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At least 163 records · Page 9Linked to original sources
PubMed2001

A longitudinal, quality of life study comparing four layer bandaging and superficial venous surgery for the treatment of venous leg ulcers.

OBJECTIVE: To investigate and compare changes in quality of life of patients with venous ulcers undergoing treatment with either four layer bandaging or superficial venous surgery. DESIGN: Fifteen patients with venous ulcers were selected from two treatment groups--either four layer bandaging or superficial venous surgery. Each received a postal questionnaire at pretreatment, four weeks and twelve weeks post treatment. The EuroQol quality of life questionnaire was used along with a disease specific questionnaire devised by the author. Analysis of results was undertaken using validated statistical methods. SETTING: Department of Vascular Surgery Leicester Royal Infirmary and Fosse Health (NHS) Trust (now the Leicestershire and Rutland Healthcare NHS Trust). MAIN OUTCOME MEASURES: To measure changes in quality of life of patients undergoing superficial venous surgery or four layer bandaging. RESULTS: Treatment over the twelve week period resulted in improvements in quality of life for both treatment groups (P = 0.001 for surgery and P = 0.019 for bandaging). No statistical differences in quality of life between the two treatment modalities were found at four and twelve weeks. CONCLUSION: There was evidence of an improvement in quality of life for both groups following twelve weeks of treatment. Improvements in pain and general quality of life were more marked in the bandaging group. Systems of care that offer rapid improvement to the patient's quality of life and wellbeing must be considered when planning effective leg ulcer management.

Adult↗
PubMedDate not supplied

Randomized trial of cohesive short-stretch versus four-layer bandaging in the management of venous ulceration.

A multicenter prospective randomized clinical trial was undertaken to compare a generic four-layer bandage system with a cohesive short-stretch system (Actico, Activa Healthcare) in the management of venous leg ulceration. Both systems are designed to produce sufficient pressure to counteract venous hypertension. Patients in leg ulcer services with leg ulceration were screened for inclusion in this trial. Patients with arterial disease (ankle brachial pressure index < 0.8) and causes of ulceration other than venous disease were excluded. For patients with bilateral ulceration, the limb with the larger area of ulceration was studied. Patients were randomized to receive either type of compression bandage and simultaneously randomized to one of two foam dressings that were changed weekly unless more frequent changes were clinically required. In all, 156 patients met entry criteria and were randomized from the 12 clinical centers with median (range) ulcer size of 4.33 (0.33-123.10) cm(2). Analysis revealed that after 24 weeks a total of 111 (71%) of patients had complete ulcer closure, 32 (21%) had withdrawn from the trial, 12 (8%) remained with open ulceration, and one patient had died. Of the 74 patients randomized to the four-layer bandage, 51(69%) had ulcer closure on treatment compared with 60/82 (73%) on the cohesive short-stretch system. Intention-to-treat analysis produced a hazard ratio for healing of 1.08 (95 percent CI 0.63-1.85, p= 0.79). Withdrawal rates were similar between groups (15, 20% four-layer bandage; 17, 21% cohesive short-stretch system). Ulcer closure rates for patients treated with the cohesive short-stretch system were similar to those for patients managed by the four-layer bandage system in this trial.

Aged↗
PubMed1990

[Antimicrobial action of a repin bandage in periodontology].

The paper deals with the antimicrobial activity of repin bandages used commonly in periodontology. The main criterium for evaluation was the number of bacteria in the wound beneath the bandage, ass ossessed by cultivation. The authors compared three types of bandages (Repin with Traumacel, Repin with Framykoin and Repin alone). Repin with Framykoin reduced most effectively the number of micro-organisms for the longest period of time. The results revealed that the amount of bacteriabacteria beneath the bandage is proportional to the period of time for which the bandage is left in the oral cavity. The optimal period is five days.

Anti-Bacterial Agents↗
PubMed1994

[Foil bandages--a modern method of covering wounds].

Single-layer foil bandages which belong to the group of so-called occlusive bandaging materials were originally developed from incision foils. Due to their semipermeability theses bandages permit only restricted evaporation of water from the wound and thus maintain its surface constantly slightly wet. They can be used for longer periods and are thus more economical. Although foil bandages are suitable only for some types of wounds, they have great advantages. Wounds dressed with these foil bandages can be easily and frequently checked and offer wounds excellent antimicrobial protection.

Humans↗
PubMed2002

Kinesthesia at the knee: the effect of osteoarthritis and bandage application.

OBJECTIVE: To investigate whether osteoarthritis (OA) of the knee or bandaging of the knee affects movement detection. METHODS: Movement detection levels were determined in 10 women aged > 65 years with moderate to severe knee OA and 10 healthy women matched for age, body mass index, and activity levels. Movements were imposed at 0.5 degrees /second, 1.0 degrees /second, and 2.5 degrees /second. Additionally, detection levels were compared with and without the knee bandaged at a single velocity, (0.5 degrees /second). RESULTS: Controls perceived significantly smaller movements than OA subjects at all test velocities (P < 0.01). However, the bandage did not affect movement detection (P > 0.05). CONCLUSIONS: Detection of movement at the knee was impaired in subjects with severe knee OA, and a bandage did not improve detection. Thus, considering previous findings that position sense is impaired, a generalized proprioceptive deficit appears to be associated with OA. This deficit could result from loss of receptors, altered muscle function, or the consequent joint instability.

Aged↗
PubMed1980

How long do compression bandages maintain their pressure during ambulatory treatment of varicose veins?

Compression bandages are normally applied for 6 weeks after sclerotherapy. The changes in pressure exerted by such bandages have been measured over 8 h. The results show that different surgeons applied bandages over a wide range of pressures but the range for each individual surgeon was surprisingly narrow. The pressure falls with time and approaches zero at 6--8 h of normal activity by the subject, but more slowly if the knee and ankle joints are excluded from the bandage. The initial pressures were higher when STD compression pads were used, although the rate at which the pressure fell was the same.

Ambulatory Care↗
PubMed1984

Value of bandaging after excision of a meniscus of the knee joint.

Thirty patients with meniscus tears, not complicated by any other disease of the knee joint, were divided into two groups, the purpose being to find out whether postoperative bandaging had any effect on postoperative recovery. One group was not bandaged, while in the other group a padded layer bandage was applied. This was removed one day after the operation. The operative technique and the postoperative treatment were the same in both groups. The clinical state was assessed preoperatively, three days, seven days and five weeks postoperatively. There were no significant differences between the groups in the range of knee movements, ability to elevate the straight leg, circumference of the knee, the thigh or the ankle, or in the duration of sick-leaves. Bandaging did not promote recovery after excision of a meniscus of the knee in this regime of treatment.

Adult↗
PubMed1984

On twisting bandages: an experimental study.

Following hand surgery, some surgeons prefer to bandage fingers individually, a technique that involves twisting the material as the dressing is continued onto the palm. A laboratory study was performed to observe changes in tension which occurred when twisting a bandage already under load. Six commonly used types of bandage were studied, each of three standard widths. The rise in bandage tension due to rotation of certain materials may increase tissue pressure to a level at which skin perfusion is significantly impaired.

Bandages↗
PubMed1995

Potentiation of the immobility response elicited by bandaging and clamping in mesencephalic rats.

In earlier work, we showed that adult rats exhibit immobility response (IR) if a clamp is fastened to the skin of the nape of the neck, but not at other areas of the body, and not by bandaging. The present study characterizes IR in adult rats with complete mesencephalic transections. In the mesencephalic rats, the duration of the IR not only increased, but the stimuli capable of eliciting it were more diverse. All head and body areas clamped or bandaged were capable of inducing a profound IR. In contrast, the IR in intact rats was of shorter duration, and was only induced by clamping the neck, or by bandaging the upper or the lower torso. Furthermore, unlike the mesencephalic rats the ability of the bandaging to induce IR is reduced after the first trial and finally disappears. Only clamping the neck was able to persistently induce IR in intact rats. These data support the hypothesis that the IR control system is in the midbrain, hindbrain or spinal cord, and that systems above the mesencephalon modulate the IR. Such modulation appears to involve the ability to discriminate amongst tactile stimuli, and to integrate previous experience.

Animals↗
PubMed1988

Clinical fracture of the carpal scaphoid--supportive bandage or plaster cast immobilization?

In a prospective study of 108 patients with a clinical diagnosis of fracture of the carpal scaphoid, but without radiological evidence of fracture, the patients were randomised to treatment with either a supportive bandage or a dorsal plaster cast. Four patients proved to have incomplete fractures and three to have avulsions from the scaphoid tuberosity. Two of the fractures had been suspected radiologically at the primary investigation. No complete fractures of the scaphoid were seen. The average time in plaster was 15 days and in a bandage 12.2 days. The average sick leave for manual workers was 14 days in plaster and 4 days in a bandage, a difference that represents a significant loss of productivity. Since these fractures almost always heal irrespective of treatment, they may as well be treated as a soft tissue injury with a supportive bandage.

Adolescent↗
PubMed2006

Use of chitosan bandage to prevent fatal infections developing from highly contaminated wounds in mice.

HemCon bandage is an engineered chitosan acetate preparation used as a hemostatic control dressing, and its chemical structure suggests that it should also be antimicrobial. We tested its ability to rapidly kill bacteria in vitro and in mouse models of infected wounds. We used the Gram-negative species Pseudomonas aeruginosa and Proteus mirabilis and the Gram-positive Staphylococcus aureus that had all been stably transduced with the entire bacterial lux operon to allow in vivo bioluminescence imaging. An excisional wound in Balb/c mice was inoculated with 50-250 million cells followed after 30 min by application of HemCon bandage, alginate sponge bandage, silver sulfadiazine cream or no treatment. HemCon was more adhesive to the wound and conformed well to the injury compared to alginate. Animal survival was followed over 15 days with observations of bioluminescence emission and animal activity daily. Chitosan acetate treated mice infected with P. aeruginosa and P. mirabilis all survived while those receiving no treatment, alginate and silver sulfadiazine demonstrated 25-100% mortality. Chitosan acetate was much more effective than other treatments in rapidly reducing bioluminescence in the wound consistent with its rapid bactericidal activity in vitro as well as its light-scattering properties. S. aureus formed only non-lethal localized infections after temporary immunosuppression of the mice but HemCon was again more effective in reducing bioluminescence. The data suggest that chitosan acetate rapidly kills bacteria in the wound before systemic invasion can take place, and is superior to alginate bandage and silver sulfadiazine that may both encourage bacterial growth in the short term.

Acetates↗
PubMed1995

Femoral vein stasis during laparoscopic cholecystectomy: effects of graded elastic compression leg bandages in preventing thrombus formation.

Venous stasis of the legs during laparoscopic cholecystectomy was compared between patients without graded compression leg bandages (Group 1; n = 12) and patients with such bandages (Group 2; n = 12) by measuring mean blood flow velocity and cross-sectional area of the femoral vein using a color Doppler ultrasonography. In Group 1, when velocity and area were measured in the supine position, a significant decrease in velocity (p < .05) and a significant increase in area (p < .05) occurred after abdominal insufflation to 10 mm Hg. These changes were greater during abdominal insufflation in the reverse Trendelenburg position than during abdominal insufflation in the supine position. In Group 2, flow velocity was significantly higher (p < .05) before abdominal insufflation as compared with Group 1. After abdominal insufflation to 10 mm Hg and a postural change, velocity significantly decreased (p < .05) and area significantly increased (p < .05) in Group 2, similar to the results in Group 1. During abdominal insufflation at 5 mm Hg or lower, the use of the graded compression bandage was found to be useful for preventing femoral vein stasis. During abdominal insufflation at 10 mm Hg or in the reverse Trendelenburg position, the bandage did not prevent femoral vein stasis.

Bandages↗
PubMed2002

Fatal intra-operative pulmonary embolism following application of an Esmarch bandage.

The objective of this paper is to raise the awareness of a possible fatal complication during operations in the lower limbs, when an Esmarch bandage is used for exsanguination of the affected limb during the operation. After reviewing the literature, four cases of fatal massive pulmonary embolism have been identified after Esmarch bandage application in trauma patients [Acta Anaesthesiol Belg 50(2) (1999) 95, Reg. Anaesth 6 (1983) 83, Anesthesiology 58 (1983) 373, Anaesthesia 25(3) (1970) 445] but there is no any reference to an elective case. The authors would like to report two cases of fatal embolism after Esmarch bandage application for both elective surgery (total knee replacement) and trauma (trimalleolar fracture). Both patients had received regional anaesthesia. After comparing the data from our cases and the literature, it is recommended that the Esmarch bandage should not be used in trauma, especially when there has been a delay in time for surgery. In elective cases of the lower limbs, preoperative cardiovascular evaluation and the exclusion of other factors predisposing to DVT are necessary, especially for patients more than 50 years old.

Bandages↗
PubMed2006

[Puffy hand syndrome in drug addiction treated by low-stretch bandages].

BACKGROUND: Puffy hand syndrome is a complication of intravenous drug abuse, which has no current available treatment. Arm and forearm edema are voluminous and cause functional and aesthetic disturbances. We report two cases successfully treated by low-stretch bandages. OBSERVATIONS: A 40-year-old man and a 34-year-old woman, both intravenous drug users, with puffy hand syndrome were hospitalized for 11 days. Treatment included daily multilayer bandaging. Lymphedema volumes calculated by utilizing the formula for a truncated cone decreased by 16% on the left side and 12% on the right side for the first patient and 31 and 17% for the second. Hand circumference decreased 4.3 cm on the left side and 3.2 cm on the right side in case 1, and 2.5 cm and 1.9 cm respectively for case 2. The patients were taught self-bandaging techniques during their hospital stays. Elastic gloves were fitted at the end of treatment. Reduction of lymphedema volume remained stable after 18 months in one patient while for the second patient further treatment and hospitalization were required due to poor compliance. DISCUSSION: The pathogenesis of this edema is probably multifactorial: venous, lymphatic insufficiency and the direct toxicity of injected drugs. Lymphedema treatment currently consists of low-stretch bandaging and wearing elastic garments, which is effective in decreasing the volume of puffy hand syndrome.

Adult↗
PubMed1993

Pressure exerted by head bandages used in otological surgery.

The pressure exerted by head bandages at the operation site following ear surgery was measured using a balloon catheter and pressure transducer. The initial pressures achieved, their diminution with time and the relationship of pressure to the induction of headache in the patient were studied. The principal findings were that the standard otological head bandage is rarely tight enough to prevent haematoma formation, bandages have lost their efficacy after the first hour and headaches are associated with a significantly higher initial bandage pressure.

Bandages↗
PubMed1991

[The Malleotrain bandage in a large clinical trial].

The authors tested the clinical efficacy of the malleotrain bandage in a clinical field trial on a very large mixed patient material from 1980 onwards. The patient material included a total of 350 cases of ankle joint injuries with partial and total fibular ruptures of ligament, ruptures of the inferior tibiofibular joint, conditions after malleolar fractures as well as posttraumatic or postoperative swelling.--It was found that the malleotrain bandage achieved subsidence of swelling of the periarticular soft parts, relief of complaints and considerable normalisation of functioning, within an unusually short time and without medication or other local measures.--Patients who had been operated on for complete rupture of fibulotalar ligament were given by Lippay the malleotrain bandage only, after having immobilised the malleolus by means of a plaster cast for 10 days, without any disadvantages in respect of healing and subsequent stability.--Blandfort had even treated complete lateral ankle joint ligament ruptures conservatively with the malleotrain bandage only and had thus achieved cure resulting in stable ligaments.--The ability to work and to resume sports activities returned on the average two weeks earlier than with plaster cast immobilisation.

Adolescent↗
PubMed2004

The foam friend: a useful penile bandage in children.

PURPOSE: We describe the design and use of our preferred penile bandage. MATERIALS AND METHODS: A simple bandage composed of Reston foam (3M, St. Paul, Minnesota), Telfa (Tyco Adhesives, Franklin, Kentucky), gum mastic and tape was used in more than 500 penile procedures in children. RESULTS: The bandage proved to be well tolerated, easily removed by parents and quite effective. CONCLUSIONS: The foam friend is the most useful and problem-free penile bandage that we have used.

Adolescent↗
PubMed2000

Pressure controlled Esmarch bandage used as a tourniquet.

The objective of this paper is to investigate the manual wrapping techniques of Esmarch bandages used as tourniquets by physicians and to study the controllability of their induced pressure. The properties of the Esmarch bandage were first tested using two cylinders to allow uniform stretching of the bandage and to control the elastic exercusion and pressure reading. The pressure was measured using a load cell and a DPSI electronic strain/stress/pressure indicator device. The placement of the load cell sensor was found to yield constant values when measured along the lateral direction normal to the tension directional field of the cylinder. The results also show that the pressure increases at a rate 3 to 4 times the initial pressure when the bandage is stretched after each wrap rather than over the total length initially. The measurements over a plaster foot showed different pressure readings but exhibited a linear relationship in all three wraps performed. The method also shows a linear relationship between the elastic deformation and the number of wraps necessary to achieve a certain degree of mmHg.

Ankle Injuries↗