DE3447916A1 - Apparatus for treating hypostatic disorders in the legs - Google Patents

Abstract

Elastic, tightly fitting, air-impermeable rubber or plastic stocking made to measure (plaster cast) into which a small amount of air is pumped through a rubber valve fitted in the foot arch at each step as a result of the pressure of the foot. This air surrounds the leg in a thin layer, rises upwards starting at the foot and escapes at the thigh. This results in continous compression of the leg from the foot upwards, whereby the varicose veins are pressed in an gentle manner and the blood present therein flows back into the deeper veins, so that virtually normal venous return is restored. This prevents dilatation of existing varicose veins and the formation of new varicose veins, and any tissue damage that may be present due to the venous stasis, such as varicose ulcers or eczemas, is healed. On deterioration, the stocking can be freshly prepared any number of times using the plaster cast of the leg.

Description

_ - ~ '~ Device for treating hypostatic leg disorders (varicose veins, venous congestion eczema, lower leg ulcers, lymphedema) with the help of an air-impermeable, custom-made elastic stocking made of rubber or - which encloses the entire affected leg (or both legs) Plastic, into which a flat hemispherical rubber valve the size of a five-mark piece, which is located in the area of the arch of the foot, is put through the body's strain at every step

a small amount of air (approx. 3-5 cm) is pumped.

This air (at ten steps about 30-50 cm) settles in

a thin layer first around the foot and then rises at the

^ .. 'Go up in a thin layer on the leg to finally on the

To escape the end of the stocking in the upper thigh area.

In this way a kontinuierliehe compression from the stand upward is exerted in the affected legs existing ') varices are compressed and very slowly flowing in the veins extensions blood is returned in a gentle way into the deeper veins and proximal large in the distal-to Vena cava brought back.

This counteracts the sinking of the blood into the varicose degenerate leg veins and is practically physiological venous return achieved when walking.

When sitting, it is possible to continue pumping by kicking a solid object lying on the floor, which can also be achieved by getting up and walking up and down frequently.

When lying down, you can also kick a solid object the pumping process continues at the foot of the bed

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follow, while before going to sleep it is necessary to take off the compression stocking and put up your legs, ideally with the help of a made-to-measure sloping one and from the knee joint only slightly increasing foam rubber pad, depending on the body size or the existing needs can be made.

If you have to stand for a longer period of time, the pumping process can be continued by alternately shifting your body weight onto both legs.

In this way the progress of VaH zenbijdung is an _. counteracted the legs and the reappearance of varicose Prevents vein dilatation.

Trophic disorders of the skin caused by chronic venous congestion (hemosiderin deposits, varicose Eczema) and lower leg ulcers caused by varicose veins favorably influenced and brought to regression.

The surgical interventions to remove varicose veins, which are often carried out without any significant success, are no longer applicable necessary.

The previously common non-surgical treatment methods for varices such as: wrapping the legs, corapression stockings, etc., had little success because the leg was supported as a whole and the hydrostatic pressure was counteracted, an active return of what is stored in the venous enlargements Blood in the venous system of the body was only possible to a very limited extent or not at all.

Apparatus facilities with electrically operated compressors, rhythmically pumping air into the leg fitting cuffs, or cuffs created by a balloon

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compressing air were pumped up (Swoboda and Swoboda 1971); bring creine continuously from distal to proximal running KompresTToTTlTustande, as it is the one described above Method enables.

It is also essential that the compression stocking is made to measure will. A plaster cast is taken of the entire leg in question guaranteed.

Strongly protruding varices or variceal conglomerates become then filed down from the leg in plaster of paris until reaching the norm and the stocking by means of a liquid rubber or elastic Plastic solution poured over a leg practically free of varices.

This already results in a certain compression of the varices.

After the solution has solidified, a flat hemispherical rubber valve is placed under the sole of the foot in the area of the longitudinal arch of the foot Glued in and connected to the inside of the stocking through an opening.

The advantage of this method is that, similar to the last in an orthopedic shoemaker, a model is always available Place a new compression stocking over it if necessary can be worked without having to take measurements again.

The fear that the air-impermeable material of the Heat build-up in the leg is not to be expected.

As a result of the constant flow of air from the foot to the thigh, which surrounds the leg in all sections, the skin is ventilated and cooled and prevents perspiration.

Existing lower leg ulcers are covered with mul- 1 compresses after applying the appropriate ointments prior to donning the sump sock . These compresses are kept from slipping when the stocking is put on by fixing them with mastic or leukoplast. The compression stocking, by color additive flesh-colored according to the sound leg are made so that the many existing varices struggled through Hämosiderineinla b edingte bluish discoloration of the skin are no longer visible.

This compression method is, however, after previous deep vein thromboses with the resulting narrowing of the " deep venous reflux should only be carried out according to strict indications, preferably after prior phIebography.

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Claims (1)

Claims Generic term: Novel compression stocking for the treatment of venous Leg problems, characterized in that by a flat rubber valve under the Sole of the foot when walking and stepping from the foot, constantly small air Quantities in an airtight, made-to-measure, elastic Stocking is pressed and when you ascend towards the thigh as a result of an ascending from the foot to the thigh continuous compression, the stagnant blood in the varicose veins is transported back into the venous blood return flow of the leg and thus practically restores physiological venous blood return in the varicose veined leg. COPY