Elastic Multilayer Bandages for Chronic Venous Insufficiency: Features of Our Technique

Suehiro, Kotaro; Okada, Maki; Yoshimura, Aiko; Morikage, Noriyasu; Murakami, Masanori; Yamashita, Osamu; Hamano, Kimikazu

doi:10.3400/avd.oa.12.00020

Cited by 8 publications

(13 citation statements)

References 8 publications

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“…For compression therapy, elastic bandages were initially used to achieve an interface pressure (IP) >30 mmHg and a static stiffness index 15 >10 mmHg for all the patients. 16 Depending on each patient's symptoms and compliance with compression therapy using bandages, knee-high compression stockings, which provided 30-40 mmHg of IP, were used as an alternative. Calf and ankle circumferences were reduced by these treatments (calf: 37.4±5.…”

Section: Treatmentmentioning

confidence: 99%

A Study of Leg Edema in Immobile Patients

Suehiro

Morikage

Murakami

et al. 2014

Circ J

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Section: Treatmentmentioning

confidence: 99%

A Study of Leg Edema in Immobile Patients

Suehiro

Morikage

Murakami

et al. 2014

Circ J

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“…Interface pressures obtained by stockings or bandages at the beginning were roughly the same with those we previously measured in normal subjects. 10,12 An appropriate size strong stocking was not preferred in any of the age groups. An oversize strong stocking, an appropriate size moderate stocking, and bandages were evenly preferred at the start of the study.…”

Section: Resultsmentioning

confidence: 99%

“…Since variable tension causes unpredictable IP under bandages, which results in an uncontrollable compression therapy, we instructed the patients not to stretch the bandages. Using this technique, the IP increases linearly according to the number of bandages, 10,11 which makes them easier to control. Moreover, since this technique can be practiced with only one hand, even patients with a paralyzed hand or fixed fingers can apply bandages by themselves.…”

Section: Discussionmentioning

confidence: 99%

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Adherence to and efficacy of different compression methods for treating chronic venous insufficiency in the elderly

et al. 2016

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Objectives To investigate the adherence to and efficacy of different compression methods in elderly patients. Methods A retrospective review of compression therapy in 120 elderly patients (≥65 years) with chronic venous insufficiency was performed to study the initially preferred compression method, adherence to each method, and its efficacy. Results Initially, an oversize strong stocking (24%), an appropriate size moderate stocking (19%), and bandages (37%) were equally preferred. Adherence at 1 month was 69%, 96%, and 91%, respectively, and they reduced ankle circumferences in C3 patients by 1.8 ± 1.9 cm, 0.3 ± 1.7 cm, and 2.9 ± 1.7 cm, respectively. The improvement rates of C4 symptoms were 79%, 60%, and 91%, respectively. Only three patients (2%) preferred an appropriate size strong stocking. Conclusions In elderly patients, an appropriate size strong stocking was not preferred. The best adherence was achieved by using a moderate stocking, while the best efficacy was achieved by using bandages.

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“…Details of the application technique have been reported previously. 6 ) Briefly, the person applying the bandage was instructed to softly place it around the leg so that it can fit the leg and smooth out wrinkles in an advancing direction without intentionally stretching the bandage. This technique effectively reduced variations in interface pressure (IP) and stiffness introduced depending on the skills of the person applying the bandage and also standardized the compression level among patients.…”

Section: Methodsmentioning

confidence: 99%

Self-Care-Based Treatment Using Ordinary Elastic Bandages for Venous Leg Ulcers

Suehiro

Morikage

Harada

et al. 2017

Annals of Vascular Diseases

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Objective: We aimed to study venous leg ulcer (VLU) healing and recurrence rates of VLU using a self-care-based treatment strategy. Methods: The study included 36 patients (43 legs) who visited our clinic between April 2009 and June 2015 because of non-healing VLUs and who had been treated by us for more than a year (until June 2016). Patients or their caregivers were first provided instructions for performing the no-intentional-stretch bandaging technique using ordinary elastic bandages. Wounds were cleansed with tepid water daily, and bandages were re-applied by patients or their caregivers; this was continued until VLUs were healed. Compression was discontinued after healing, but was restarted if persistent swelling and/or dermatitis was noticed on their legs. Results: The median ulcer size was 6.5 cm 2 (range, 1-105 cm 2 ). The median number of clinic visits until healing was six (range, 3-35). The 6-and 12-month healing rates were 67% and 86%, respectively. Twenty (44%) legs required compression therapy after VLU healing. The cumulative recurrence-free rate at 60 months was 86%. Conclusion: Reasonable healing and recurrence rates were achieved by applying a self-care-based VLU treatment strategy.

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Elastic Multilayer Bandages for Chronic Venous Insufficiency: Features of Our Technique

Cited by 8 publications

References 8 publications

A Study of Leg Edema in Immobile Patients

A Study of Leg Edema in Immobile Patients

Adherence to and efficacy of different compression methods for treating chronic venous insufficiency in the elderly

Self-Care-Based Treatment Using Ordinary Elastic Bandages for Venous Leg Ulcers

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