title: Elastic multilayer bandages for chronic venous insufficiency: features of our technique.
abstract: OBJECTIVE
  To evaluate the interface pressure (IP) and stiffness of our elastic multilayer bandages (eMLB).
  
  
  METHODS
  Three medical staff wrapped the legs of 10 healthy volunteers with one to six rolls of elastic bandages. The IP was measured at the medial aspect of the lower leg at the level of transposition of the medial gastrocnemius muscle into the Achilles tendon (level of B1) with the patient supine and then standing, for each number of bandages worn. The static stiffness index (SSI) was calculated as a difference between these IPs.
  
  
  RESULTS
  The IPs in the standing position increased linearly for up to five bandages (21.8 ± 7.2, 32.5 ± 6.1, 41.8 ± 8.5, 52.0 ± 10.4, 60.3 ± 11.8, and 66.7 ± 13.4 mmHg, with one to six bandages). SSI also increased linearly for up to five bandages (6.8 ± 5.1, 10.2 ± 4.8, 13.4 ± 7.2, 17.4 ± 8.8, 19.7 ± 9.1, and 20.4 ± 9.4 mmHg, with one to six bandages). No significant technical variation in the IP was observed among the three operators.
  
  
  CONCLUSIONS
  Our eMLB provided stable, predictable and sufficient IPs and SSIs in healthy volunteers.
authors.affiliation: Division of Vascular Surgery, Department of Surgery and Clinical Science, Yamaguchi University Graduate School of Medicine, Ube, Yamaguchi, Japan.
authors.forename: Kotaro
authors.initials: K
authors.lastname: Suehiro
authors.forename: Maki
authors.initials: M
authors.lastname: Okada
authors.forename: Aiko
authors.initials: A
authors.lastname: Yoshimura
authors.forename: Noriyasu
authors.initials: N
authors.lastname: Morikage
authors.forename: Masanori
authors.initials: M
authors.lastname: Murakami
authors.forename: Osamu
authors.initials: O
authors.lastname: Yamashita
authors.forename: Kimikazu
authors.initials: K
authors.lastname: Hamano
keywords: chronic venous insufficiency; compression therapy; elastic bandage
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