Geometry of the bandaging procedure and its application while wrapping bandages for treatment of leg ulcers

Abstract

Appropriate compression bandaging is important for compression therapeutic medical diseases. The high compression approach employed for treating venous leg ulcers should be used correctly so that sufficient (but not excessive) pressure is applied. Bandages used to treat venous disease by compression should achieve and sustain effective levels and gradients of pressure and minimize the risk of pressure trauma. To maintain graduated compression on the limb, the bandage needs to be applied at the same tension for each layer from the ankle to the knee. In this paper, the geometry for various bandaging procedures is used to wrap each layer of bandage by marking the relaxed length of the bandage. The relaxed length is calculated depending on the stretch%, the average circumference of the limb to which it is to be applied and the bandaging technique to be used. This paper aims at developing a scientific approach while applying the bandage to reduce the inter operator variability in applying the same tension on each successive layer of bandage.

Share and Cite:

Sikka, M. , Ghosh, S. and Mukhopadhyay, A. (2013) Geometry of the bandaging procedure and its application while wrapping bandages for treatment of leg ulcers. Journal of Biomedical Science and Engineering, 6, 1186-1190. doi: 10.4236/jbise.2013.612148.

Conflicts of Interest

The authors declare no conflicts of interest.

References

[1] Farah, R.S. and Davis, M.D.P. (2010) Venous leg ulcerations: A treatment updates. Current Treatment Options in Cardiovascular Medicine, 12, 101-116.
http://dx.doi.org/10.1007/s11936-010-0066-9
[2] Vicaretti, M. (2010) Compression therapy for venous disease. Australian Prescriber, 33, 186-190.
[3] Clark, M. (2003) Compression bandages: Principles and definitions. Position Document, European Wound Management Association (EWMA), Medical Education Partnership Ltd., London, 2-4.
[4] Mosti, G., Mattaliano, V., Polignano, R. and Masina, M. (2009) Compression therapy in the treatment of leg ulcers, Acta Vulnologica, 7, 1-43.
[5] Nelson, E., et al. (1996) The management of leg ulcers. Journal of Wound Care, 5, 73-76.
[6] EWMA Position Document (2003) Understanding compression therapy. MEP, London.
http://www.proguide.net
[7] Logan, R.A., Thomas, S. and Harding, E.F. (1992) A comparison of sub bandage pressures produced by experienced and inexperienced bandagers. Journal of Wound Care, 1, 23-26.
[8] Thomas S, Nelson AE. (1998) Graduated external compression in the treatment of venous disease. Journal of Wound Care, 78, 1-4.
[9] Lee, A.J., Dale, J.J., Ruckley, C.V., Gibson, B., Prescott, R.J. and Brown, D. (2006) Compression therapy: Effects of posture and application techniques on initial pressures delivered by bandages of different physical properties. European Journal of Vascular and Endovascular Surgery, 31, 542-552. http://dx.doi.org/10.1016/j.ejvs.2005.10.023
[10] Dale, J.J., Ruckley, C.V., Gibson, B., Brown, D., Lee, A.J. and Prescott, R.J. (2004) Multi-layer compression: Comparison of four different four-layer bandage systems applied to the leg. European Journal of Vascular and Endovascular Surgery, 27, 94-99.
http://dx.doi.org/10.1016/j.ejvs.2003.10.014
[11] Thomas, S. and Fram, P. (2003) An evaluation of a new type of compression bandaging system.
www.worldwidewounds.com
[12] (2010) www.urgomedical.com
[13] Compression Therapy Study Group (2009) Compression, consensus document based on scientific evidence and clinical experience. Edizioni Minerva Medica Torino, Compression impa.indd 3.
[14] Venkata, P. (2011) Experimental and theoretical studies on compressive behaviour of crepe bandage fabrics. M.Tech thesis, N.I.T-Jalandhar, 1-60.

Copyright © 2024 by authors and Scientific Research Publishing Inc.

Creative Commons License

This work and the related PDF file are licensed under a Creative Commons Attribution 4.0 International License.