when the target pressure was not achieved in the first attempt. Results: The interface pressures varied with change of position and movement. With the operator blinded, the target pressure of 35–40 mmHg at the ankle was achieved in only 36% of healthy volunteers (mean±95% confidence interval, 32.3±1.6 mmHg [supine]; 38.4±2.4 mmHg [standing position]). With the help of the pressure monitors, the target pressure was achieved in 78% of the patients. Conclusion: This result suggests that it is important to have a tool that is easy to operate, and available as a part of the quality assurance in connection with treatment and also training of care providers, nurses, etc in how to apply a compression bandage.
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Ruckley, C. V., J. J. Dale, B. Gibson, D. Brown, A. J. Lee, and R. J. Prescott. "Evaluation of Compression Therapy: Comparison of Three Sub-bandage Pressure Measuring Devices." Phlebology: The Journal of Venous Disease 17, no. 2 (June 2002): 54–58. http://dx.doi.org/10.1177/026835550201700203.
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Objective: To compare the consistency of the pressure measurements and the practical aspects of three manometers (Salzman MST; Oxford Talley and Diastron) measuring sub-bandage pressures. Methods: Five bandages (tubular elastic straight, tubular elastic graduated, short stretch non-elastic, long stretch elastic, cohesive elastic) were applied to standard models comprising foam-covered 9.5 cm, 12.5 cm diameter plastic tubes and a cone by a single expert bandager using a standard spiral technique with 50% overlap for the non-tubular bandages (NTB). The probes of all three machines were positioned at equidistant points around the circumference of each model at three levels corresponding to the ankle, gaiter and mid-calf measuring points of the MST probe. Two readings were taken for each of three separate applications of each bandage. Statistical analysis utilised ANOVA with Bartlett's test. Results. A total of 135 readings were made for each machine and 81 for each type of bandage. Mean pressures among the five bandages types ranged from 12.2 to 35.5 mmHg. A pressure gradient was apparent when NTB bandaging the straight tubes (means 24.7, 23.5, 22.4 mmHg) but not with the cone. There was a statistically significant difference between the three machines (Bartlett's test 23.6, p<0.0001), with the lowest variances for the MST and similar variances for the Oxford and Diastron. Conclusion. In terms of measurement variance this experiment indicates that the MST is the preferred machine for future experiments.
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Utrilla-Rodríguez, Elia, María Jesús Guerrero-Martínez-Cañavete, Manuel Albornoz-Cabello, and Pedro V. Munuera-Martínez. "Corrective Bandage for Conservative Treatment of Metatarsus Adductus: Retrospective Study." Physical Therapy 96, no. 1 (January 1, 2016): 46–52. http://dx.doi.org/10.2522/ptj.20140443.
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Background Metatarsus adductus (MA) is the most common congenital foot deformity observed in children. Objectives The aims of this study were: (1) to analyze the evolution of a corrective bandage for semirigid MA in newborns and (2) to recommend the age interval at which to start treatment of MA with the corrective bandage alone, without the need of splints. Design An observational clinical study was conducted. Methods The study was conducted at Virgen Macarena University Hospital in Seville, Spain. Children born with semirigid MA at the hospital during the years 2010–2011 were included. Corrective bandaging was applied to all children until clinical correction of the deformity. Sex, laterality of the deformity, weight and length of the newborn, age at the start of treatment, antecedents related to the pregnancy and birth, type of treatment (bandaging, splints), and correction or no correction with bandaging alone were recorded. Age differences at the start of the bandaging treatment between children whose deformity was corrected with and without the need of splints were examined. The receiver operating characteristic curve method was applied to analyze the predictive ability of the age at the start of bandaging treatment relative to whether the deformity was corrected or not corrected with bandaging alone. Results The bandage achieved complete correction in 68.1% of the children and corrected the deformity more frequently in girls compared with boys. Of the 56 children who began the treatment within the first month of life, 92.8% achieved correction of the foot deformity with the corrective bandaging alone. Limitations Patients' follow-up time was only 2 years, so it was only feasible to analyze the corrective bandaging method over the short term and medium term. Conclusions Corrective bandages showed high effectiveness, particularly in girls, and overall when started within the first month of life.
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Winston, Ken R., Elizabeth Trinidad, C. Corbett Wilkinson, and Lori A. McBride. "Cerebrospinal fluid shunt operations without cranial bandaging." Journal of Neurosurgery: Pediatrics 3, no. 6 (June 2009): 511–15. http://dx.doi.org/10.3171/2009.2.peds08296.
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Object Cranial bandages are commonly applied over scalp incisions immediately after cerebrospinal fluid (CSF) shunt surgery, putatively to prevent complications, particularly infection. These bandages require resources, consume the time of healthcare workers, and incur non-negligible expenses. It is therefore both reasonable and important to examine the efficacy of cranial bandaging. Methods The combined experience of 3 neurosurgeons over 6.75 years with using no cranial bandaging after operations for implantation or revision of CSF shunts is the basis of this report. These data were prospectively accrued and retrospectively analyzed. Results The infection rate was 4.2% (95% CI 3.1–5.6%) for 1064 operations performed without postoperative cranial bandaging after either shunt insertion or revision surgery through clean or clean-contaminated wounds. The age distribution extended from premature infants through adults 77 years of age. Conclusions The results of this investigation support the position that bandaging scalp wounds after CSF shunt implantation or revision surgery adds no benefit beyond the easier, simpler, faster, and cheaper practice of using antibiotic ointment as a dressing without bandaging.
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Tamoue, Ferdinand, and Andrea Ehrmann. "First principle study: parametric investigation of the mechanics of elastic and inelastic textile materials for the determination of compression therapy efficacy." Textile Research Journal 88, no. 21 (August 10, 2017): 2506–15. http://dx.doi.org/10.1177/0040517517725123.
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Vascular diseases are among the most common diseases in the world. Whether acute or chronic cases, compression therapy by bandaging is a well-known treatment for the majority of these diseases. In the textile processing of bandages, the influence of material chemistry (e.g. viscosity), the laws of physics (e.g. resiliency), and the medical requirements in the therapy must be taken into account. Furthermore, knowledge of the textile material helps us to understand why bandages do or do not have the desired effect. This paper provides a study of the Dynamic Hysteresis Coefficient (DHC) and lengthening, allowing the examination of compression bandage systems used in phlebology and lymphology using a novel measurement parameter. Compression bandage systems were subjected to a dynamic hysteresis test on a dynamometer, enabling estimation of the DHC and the lengthening (Δ L2) after five consecutive cycles. Evaluation of the findings indicates that the therapeutical stiffness index of the compression bandages can be reliably estimated using this new method. These findings show that inelastic compression bandage systems with elastomers can achieve a sustainable compression therapy over several days. DHC and Δ L2 are proven to be highly reliable parameters for comparing different compression bandage systems.
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Ruckley, C. V., J. J. Dale, B. Gibson, D. Brown, A. J. Lee, and R. J. Prescott. "Multi-layer compression: comparison of four different four-layer bandage systems applied to the leg." Phlebology: The Journal of Venous Disease 18, no. 3 (September 1, 2003): 123–29. http://dx.doi.org/10.1258/026835503322381324.
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Objective: To compare on standardized laboratory models the performance of four commercially available four-layer bandage systems. Methods: Four experienced bandagers applied each of the four systems [Profore® Regular (Smith & Nephew, Hull, UK), Ultra Four (Robinsons, Chesterfield, UK), System 4 (SSL International, Knutsford, UK) and K-Four® (Parema, Loughborough, UK)] to two models: a 12.5 cm diameter padded cylinder and a 9.5-14.5 cm padded cone. Bandages were applied individually in single layers and as a completed system using standard application techniques. Pressures were measured by the Borgnis Medical Stocking Tester at positions corresponding to ankle, gaiter and mid-calf areas as determined by the pressure sensor. Results: A total of 768 observations were made: 384 for each model, 192 for each bandaging system, 192 for each bandager and 128 for each measuring point. The increase in pressure produced by each additional layer was in the range of 50-60% of the pressure achieved by the same bandage when used as a single layer. Each bandage system and each bandager produced a gradient of final mean pressure irrespective of whether the bandage was applied to a cylinder or a cone. However, there were no significant differences in the gradients between the four bandage systems or between the four bandagers. There were significant differences in the final pressures achieved among the bandage systems when applied as completed systems (mean: Profore® = 42 mmHg; System 4 = 45 mmHg; K-Four® = 48 mmHg; and Ultra Four = 51 mmHg; P<0.001). Conclusions: These results challenge a commonly-held assumption concerning the additive effect of pressures generated by successive bandage layers. When applied as part of a multi-layered system each bandage adds just over half the pressure achieved by the same bandage when applied alone. The four completed systems produced pressures within a range appropriate for ulcer therapy, although there were significant differences in mean pressures. This capability of the systems to produce different pressures could be clinically important in the hands of inexperienced bandagers or with patients at risk of pressure damage..
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Finnie, Alison. "Bandages and bandaging techniques for compression therapy." British Journal of Community Nursing 7, no. 3 (March 2002): 134–42. http://dx.doi.org/10.12968/bjcn.2002.7.3.10212.
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Magazinovic, N., J. Phillips-Tumer, and G. V. Wilson. "Assessing nurses' knowledge of bandages and bandaging." Journal of Wound Care 2, no. 2 (March 2, 1993): 97–101. http://dx.doi.org/10.12968/jowc.1993.2.2.97.
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Yang, D., Y. K. Vandongen, and M. C. Stacey. "The Influence of Minimal-Stretch and Elasticated Bandages on Calf Muscle Pump Function in Patients with Chronic Venous Disease." Phlebology: The Journal of Venous Disease 14, no. 1 (March 1999): 3–8. http://dx.doi.org/10.1177/026835559901400102.
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Objective: To evaluate the influence of minimal-stretch and elasticated bandages on calf muscle pump function in patients with chronic venous disease. Design: An open, randomised, crossover study. Setting: University Department of Surgery, Fremantle Hospital, Perth, Australia. Subjects: Twenty patients with chronic venous disease and recently healed chronic venous ulcers. Method: Five different bandaging regimens were applied on each patient, and calf muscle pump function was assessed by using air plethysmography. Results: There was no significant difference in the venous filling index (VFI) and ejection fraction (EF) between the five different bandage regimens, and also no significant difference in four of the five bandage regimens over a 7-day period ( p>0.05). However, the VFI was significantly reduced and the EF was not significantly altered after the application of both elasticated and minimal-stretch bandages ( p<0.05, = p>0.05 respectively). Conclusion: All the bandage regimens used in this study have a similar influence on calf muscle pump function, and may therefore have a similar effect on the healing of chronic venous ulcers.
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Partsch, Hugo. "Reliable self-application of short stretch leg compression: Pressure measurements under self-applied, adjustable compression wraps." Phlebology: The Journal of Venous Disease 34, no. 3 (August 12, 2018): 208–13. http://dx.doi.org/10.1177/0268355518793467.
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Aim Self-application of properly performed compression bandages is generally considered as problematic. Therefore, the aim of this study was to measure the pressure of self-applied short stretch adjustable compression wrap compression systems (Juxta fit™) and to compare the results with the pressure achieved by bandaging other legs using the same material. Methods In the two training courses for nurses, specifically interested in leg ulcer treatment, the new bandage type of adjustable compression wrap was explained and workshops were organized, in which the interface pressure achieved by Juxta fit™ was measured. In the first course, the nurses applied the compression system to each other, and in the second course, another group did it on their own legs. Bandagers were instructed to apply the system strongly, with a target range of more than 50–60 mmHg. Results In the first course with mutual application ( n = 34), the median pressure at the medial lower leg was 58.5 mmHg (minimal 31, maximal value 137 mmHg), in the second course in which self-application was tested ( n = 36), the corresponding values were 61.5 mmHg (minimum 35, maximum 102 mmHg). No pressures less than 30 mmHg were seen on the distal calf in either group. Conclusions In contrast to short stretch bandages that are frequently applied by bandagers with too low pressure, the adjustable compression wrap devices handled by the patients themselves produce more appropriate and more consistent pressure.
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Davies, CE, G. Woolfrey, N. Hogg, J. Dyer, A. Cooper, J. Waldron, R. Bulbulia, MR Whyman, and KR Poskitt. "Maggots as a wound debridement agent for chronic venous leg ulcers under graduated compression bandages: A randomised controlled trial." Phlebology: The Journal of Venous Disease 30, no. 10 (October 8, 2014): 693–99. http://dx.doi.org/10.1177/0268355514555386.
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Objectives Slough in chronic venous leg ulcers may be associated with delayed healing. The purpose of this study was to assess larval debridement in chronic venous leg ulcers and to assess subsequent effect on healing. Methods All patients with chronic leg ulcers presenting to the leg ulcer service were evaluated for the study. Exclusion criteria were: ankle brachial pressure indices <0.85 or >1.25, no venous reflux on duplex and <20% of ulcer surface covered with slough. Participants were randomly allocated to either 4-layer compression bandaging alone or 4-layer compression bandaging + larvae. Surface areas of ulcer and slough were assessed on day 4; 4-layer compression bandaging was then continued and ulcer size was measured every 2 weeks for up to 12 weeks. Results A total of 601 patients with chronic leg ulcers were screened between November 2008 and July 2012. Of these, 20 were randomised to 4-layer compression bandaging and 20 to 4-layer compression bandaging + larvae. Median (range) ulcer size was 10.8 (3–21.3) cm2 and 8.1 (4.3–13.5) cm2 in the 4-layer compression bandaging and 4-layer compression bandaging + larvae groups, respectively (Mann–Whitney U test, P = 0.184). On day 4, median reduction in slough area was 3.7 cm2 in the 4-layer compression bandaging group ( P < 0.05) and 4.2 cm2 ( P < 0.001) in the 4-layer compression bandaging + larvae group. Median percentage area reduction of slough was 50% in the 4-layer compression bandaging group and 84% in the 4-layer compression bandaging + larvae group (Mann–Whitney U test, P < 0.05). The 12-week healing rate was 73% and 68% in the 4-layer compression bandaging and 4-layer compression bandaging + larvae groups, respectively (Kaplan–Meier analysis, P = 0.664). Conclusions Larval debridement therapy improves wound debridement in chronic venous leg ulcers treated with multilayer compression bandages. However, no subsequent improvement in ulcer healing was demonstrated.
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Cai, Lin. "Precise engineering of silver loaded polyvinyl alcohol nanogels for wound nursing care systems in operation room." Materials Express 11, no. 1 (January 1, 2021): 85–92. http://dx.doi.org/10.1166/mex.2021.1872.
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This study was designed to establish the composition of wound bandages based on silver nanoparticle (AgNP)loaded polyvinyl alcohol (PVA) nanogels. The AgNP nanogel (Ag-nGel) was fabricated by the fructose-mediated reduction of silver nitrate solutions within the PVA matrix. The influence of different experimental limitations on PVA nanogel formations were examined. The nanogel particle sizes were evaluated by transmission electron microscopy and determined to range from ∼10–50 nm. Additionally, glycerol were added to the Ag-nGels, and the resulting compositions (Ag-nGel-Glu) were coated on cotton fabrics to generate the wound bandaging composite. The cumulative drug release profile of the silver from the bandage was found to be ∼38% of the total loading after two days. Additionally, antibacterial efficacy was developed for gram positive and negative microorganisms. Moreover, we examined in vivo healing of skin wounds formed in mouse models over 21 days. In contrast to the untreated wounds, rapid healing was perceived in the Ag-nGel-Glu-treated wound with less damaging. These findings indicate that Ag-nGel-Glu-based bandaging materials could be a potential candidate for wound bandaging applications in the future.
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Talbot, Thomas R., Jody Peters, Lihan Yan, Peter F. Wright, and Kathryn M. Edwards. "Optimal Bandaging of Smallpox Vaccination Sites to Decrease the Potential for Secondary Vaccinia Transmission Without Impairing Lesion Healing." Infection Control & Hospital Epidemiology 27, no. 11 (November 2006): 1184–92. http://dx.doi.org/10.1086/508827.
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Objective.To assess the optimal method for covering smallpox vaccination sites to prevent transmission of vaccinia.Design.Randomized, nonblinded clinical trial.Setting.Tertiary care medical center.Participants.Vaccinia-naive and vaccinia-experienced volunteers.Interventions.After vaccination, study participants were randomized to receive 1 of 3 types of bandage: gauze, occlusive with gauze lining, or foam. Vaccination sites were assessed every 3 to 5 days until the lesion healed. During each visit, specimens were obtained from the vaccination site, the bandage surface before removal, and the index finger contralateral to the vaccination site and were cultured for vaccinia. Time to lesion healing was assessed.Results.All 48 vaccinia-naive and 47 (87%) of 54 vaccinia-experienced participants developed a vesicle or pustule at the injection site 6-11 days after vaccination. Fourteen (14%) of 102 participants had bandage cultures positive for vaccinia. All but 1 of these vaccinia-positive cultures were of a bandage from participants randomized to the gauze bandage group, and all but 3 were of bandages from vaccinia-naive participants. No finger-specimen cultures were positive for vaccinia. One episode of neck autoinoculation occurred in a vaccinia-naive individual who had vaccinia recovered from his gauze bandage on multiple visits. The foam bandage was associated with more local adverse effects (skin irritation and induration). The time to healing did not differ among the bandage groups.Conclusions.The potential for transmission of vaccinia from a vaccination site is greater if the site is covered by gauze than if it is covered by occlusive or foam bandages. Use of an occlusive bandage with a gauze lining is the best choice for coverage of smallpox vaccination sites because of a reduced potential for vaccinia transmission and a lower reactogenicity rate. Bandage choice did not affect vaccination lesion healing.
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Torres-Lacomba, María, Beatriz Navarro-Brazález, Virginia Prieto-Gómez, Jean Claude Ferrandez, Jean Yves Bouchet, and Helena Romay-Barrero. "Effectiveness of four types of bandages and kinesio-tape for treating breast-cancer-related lymphoedema: a randomized, single-blind, clinical trial." Clinical Rehabilitation 34, no. 9 (June 24, 2020): 1230–41. http://dx.doi.org/10.1177/0269215520935943.
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Objective: To compare the effects of four types of bandages and kinesio-tape and determine which one is the most effective in women with unilateral breast cancer-related lymphoedema. Design: Randomized, single-blind, clinical trial. Setting: Physiotherapy department in the Women’s Health Research Group at the University of Alcalá, Madrid, Spain. Subjects: A total of 150 women presenting breast-cancer-related lymphoedema. Interventions: Participants were randomized into five groups ( n = 30). All women received an intensive phase of complex decongestive physiotherapy including manual lymphatic drainage, pneumatic compression therapy, therapeutic education, active therapeutic exercise and bandaging. The only difference between the groups was the bandage or tape applied (multilayer; simplified multilayer; cohesive; adhesive; kinesio-tape). Main measurements: The main outcome was percentage excess volume change. Other outcomes measured were heaviness and tightness symptoms, and bandage or tape perceived comfort. Data were collected at baseline and finishing interventions. Results: This study showed significant differences between the bandage groups in absolute value of excess volume ( P < 0.001). The most effective were the simplified multilayer (59.5%, IQR = 28.7) and the cohesive bandages (46.3%, IQR = 39). The bandages/tape with the least difference were kinesio-tape (4.9%, IQR = 17.7) and adhesive bandage (21.7%, IQR = 17.9). The five groups exhibited a significant decrease in symptoms after interventions, with no differences between groups. In addition, kinesio-tape was perceived as the most comfortable by women and multilayer as the most uncomfortable ( P < 0.001). Conclusion: Simplified multilayer seems more effective and more comfortable than multilayer bandage. Cohesive bandage seems as effective as simplified multilayer and multilayer bandage. Kinesio taping seems the least effective.
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Fulcher, Emily, and Neil Gopee. "Effect of different compression bandaging techniques on the healing rate of venous leg ulcers: a literature review." British Journal of Community Nursing 25, Sup6 (June 2, 2020): S20—S26. http://dx.doi.org/10.12968/bjcn.2020.25.sup6.s20.
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Venous leg ulcers (VLUs) are a common health problem in older adults, for which the widely used method of treatment includes compression therapy. There are various compression bandages and hosiery systems available for use, but it remains unclear as to which types of compression systems are most effective in enabling healing of VLUs. This study aimed to determine which type of the two most commonly used compression bandaging (four-layer and two-layer) is more effective in providing complete ulcer healing of VLUs. Key search terms were identified using the PICO (population, intervention, comparison, outcome) model, with distinct inclusion and exclusion criteria, in a strategic search of electronic databases (e.g. CINAHL and MEDLINE) along with wider sources, including Google Scholar. More studies favoured the four-layer compression system than two-layer for providing better healing rates in the treatment of VLUs, but two-layer bandaging tends to provide a better quality of life and may be more cost-effective, although comorbidities and other factors also need to be considered. In choosing the type of compression bandage for the management of leg ulcers, the healing rate achieved by the chosen bandage needs to be carefully monitored, while also taking into consideration other factors such as the quality of life for the patient.
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Jonker, Leon, Jane Todhunter, Lesley Robinson, and Stacey Fisher. "Open-label, randomised, multicentre crossover trial assessing two-layer compression bandaging for chronic venous insufficiency: results of the APRICOT trial." British Journal of Community Nursing 25, Sup6 (June 2, 2020): S6—S13. http://dx.doi.org/10.12968/bjcn.2020.25.sup6.s6.
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Compression bandaging is the mainstay therapy for chronic venous insufficiency and venous leg ulcers, but patient compliance can be challenging due to associated discomfort. The study discussed here aimed to compare AndoFlex TLC Calamine and Coban2 compression bandaging in relation to patient comfort and pruritus symptomology, with severity of pruritus as the primary outcome. This was a multi-centre, prospective, non-blinded, randomised controlled crossover trial involving 39 randomised patients with chronic venous insufficiency patients. In two periods, the patients wore AndoFlex TLC Calamine or Coban2 for 3 weeks each. No significant differences in validated pruritus outcome measures were observed, including a non-significant treatment effect for the severity of pruritus scale (n=35 trial completers; p-value=0.24, Wilcoxon test). However, after trying both bandages, 21 of the 35 patients (60%) definitely preferred AndoFlex TLC Calamine, whereas 4 patients (11%) definitely preferred Coban2. Thus, AndoFlex TLC Calamine compression bandage therapy was preferred by most patients, although this observation could not be confirmed using validated patient-reported outcome measures for pruritus. Further research is indicated to establish if patient preference translates into favourable clinical outcomes. ISRCTN number: ISRCTN95282887
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Al Khaburi, J., E. A. Nelson, J. Hutchinson, and A. A. Dehghani-Sanij. "Impact of multilayered compression bandages on sub-bandage interface pressure: a model." Phlebology: The Journal of Venous Disease 26, no. 2 (March 2011): 75–83. http://dx.doi.org/10.1258/phleb.2010.009081.
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Background Multi-component medical compression bandages are widely used to treat venous leg ulcers. The sub-bandage interface pressures induced by individual components of the multi-component compression bandage systems are not always simply additive. Current models to explain compression bandage performance do not take account of the increase in leg circumference when each bandage is applied, and this may account for the difference between predicted and actual pressures. Objective To calculate the interface pressure when a multi-component compression bandage system is applied to a leg. Method Use thick wall cylinder theory to estimate the sub-bandage pressure over the leg when a multi-component compression bandage is applied to a leg. Results A mathematical model was developed based on thick cylinder theory to include bandage thickness in the calculation of the interface pressure in multi-component compression systems. In multi-component compression systems, the interface pressure corresponds to the sum of the pressures applied by individual bandage layers. However, the change in the limb diameter caused by additional bandage layers should be considered in the calculation. Adding the interface pressure produced by single components without considering the bandage thickness will result in an overestimate of the overall interface pressure produced by the multi-component compression systems. At the ankle (circumference 25 cm) this error can be 19.2% or even more in the case of four components bandaging systems. Conclusion Bandage thickness should be considered when calculating the pressure applied using multi-component compression systems.
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Shamir, MH, R. Shahar, and DE Johnston. "Semirigid external fixation for repair of fractures in young animals." Journal of the American Animal Hospital Association 32, no. 6 (November 1, 1996): 521–26. http://dx.doi.org/10.5326/15473317-32-6-521.
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An alternative method for external coaptation of fractures in young animals utilizes tongue depressors incorporated in a bandage consisting of a thick layer of cotton padding, gauze bandaging, and adhesive tape. This method was used in 13 cases with fractures of the tibia or the radius and ulna, some of which were open. Five cases (four dogs and a cat) had displaced fractures, and eight cases had either nondisplaced or only mildly displaced fractures. Size of the animal was not considered a limiting factor. Bandages were examined periodically. All fractures healed uneventfully, and the splints were removed 21-to-44 days after application. This method of external coaptation proved to be easy to apply and modify during the healing process and was applicable to a wide variety of fractures with good results.
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Muhammad, S. T., M. Abdurrahman, D. O. Avazi, B. Usman, E. G. Emmanuel, M. H. Sulaiman, P. H. Mamman, et al. "Management of Diffuse Necrotic Cutaneous Wound in a Dog." Sahel Journal of Veterinary Sciences 17, no. 2 (June 29, 2020): 49–52. http://dx.doi.org/10.54058/saheljvs.v17i2.133.
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A one-year-old male Terrier dog weighing 22 kg was presented to the Ahmadu Bello University Veterinary Teaching Hospital (ABUVTH), Zaria, Nigeria, with complaints of sloughing of the skin and purulent discharges from an injured (sloughed) shoulder. Clinical examination revealed normal vital parameters, extensive necrotized skin on the dorsum extending from loin to the right shoulder and enlarged superficial lymph nodes. Blood and wound swab samples were evaluated in the clinical haematology and Microbiology Laboratories of the ABUVTH, respectively. The Pathology result showed leucocytosis due to neutrophilia and monocytosis. Staphylococcus aureus was isolated from the wound swab. The wound was managed by wet-to-dry bandaging technique using topical antiseptics (Para-chloroaniline solution, chlorhexidine and povidone iodine), improvised non-adhesive protective membrane (polyethylene) applied at the wound-bandage interface, bandages along with adhesive tape and systemic antibiotics. Healing occurred uneventfully within 6 weeks of the intervention. The paper discusses the detail of the management initiated and how it greatly influenced the skin wound healing in dogs. In conclusion, proper initial assessment of wounds and appropriate treatment through rigorous wound assessment and bandaging are critical to success in the wound healing and restoration of tissue integrity. This management intervention could be further investigated in animals in order to improve the quality of cutaneous wounds management.
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Fousekis, Konstantinos, Evdokia Billis, Charalampos Matzaroglou, Konstantinos Mylonas, Constantinos Koutsojannis, and Elias Tsepis. "Elastic Bandaging for Orthopedic- and Sports-Injury Prevention and Rehabilitation: A Systematic Review." Journal of Sport Rehabilitation 26, no. 3 (May 2017): 269–78. http://dx.doi.org/10.1123/jsr.2015-0126.
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Context:Elastic bandages are commonly used in sports to treat and prevent sport injuries.Objective:To conduct a systematic review assessing the effectiveness of elastic bandaging in orthopedic- and sports-injury prevention and rehabilitation.Evidence Acquisition:The researchers searched the electronic databases MEDLINE, CINAHL, SPORTDiscus, EMBASE, and Physiotherapy Evidence Database (PEDro) with keywords elastic bandaging in combination, respectively, with first aid, sports injuries, orthopedic injuries, and sports injuries prevention and rehabilitation. Research studies were selected based on the use of the term elastic bandaging in the abstract. Final selection was made by applying inclusion and exclusion criteria to the full text. Studies were included if they were peer-reviewed clinical trials written in English on the effects of elastic bandaging for orthopedic-injury prevention and rehabilitation.Evidence Synthesis:Twelve studies met the criteria and were included in the final analysis. Data collected included number of participants, condition being treated, treatment used, control group, outcome measures, and results. Studies were critically analyzed using the PEDro scale.Conclusions:The studies in this review fell into 2 categories: studies in athletes (n = 2) and nonathletes (n = 10). All included trials had moderate to high quality, scoring ≥5 on the PEDro scale. The PEDro scores for the studies in athletes and nonathletes ranged from 5 to 6 out of 10 and from 5 to 8 out of 10, respectively. The quality of studies was mixed, ranging from higher- to moderate-quality methodological clinical trials. Overall, elastic bandaging can assist proprioceptive function of knee and ankle joint. Because of the moderate methodological quality and insufficient number of clinical trials, further effects of elastic bandaging could not be confirmed.
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Ning, Junjie, John Fish, Felix Trinh, Jihad Abbas, Andrew Seiwert, and Fedor Lurie. "Comparison of three pressure monitors used to measure interface pressure under compression bandages." Phlebology: The Journal of Venous Disease 35, no. 4 (July 11, 2019): 262–67. http://dx.doi.org/10.1177/0268355519862178.
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Background Measuring the interface pressure produced by compression therapy devices is essential for research and clinical practice. New user-friendly measuring devices, such as Smart Sleeve Pressure Monitor (SSPM) and Juzo Pressure Monitor (JPM) allow longitudinal pressure measurement. However, their accuracy and agreement with well-established usage of the PicoPress (PP) are unknown. The aim of this study is to investigate measurement accuracy of PP, SSPM, and JPM. Methods The three devices were tested in 10 healthy volunteers by applying incrementally increasing pressure from 20 mm Hg to 50 mm Hg using a calibrated sphygmomanometer cuff. The linearity of the response and measurement accuracy were compared among the three devices. In a separate experiment, the three devices were compared by simultaneously recording the interface pressure under bandages immediately after bandaging and after 4 h of wearing the bandage. Results PP had the best performance with the reference of sphygmomanometer, while JPM had better linearity and accuracy than SSPM. The mean difference in the interface pressure under bandages was +13.36 mm Hg between SSPM and PP, and +0.50 mm Hg between JPM and PP. The 95% limits of agreement were −13.92 and +40.64 mm Hg, and −19.83 and +20.84 mm Hg, respectively. Conclusions JPM showed better agreement with both sphygmomanometer and PP compared to SSPM. JPM is a reasonable alternative for monitoring interface pressure continuously.
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Bobbink, Paul, Géraldine Gschwind, and Sebastian Probst. "Nursing students' skills in applying short-stretch compression bandages using the control of compression bandaging score." British Journal of Nursing 32, no. 12 (June 22, 2023): S28—S35. http://dx.doi.org/10.12968/bjon.2023.32.12.s28.
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Aim: To assess the feasibility using the Control of Compression Bandaging (CCB) score to measure skills development on short-stretch compression therapy during a second-year nursing students' workshop. Design: A quasi-experimental pilot study with one group. Method: All students followed a blended learning unit comprising an e-learning unit on leg ulcers and compression therapy including videos, followed by hands-on workshops where they could exercise how to apply short-stretch compression bandages. Clinical nurse specialists in wound care collected pre- and post-workshop measures. Data collection included feasibility, absolute pressure under compression bandages and the CCB score. Results: Six clinical nurse specialists (CNSs) collected data and 16 students participated in this pilot study. The mean application time was 8.02 minutes (min=2, max=20) pre and 9.25 minutes (min=5, max=17) post workshop. Pressure under compression bandages increased at the forefoot (P=0.01) and the calf muscle base (P=0.03) post workshop. One extreme outlier was observed. In addition, the CCB score increased from 3.57 to 4.47 (P=0.16). Using pressure measuring devices was described as essential by all the CNSs and the CCB score was easy to use. Conclusion: Using the CCB score and pressure measuring devices were feasible during an undergraduate education session. Recruitment procedure and modality of data collection were satisfactory. This score may be a valuable way to assess students' skills in short-stretch compression therapy. If used for formal assessment, a passing score should be defined.
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Al Khaburi, J., E. A. Nelson, J. Hutchinson, and A. A. Dehghani-Sanij. "Impact of variation in limb shape on sub-bandage interface pressure." Phlebology: The Journal of Venous Disease 26, no. 1 (September 29, 2010): 20–28. http://dx.doi.org/10.1258/phleb.2010.009082.
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Background Sub-bandage interface pressure generated by medical compression bandages (MCB) and hosiery changes in mobile patients as they move due to the change in the limb size. However, the amount of variation in the interface pressure is dependent on the stiffness of the compression material. Researchers have proposed several indices to describe this change in interface pressure, including the static stiffness index (SSI) and the dynamic stiffness index (DSI). These indices can also be used to classify compression products. Objectives To explore the different proposed indices to describe the stiffness of a compression material and compare it to the engineering stress-strain modulus which is used for the same purpose; To estimate theoretically the change in the interface pressure which is caused by the change in the limb shape as a consequence of calf muscle activity and the associated transient variation in limb dimensions. Method Use Chord modulus to classify compression material; Use thin and thick cylinder wall theory to estimate the variation in the interface pressure due to changes in the limb shape secondary to muscle contraction; Use tensile test devices to obtain the Chord modulus for two different MCB at two different dynamic ranges. Results Chord modulus (E) describes the change in tension in a dynamic situation, and this is labelled as stiffness in the bandaging literature; Chord modulus, with the help of a mathematical model that was developed based on thick wall cylinder theory, can be used to predict the change in sub-bandage interface pressure caused by the change in limb shape secondary to calf muscle activity; Chord modulus can be used to classify bandages and describe how they will behave when they are applied to a leg. Conclusion The dynamic pressure can be predicted using a simple mathematical model using Chord modulus, which can be calculated in vitro using standard tensile testing equipment. In addition, Chord modulus can be used to classify compression bandages and hosiery.
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Wilkinson, E., S. Buttfield, S. Cooper, and E. Young. "Evaluation: Trial of two bandaging systems for chronic venous leg ulcers." Journal of Wound Care 6, no. 7 (July 2, 1997): 339–40. http://dx.doi.org/10.12968/jowc.1997.6.7.339.
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A four-layer bandaging system developed at Charing Cross Hospital has been found to be effective in healing chronic venous ulcers but is not available on the Drug Tariff. An alternative system was devised from bandages avai lable on the Drug Tariff and a community-based randomised controlled trial was undertaken to compare the two systems. Twenty-nine patients with a total of 35 ulcerated legs were recruited. Equal numbers of ulcerated legs healed using the two compression systems. Nineteen ulcerated legs did not heal, of which six were withdrawn from the trial - two in the trial system and four in the Charing Cross system. Of the 13 remaining ulcerated legs, for which treatment was completed, the mean reduction in ulcer area was 34% with the trial system and 39% with the Charing Cross system. The change in ulcer area was not statistically significant. However, a much larger trial is required in order to demonstrate definitively that the two bandaging systems are equivalent.
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Partsch, Hugo. "Compression for the management of venous leg ulcers: which material do we have?" Phlebology: The Journal of Venous Disease 29, no. 1_suppl (May 2014): 140–45. http://dx.doi.org/10.1177/0268355514528129.
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Compression therapy is the most important basic treatment modality in venous leg ulcers. The review focusses on the materials which are used: 1. Compression bandages, 2. Compression stockings, 3. Self-adjustable Velcro-devices, 4. Compression pumps, 5. Hybrid devices. Compression bandages, usually applied by trained staff, provide a wide spectrum of materials with different elastic properties. To make bandaging easier, safer and more effective, most modern bandages combine different material components. Self-management of venous ulcers has become feasible by introducing double compression stockings (“ulcer kits”) and self-adjustable Velcro devices. Compression pumps can be used as adjunctive measures, especially for patients with restricted mobility. The combination of sustained and intermittent compression (“hybrid device”) is a promising new tool. The interface pressure corresponding to the dosage of compression therapy determines the hemodynamic efficacy of each device. In order to reduce ambulatory venous hypertension compression pressures of more than 50 mm Hg in the upright position are desirable. At the same time pressure should be lower in the resting position in order to be tolerated. This prerequisite may be fulfilled by using inelastic, short stretch material including multicomponent bandages and cohesive surfaces, all characterized by high stiffness. Such materials do not give way when calf muscles contract during walking which leads to high peaks of interface pressure (“massaging effect”).
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Mosti, G. "Post-treatment compression: duration and techniques." Phlebology: The Journal of Venous Disease 28, no. 1_suppl (March 2013): 21–24. http://dx.doi.org/10.1177/0268355513475955.
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Background: Compression treatments used the following intervention for varicose veins range from no compression, to elastic stockings and compression bandaging. There is no consensus on the strength or duration of compression which should be applied following a particular treatment. The author reviews the evidence that has led him to reach his own viewpoint on this subject. Summary: Compression stockings are often prescribed after treatment of varicose veins, but these in general exert a much lower pressure in the thigh compared with firm inelastic compression bandages. It has been shown by objective investigation that it takes a pressure of 10–15 mmHg in the supine position and 40–50 mmHg in the standing position to occlude a superficial vein in the thigh. The author has published a study in which three groups of patients were studied following varicose vein surgery. One group received a strong medical compression stocking, the second group an inelastic bandaging system which achieved 63 mmHg compression in the standing position and an eccentric compression system which achieved 98 mmHg in the standing position. Adverse events after surgery were most frequent in the stocking group with fewer in the inelastic compression bandage group and fewest in the eccentric compression group. A further study has been published by another author in which elastic compression has been compared with eccentric compression following endovenous laser ablation of the saphenous vein. Eccentric compression reduced postoperative pain. Unfortunately, very little data are available to indicate the period for which compression should be applied following varicose vein treatment. Conclusions: In comparison to compression treatments following varicose vein surgery where the actual level of compression has been measured, higher levels of compression are more effective than lower levels in moderating postoperative pain and complications. Strong compression can be achieved by inelastic bandaging or by eccentric compression systems. Far fewer data are available to indicate the duration for which postoperative compression is required.
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Shouler, P. J., and P. C. Runchman. "Varicose Veins: optimum compression after surgery and sclerotherapy." Journal of The Royal Naval Medical Service 76, no. 2 (June 1990): 101–4. http://dx.doi.org/10.1136/jrnms-76-101.
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SummaryGraduated compression stockings are used in both surgical and non-surgical treatment of varicose veins. In a trial of high versus low compression stockings (40mmHg vs 15mmHg at ankle) after varicose vein surgery, both were equally effective in controlling bruising and thrombophlebitis, but low compression stockings proved to be more comfortable.In a further trial after sclerotherapy, high compression stockings alone produced comparable results to Elastocrepe® bandages with stockings. It is concluded that after varicose vein surgery low compression stockings provide adequate support for the leg and that after sclerotherapy, bandaging is not required if a high compression stocking is used.
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Aboalasaad, Abdelhamid R. R., Z. Skenderi, S. Brigita Kolčavová, and Amany A. S. Khalil. "Analysis of Factors Affecting Thermal Comfort Properties of Woven Compression Bandages." Autex Research Journal 20, no. 2 (May 13, 2020): 178–85. http://dx.doi.org/10.2478/aut-2019-0028.
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AbstractCompression bandage (CB) as a porous material should provide both graduated pressure and thermal comfort properties to enable air permeability, heat transfer, and liquid perspiration out of the human body. The main factors affecting thermal comfort properties are the temperature difference between environment and skin, yarns’ structure and material, fabric thickness, porosity, areal density, number of fabric layers, trapped air, and fabric structure. Thermal resistance (Rct) and water vapor resistance (Ret) are evaluated for four types of woven CBs. All bandage types were applied at the range of extension (10–80%) using both two- and three-layer bandaging on thermal foot model (TFM). Rct values are compared with measured results by the Alambeta instrument, whereas Ret test is performed on the Permetest device. Thermal resistance is significantly decreased when increasing the bandage extension from 10 to 40%, then it is slightly increased by increasing the extension from 40 to 60%, after that it is decreased especially at 80% extension due to lower bandage thickness and higher compression.
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Brizzio, E. O., G. Rossi, A. Chirinos, I. Cantero, G. Idiazabal, F. Amsler, and W. Blättler. "Healing venous ulcers with different modalities of leg compression." Phlebologie 35, no. 05 (2006): 349–55. http://dx.doi.org/10.1055/s-0037-1622150.
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Summary Background: Compression therapy (CT) is the stronghold of treatment of venous leg ulcers. We evaluated 5 modalities of CT in a prospective open pilot study using a unique trial design. Patients and methods: A group of experienced phlebologists assigned 31 consecutive patients with 35 venous ulcers (present for 2 to 24 months with no prior CT) to 5 different modalities of leg compression, 7 ulcers to each group. The challenge was to match the modality of CT with the features of the ulcer in order to achieve as many healings as possible. Wound care used standard techniques and specifically tailored foam pads to increase local pressure. CT modalities were either stockings Sigvaris® 15-20, 20-30, 30-40 mmHg, multi-layer bandages, or CircAid® bandaging. Compression was maintained day and night in all groups and changed at weekly visits. Study endpoints were time to healing and the clinical parameters predicting the outcome. Results: The cumulative healing rates were 71%, 77%, and 83% after 3, 6, and 9 months, respectively. Univariate analysis of variables associated with nonhealing were: previous surgery, presence of insufficient perforating and/or deep veins, older age, recurrence, amount of oedema, time of presence of CVI and the actual ulcer, and ulcer size (p <0.05-<0.001). The initial ulcer size was the best predictor of the healing-time (Pearson r=0.55, p=0.002). The modality of CT played an important role also, as 19 of 21 ulcers (90%) healed with stockings but only 8 of 14 with bandages (57%; p=0.021). Regression analysis allowed to calculate a model to predict the healing time. It compensated for the fact that patients treated with low or moderate compression stockings were at lower risk of non-healing. and revealed that healing with stockings was about twice as rapid as healing with bandages. Conclusion: Three fourths of venous ulcers can be brought to healing within 3 to 6 months. Healing time can be predicted using easy to assess clinical parameters. Irrespective of the initial presentation ulcer healing appeared more rapid with the application of stockings than with bandaging. These unexpected findings contradict current believes and require confirmation in randomised trials.
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Partsch, H., R. J. Damstra, D. J. Tazelaar, S. Schuller-Petrovic, A. J. Velders, M. J. M. de Rooij, R. R. M. Tjon Lim Sang, and D. Quinlan. "Multizentrische randomisierte und kontrollierte Studie zum Vergleich von Four layer Bandagen und Kurzzugbinden des venösen Ulkus." Vasa 30, no. 2 (May 1, 2001): 108–13. http://dx.doi.org/10.1024/0301-1526.30.2.108.
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Background: Aim of the study was to compare the healing rates of venous ulcers obtained with four-layer bandages (4LB) versus short stretch bandages (SSB). Design: Multicentre, randomised controlled trial performed in 5 centres of the Netherlands and in 2 centres in Austria ("PADS-study" = Profore™ Austrian Dutch Study). Patients and methods: 112 patients (53 treated with 4LB and 59 treated with SSB) completed at least one post-treatment follow-up, 90 completed the study. Bandaging and ulcer assessment was performed at weekly intervals. Randomisation was carried out for each centre and was stratified according to the size (more or less than 10 cm2) of the ulcerated area. Local therapy consisted of plain absorbing, non-adherent dressings. Time to complete healing was recorded up to a maximum of 16 weeks. The two treatment-groups were comparable regarding their baseline-characteristics. Results: In total 33/53 (62%) of ulcer-patients were healed in the 4LB group, compared with 43/59 (73%) in the SSB group (difference 11%, 95% CI –28% to 7%). 77% of the ulcers with an initial area less than 5cm2 healed as compared with 33% of the larger ulcers. The different healing rates in the centres could be explained by the different sizes of the treated ulcers. Based on Kaplan-Meier estimates the median healing time was 57 days for the 4LB (95% CI 47–85 days) and 63 days for the SSB (95% CI 43–70 days). Conclusion: The ulcer healing rate and the median healing time did not differ among the two types of bandages. The main discriminant criterion for healing was the initial ulcer size. In centres who are experienced users of short-stretch bandages, no statistically significant different healing rates of venous ulcers could be found after 4LB or SSB.
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Whitaker, J., A. Williams, D. Pope, R. Elwell, M. Thomas, H. Charles, and J. Muldoon. "Clinical audit of a lymphoedema bandaging system: a foam roll and cohesive short stretch bandages." Journal of Wound Care 24, no. 3 (March 2, 2015): 83–94. http://dx.doi.org/10.12968/jowc.2015.24.3.83.
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Yarovenko, G. V., and S. E. Katorkin. "Experience of using an adjustable inextensible compression bandage in a patient with secondary lymphedema of the right upper limb." Ambulatornaya khirurgiya = Ambulatory Surgery (Russia) 18, no. 1 (June 8, 2021): 121–26. http://dx.doi.org/10.21518/1995-1477-2021-18-1-121-126.
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Introduction. Secondary upper-extremity lymphedema is most commonly caused by lymphadenectomy and radiotherapy (RT) of regional lymph nodes. Lymphatic edema differ in the fact that they lead to fibrotic changes in tissues, as the lymph contains up to 2–4% of protein, which causes a specific histopathological response. Proteins, as well as tissue protein-polysaccharide complexes, undergo transformations leading to pathological collagenization, and then to hyalinization and sclerosis. A vicious circle of pathological processes stemming from biophysical and chemical changes in proteins and polysaccharides with metabolic disorders occurs. Compression therapy is the most important component of the fight against both upper- and lower-extremity edema of various origins at any stage of the disease.The aim is to assess the postoperative stabilization of the upper-extremity edema state due to the patient’s self-bandaging using inelastic bandages and the possibility of personalized adjustment of pressure to be applied at the required level. The article provides indications for the use of an adjustable inelastic compression bandage to stabilize edema, and reviews a clinical example of its postoperative use in a patient with grade 4 secondary right upper-extremity lymphedema. Particular emphasis is placed on the versatility of adjustable inelastic compression bandage and the expediency of its widespread use in clinical practice.Conclusion. Simplicity and ease of use with an option to self-adjust and maintain the stable level of therapeutic pressure throughout the entire period of medical rehabilitation, as well as minimization of doctor’s involvement, allow us to recommend the adjustable inelastic compression bandage for effective use in wide clinical practice.
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Schwarz, Rastan, Pochert, Sixt, Schwarzwälder, Bürgelin, Büttner, Müller, Neumann, and Zeller. "Mechanical compression versus haemostatic wound dressing after femoral artery sheath removal: A prospective, randomized study." Vasa 38, no. 1 (February 1, 2009): 53–59. http://dx.doi.org/10.1024/0301-1526.38.1.53.
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Background: Bleeding complications in the groin are one of the major disadvantages of femoral catheter procedures. The immobilisation of the patient and the compression bandages can jeopardize the patients’ comfort. Aim of the study was a randomized comparison of safety and patient comfort of mechanical pressure followed by pressure bandage overnight using two different haemostatic pads after femoral artery sheath removal. Patients and methods: Nine hundred and eight consecutive patients undergoing diagnostic or therapeutic procedures via a 5 or 6 F femoral sheath were randomly selected either for mechanical compression therapy followed by a compression bandage (302 patients, group 1), or manual compression with application of a calcium ion releasing device (compression bandage only after application of > 5000 IU of heparin; 303 patients; group 2), or manual compression with a thrombin covered PAD without compression bandage (303 patients, group 3). Results: No major hemorrhage or death occurred. A false aneurysm was found in 10 (3.3%), 13 (4.3%), and 10 patients (3.3%) of group 1, 2, and 3, respectively (p = 0.38). Three patients (0.3%) needed surgical treatment. 69 (22.7%) patients in thrombin covered PAD-group required a compression bandage overnight due to seeping hemorrhage after 15 minutes. In the calcium ion releasing PAD-group 124 (40.9%) patients had continued bandaging, 46 (15.2%) due to seeping hemorrhage after 15 min, and 78 (25.7%) due to application of heparin > 5000 IU. Conclusions: The use of mechanical compression combined with a pressure bandage, and the use of haemostatic wound dressing assisted sheath removal technique offer a comparable level of safety. Patient comfort is improved with the usage of PAD devices, however the technical failure rate of the PAD should be taken into account.
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Fevre, Amandine, Juliette Moriceau, Jaime Almazán-Polo, and Guillermo García-Pérez-de-Sevilla. "Immediate Effect of a Kinesiotape Bandage on Knee Mechanics during Functional Tests in Female Rugby and Football Athletes: A Pilot Study." Applied Sciences 14, no. 7 (March 28, 2024): 2839. http://dx.doi.org/10.3390/app14072839.
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Background: Some bandages with Kinesiotape have demonstrated some potential as means of prevention for Anterior Cruciate Ligament (ACL) injury in men. Objective: The main objective of this pilot study was to observe if a Kinesiotape bandage at the knee could potentially have an immediate preventive effect against ACL injuries by improving proprioception and balance and reducing knee valgus and anterior translation of the tibia during certain functional tests in female athletes. Materials and Methods: A cross-over clinical trial including 10 female athletes (football and rugby) was conducted, where the two lower limbs of the 10 participants (n = 20) were randomly assigned to the intervention group (IG) or to the control group (CG). A Kinesiotape bandage was placed on one knee with a tension of 75% (IG, n = 10) and another bandage on the other knee with a tension of 10% (CG, n = 10), as a placebo. Ultrasound assessment and functional tests were performed before (T1) and after (T2) bandaging according to group assignment. A videographic analysis was carried out with the ImageJ Software version 2.0. Results: A statistically significant reduction in knee valgus was observed in the Lateral Step Down test in the IG, compared to the CG (p < 0.05; η2p = 0.26) (IG-T1: 151.40 ± 11.04°; IG-T2: 157.10 ± 10.18°; versus CG-T1: 156.96 ± 5.44°; CG-T2: 158.68 ± 6.12°). In the other tests, no significant differences were found in terms of time × group interaction. Conclusions: A Kinesiotape bandage was able to reduce knee valgus in a functional test compared to a placebo bandage but was not more effective at reducing the anterior translation of the tibia or improving balance or proprioception. Based on these results, it could have a modest preventive effect against an ACL injury in female athletes.
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Callam, M. J., D. R. Harper, J. J. Dale, D. Brown, B. Gibson, R. J. Prescott, and C. V. Ruckley. "Lothian and Forth Valley Leg Ulcer Healing Trial, Part 2: Knitted Viscose Dressing versus a Hydrocellular Dressing in the Treatment of Chronic Leg Ulceration." Phlebology: The Journal of Venous Disease 7, no. 4 (December 1992): 142–45. http://dx.doi.org/10.1177/026835559200700403.
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Objective: To compare a new ‘advanced’ hydrocellular Polyurethane dressing (HPD) (Allevyn) with a traditional simple non-adherent knitted viscose dressing (KDV) (Tricotex) in the treatment of chronic venous leg ulcers. Design: A randomized trial of factorial design, with interaction testing, to allow the evaluation of two different therapeutic components (dressing and bandages) within a single trial. The treatment period was 12 weeks or until healing, whichever occurred sooner. Setting: The Leg Ulcer Clinics of Edinburgh and Falkirk and District Royal Infirmaries, Scotland. Patients: 132 patients with chronic venous leg ulcers were randomized, 66 to HPD and 66 to KVD. Principal exclusions were patients with diabetes, rheumatoid disease or Doppler ankle/brachial pressure indices of less than 0.8. There were 28 withdrawals (15 KVD, 13 HPD). These were considered as treatment failures. Interventions: Dressings and bandaging were applied by specialist leg ulcer nurses using standard techniques throughout, the bandaging being randomized to either elastic or non-elastic multilayer systems. Main outcome measure: The principal end-point was ulcer healing. Also monitored were healing rates, pain and the frequency of dressing changes. Results: Pain relief was significantly better in the HPD group ( p=0.01). Thirty-one (47%) of the HPD patients healed within 12 weeks compared with only 23 (35%) of the those treated with KVD (95% confidence limits for difference, −5% to +29%). The higest healing rates (61% for all ulcers and 74% for those less than 10 cm2) were observed in the subgroup in which HPD was used in combination with an elastic bandaging system. Conclusion: Patients treated with HPD did significantly better in terms of pain relief, although the higher healing rates observed in this group failed to reach significance at the 5% level.
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Sikka, Monica Puri, Subrato Ghosh, and Arunangshu Mukhopadhyay. "Geometry of the bandaging procedure and its application while wrapping bandages for treatment of leg ulcers." Journal of Biomedical Science and Engineering 06, no. 12 (2013): 1186–90. http://dx.doi.org/10.4236/jbise.2013.612148.
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Sermsathanasawadi, Nuttawut, Choedpong Chatjaturapat, Rattana Pianchareonsin, Nattawut Puangpunngam, Chumpol Wongwanit, Khamin Chinsakchai, Chanean Ruangsetakit, and Pramook Mutirangura. "Use of customised pressure-guided elastic bandages to improve efficacy of compression bandaging for venous ulcers." International Wound Journal 14, no. 4 (August 9, 2016): 636–40. http://dx.doi.org/10.1111/iwj.12656.
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Wang, Yumei, Huichao Fu, and Ying Lin. "Alginate/Gelatin Sponges Composited with ZnO Sponge Effective Extensibility and Compressibility as a Wound Dressing for the Care of Fracture Surgery." Journal of Biomaterials and Tissue Engineering 11, no. 10 (October 1, 2021): 1873–80. http://dx.doi.org/10.1166/jbt.2021.2767.
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We designed and synthesized highly porous alginate and gelatin hydrogels with zinc oxide nanoparticles (AGZNPs) as dressings using sol–gel methods. The presence of functional groups and the surface characteristics of the as-synthesised dressings were analyzed via Fourier transforminfrared (FT-IR) spectroscopy, while their morphology was studied via scanning electron microscopy (SEM). Additionally, the mechanical, inflammatory, and antibacterial properties and biocompatibility of the AGZNPs were evaluated to determine the efficiency of these bandages for wound healing applications. The AGZNPs demonstrated enhanced inflammatory and antibacterial properties. The biocompatibility of the nanocomposites was investigated in noncancerous NIH3T3 human fibroblasts. Furthermore, in-vivo examinations showed that the composition of the synthesized AGZNPs enhanced wound healing and promoted rapid cell construction and growth. Therefore, the AGZNP strategy promotes the future application of these nanoformulation hydrogels for wound bandaging in fracture surgeries.
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Yoshida, Shuhei, Isao Koshima, Hirofumi Imai, Solji Roh, Toshiro Mese, Toshio Uchiki, Ayano Sasaki, and Shogo Nagamatsu. "Effect of Postoperative Compression Therapy on the Success of Liposuction in Patients with Advanced Lower Limb Lymphedema." Journal of Clinical Medicine 10, no. 21 (October 22, 2021): 4852. http://dx.doi.org/10.3390/jcm10214852.
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Objective: There is limited information on postoperative care after liposuction for lymphedema limb. The aim of this retrospective study was to identify the threshold compression pressure and other factors that lead liposuction for lower limb lymphedema to success. Materials and Methods: Patients were divided according to whether they underwent compression therapy with both stockings and bandaging (SB group), stockings alone (S group), or bandaging alone (B group) for 6 months after liposuction. The postoperative compression pressure and rate of improvement were compared according to the postoperative compression method. We also investigated whether it was possible to decrease the compression pressure after 6 months. Liposuction was considered successful if improvement rate was >15. Results: Mean compression pressure was significantly lower in the S group than in the SB group or B group. The liposuction success rate was significantly higher in the SB group than in the B group or S group. There was not a significant difference between the values at 6 months after liposuction and at 6 months after a decrease in compression pressure in the successful group. Conclusion: Our results suggest that stable high-pressure postoperative compression therapy is key to the success of liposuction for lower limb lymphedema and is best achieved by using both stockings and bandages. The postoperative compression pressure required for liposuction to be successful was >40 mmHg on the lower leg and >20 mmHg on the thigh. These pressures could be decreased after 6 months.
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Dhupa, S., and J. E. Harris. "Treatment of degloving injuries with autogenous full thickness mesh scrotal free grafts." Veterinary and Comparative Orthopaedics and Traumatology 21, no. 04 (2008): 378–81. http://dx.doi.org/10.3415/vcot-07-04-0029.
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SummaryIn this report, we evaluated the effectiveness of scrotal tissue as an autogenous free skin graft to treat cutaneous degloving injuries of the distal limb in dogs. Surgery was performed on two male intact dogs with distal extremity degloving wounds. Dog #1 had a tarsal degloving wound with exposure of the distal tibial and tarsal bones. Dog #2 had a degloving injury over the metacarpals. Wounds were treated with daily wetto- dry bandages in order to develop a healthy bed of granulation tissue at the graft recipient site. Scrotal ablation castration was performed once the recipient site had been prepared. Subcutaneous and adipose tissue were excised from the scrotal graft and mesh slits were created. The graft was applied to the recipient site with monofilament absorbable simple interrupted sutures. Bandaging was performed postoperatively, and bandage changes occurred four, seven, nine and 11 days postoperatively. Follow-up was performed at 30 days. In dog #1, the tarsal degloving injury graft had first intention healing with 100% graft take on day 11. In dog #2, the metacarpal degloving injury graft had 90% graft take on day nine, with second intention healing adjacent to the fifth digit pad. The scrotum is often discarded at the time of scrotal ablation castration. Distal extremity wounds can be successfully treated with free skin grafts. In male dogs, the scrotum is a viable option as a full thickness mesh free graft for distal extremity reconstructive surgery.
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Franek, A., L. Brzezinska-Wcislo, E. Blaszczak, A. Polak, and J. Taradaj. "Randomized trial of medical compression stockings versus two-layer short-stretch bandaging in the management of venous leg ulcers." Phlebologie 38, no. 04 (2009): 157–63. http://dx.doi.org/10.1055/s-0037-1622268.
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SummaryA prospective randomized clinical trial was undertaken to compare a medical compression stockings with two-layer short-stretch bandaging in the management of venous leg ulcers. Study endpoints were number of completely healed wounds and the clinical parameters predicting the outcome. Patients, methods: Eighty patients with venous leg ulcers were included in this study, and ultimately allocated into two comparative groups. Group A consisted of 40 patients (25 women, 15 men). They were treated with the compression stockings (25–32 mmHg) and drug therapy. Group B consisted of 40 patients (22 women, 18 men). They were treated with the short-stretch bandages (30–40 mmHg) and drug therapy, administered identically as in group A. Results: Within two months the 15/40 (37.50%) patients in group A and 5/40 (12.50%) in group B were healed completely (p = 0.01). For patients with isolated superficial reflux, the healing rates at two months were 45.45% (10/22 healed) in group A and 18.18% (4/22 healed) in group B (p = 0.01). For patients with superficial plus deep reflux, the healing rates were 27.77% (5/18 healed) in group A and 5.55% (1/18 healed) in group B (p = 0.002). Comparison of relative change of the total surface area (61.55% in group A vs. 23.66% in group B), length (41.67% in group A vs. 27.99% in group B), width (46.16% in group A vs. 29.33% in group B), and volume (82.03% in group A vs. 40.01% in group B) demonstrated difference (p = 0.002 in all comparisons) in favour of group A. Conclusion: The medical compression stockings are extremely useful therapy in enhancement of venous leg ulcer healing (both for patients with superficial and for patients who had superficial plus deep reflux). Bandages are less effective (especially for patients with superficial plus deep reflux, where the efficiency compared to the stockings of applied compression appeared dramatically low). These findings require confirmation in other randomized clinical trials with long term results.
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Cox, Amy, and Chrissie Bousfield. "Velcro compression wraps as an alternative form of compression therapy for venous leg ulcers: a review." British Journal of Community Nursing 26, Sup6 (June 1, 2021): S10—S20. http://dx.doi.org/10.12968/bjcn.2021.26.sup6.s10.
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The first-line treatment for venous leg ulcers (VLUs) is compression therapy, most commonly, with compression bandages. A similar treatment measure is used for lymphoedema in the form of Velcro compression wraps (VCWs). However, the use of VCWs for VLUs is less evident, and a direct comparison to compression bandaging is not evident. This review explores the evidence to support the use of VCWs for the treatment of VLUs in order to raise awareness of alternative forms of compression therapy. Nine primary research studies were analysed, from which four key themes emerged: quality of life, cost of treatment, ulcer healing time and pressure maintenance. The findings suggest that VCWs decrease material costs by at least 50%, and further savings may be realised by reducing the costs associated with nursing time. The benefits of promoting self-care, maintaining compression, and eliciting greater healing rates are clearly evident, and the impact on quality of life is substantiated.
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Abdelrauf, Ahmed M., Amal Mohamed Abd El Baky, Ahmed Salah El-Khodary, Hamed M. Kadry, and Eman Mohamed Othman. "Complete decongestive therapy versus compression bandaging alone in advanced secondary lymphedema." Fizjoterapia Polska 22, no. 3 (August 30, 2022): 60–64. http://dx.doi.org/10.56984/8zg14224g.
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Background. Secondary lymphedema results from a known insult to the lymphatic system. Worldwide, secondary lymphedema is more common than primary lymphedema. Compression therapy is the mainstay of management for all stages of lymphedema. Purpose. To compare between the effectiveness of compression bandaging (CB) alone to the international standard treatment of (CDT) in patients with advanced secondary lymphedema. Methods. Sixty patients of both genders with lower limb secondary lymphedema (stage II and III) aged from 40 to 55 years old, with body mass index (BMI) less than 35 and duration of illness ranged from 3-9 years were included in the study. They were randomly assigned into two groups of equal numbers. Group A: Thirty patients received CDT (Manual lymph drainage, CB, exercises, and skin care). Group B: Thirty patients received MCB using short stretch bandages alone. The treatment sessions consisted of twelve sessions, three times per week for a total duration of four weeks. The assessment of limb volume was done using water displacement method and truncated cone volumetric measurements (pre-treatment and after 12 sessions (post-treatment)). Results. Within both groups, there was a significant reduction in water displacement volumetric measurements pre vs. post treatment in groups (A& B) p-value = 0.0001, p-value = 0.0001 respectively. As well, there was a significant reduction in truncated cone lower extremity volumetric measurements between pre and post treatment in groups (A & B) p-value = 0.0001, p-value = 0.028 respectively. However, there were no significant differences in the mean values of water displacement volumetric measurements and truncated cone mean volumetric values between both groups (p = 0.835, p = 0.397) respectively. Conclusion. Compression bandaging alone is as effective as complete decongestive therapy in advanced secondary lymphedema.
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Danielsen, L., S. M. Madsen, and L. Henriksen. "Venous Leg Ulcer Healing: A Randomized Prospective Study of Long-Stretch versus Short-Stretch Compression Bandages." Phlebology: The Journal of Venous Disease 13, no. 2 (June 1998): 59–63. http://dx.doi.org/10.1177/026835559801300206.
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Objective: To compare the efficacy of a long-stretch bandage with that of a short-stretch compression bandage. Design: Prospective evaluation of healing of venous leg ulcers in blindly randomized groups of patients. Setting: Bispebjerg Hospital, Copenhagen, Denmark. Patients: Forty-three patients with venous leg ulcers were included. Forty legs in 40 patients were evaluated at 1 month (34 patients), 6 months (32 patients) or 12 months (27 patients). Interventions: Both types of bandage were used at a width of 10 cm and applied using the same spiral bandaging technique. Main outcome measures: Ulcer healing and ulcer area reduction. Results: Healed ulcers after 1 month were observed in 27% of the long-stretch group and in 5% of the short-stretch group ( p = 0.15); after 6 months the corresponding figures were 50% and 36% ( p = 0.49) and after 12 months 71% and 30% ( p = 0.06). Using life-table analysis the predicted healing rate in the long-stretch group after 12 months was 81% and for the short-stretch group 31% ( p = 0.03). The mean of relative ulcer areas at 1 month was 0.45 for the long-stretch group and 0.72 for the short-stretch group ( p = 0.07), at 6 months the corresponding figures were 0.81 and 0.60 ( p = 0.25) and at 12 months 0.25 and 0.95 ( p = 0.01). Conclusions: The present study appears to indicate a Positive influence of the elasticity of a compression bandage on venous ulcer healing.