WO2020188025A1

WO2020188025A1 - Post-operative support garment

Info

Publication number: WO2020188025A1
Application number: PCT/EP2020/057589
Authority: WO
Inventors: Christine NAYRAC; Jérôme PEYRET; Victor LAMEGO
Original assignee: Physiokontact
Priority date: 2019-03-19
Filing date: 2020-03-19
Publication date: 2020-09-24
Also published as: FR3093914A1; FR3093914B1

Abstract

This garment (100) allows the effective and high-performance application of a post-operative treatment support. To this end, it comprises pieces of material (110.1, 10.2), which each consist of a first warp and weft fabric, stretchable in the warp and weft directions, having substantially uniform stretchability in the warp and weft directions, with a maximum warp elongation of at least 50% and a maximum weft elongation of at least 50%, and which are assembled together to give the garment a functional configuration such that the pieces of material have respectively inner (110A) and outer (110B) opposing faces, and are applied by their inner face directly to a patient's body, exerting compression in a uniform manner on the patient's body. Moreover, the garment comprises at least one yoke (130), which consists of a second warp and weft fabric, stretchable in the warp and weft directions, having substantially uniform stretchability in the warp and weft directions, with a maximum warp elongation of at least 50% and a maximum weft elongation of at least 50%, and which is assembled to the pieces of material, being attached flat to the outer face of the pieces of material and being situated in a predetermined part of the garment, intended to cover an operating area of the patient's body, so as to exert additional compression in a uniform manner on this operating area.

Description

Postoperative compression garment

The present invention relates to a postoperative compression garment.

Following surgery, the patient's body reacts to swelling of the patient's tissues in the area of the operation and / or around the operative wound, this swelling being due to postoperative edemas and hematomas. These edemas and hematomas are harmful to good tissue regeneration and / or good healing. They prolong the bleeding time, are painful and increase the risk of complications.

It has now been established that applying compression to the area of edema and hematoma significantly reduces these side effects. However, applying such compression to a patient's body is tricky to implement, especially because of the patient's movements and the location of the affected area (s) of the patient's body.

The aim of the present invention is to provide a new garment making it possible to effectively and efficiently apply postoperative treatment compression.

To this end, the object of the invention is a postoperative compression garment, as defined in claim 1.

Thanks to the invention, a first compression is exerted on the patient's body, more precisely on the part of the body covered by the pieces of fabric of the garment according to the invention. This compression results from the fact that the pieces of fabric are made of a warp and weft fabric, which is designed to be stretchable in warp and weft and which has a maximum warp elongation of at least 50% and a maximum weft elongation of at least 50%. It will be noted that the compression thus applied by this warp and weft fabric is, at equivalent weight, much higher than by a knitted fabric.

In addition, the garment according to the invention incorporates one or more inserts, which are themselves also in an extensible warp and weft fabric, with maximum elongations of at least 50% respectively in warp and weft, and which locally cover the pieces of fabric: where the yokes are located, additional compression is applied to the patient's body. It is understood that by arranging these inserts at the level of predetermined parts of the garment, intended to respectively cover operating areas of the patient's body, the invention makes it possible to control the postoperative application of large compressive forces to these operating areas. Note that the zone (s) operating procedures of the patient body are understood, in this document, to include the operated tissues of the patient, where the surgical intervention was performed and which is affected by postoperative edema (s) and / or hematoma ( s) postoperative (s) and / or more or less extensive postoperative scar (s), it being noted that the operating area (s) within the meaning of this document can advantageously include surrounding parts of the patient's body, involved in the lymphatic circulation of the operated tissues.

The fabric of the pieces of fabric and the fabric of the yoke (s) may be the same or may differ from each other, the preferred shapes of these two fabrics, as well as their assembly, being given below. In practice, it is possible to play on the respective values of the maximum weft and warp elongations respectively of the fabric of the pieces of fabric, as well as the respective values of the maximum weft and warp elongations respectively of the fabric of the yoke (s) to achieve the desired compression intensity, in particular according to the specific functional configuration of the garment and / or according to the nature of the compression treatment to be applied to the patient. In all cases, provision is made at the same time that the extensibility of the fabric of the pieces of fabric is substantially homogeneous in warp and weft, which makes it possible to apply the compression exerted by these pieces of fabric in a homogeneous manner. the part of the patient's body covered by the garment, and that the extensibility of the fabric of the yoke (s) is substantially homogeneous in warp and weft, which makes it possible to apply the additional compression exerted by this or these yoke (s) uniformly on the operating area (s) of the patient's body. The compression on the operating areas, which combines the compression exerted by the pieces of fabric and the additional compression exerted by the yokes, is applied evenly over the entire extent of the operating areas. This allows an efficient and rapid reduction of edema and hematoma in these operating areas. It also makes it possible to obtain a postoperative result without a "wave" effect and to promote better healing. This also makes it possible to advantageously induce on the areas of the patient's lymphatic path a proprioception action, which is similar to the effect of the so-called “K-taping” method and which stimulates the lymphatic drainage of the operated tissues, thus optimizing resorption. edema and hematoma and promoting healing.

Furthermore, also as detailed below, the assembly of the pieces of fabric is advantageously provided by seams which are positioned so as not to cover any operating area of the patient's body: in this way, the deleterious effects of the presence of a seam across the scar field of the patient's body, such as irregular healing, especially hypertrophic or keloidal healing, risk of postoperative bleeding, blockage of lymphatic circulation and risk of bacterial development.

Another advantageous possibility of the invention, also detailed below, is the integration into the garment of microcapsules of active products intended to treat the patient's body.

In practice, the garment according to the invention can be declined in a multitude of functional configurations, according to the location, on the patient's body, of the operating areas, this location being in particular linked to the nature of the surgical intervention at the origin of the tissue damage and / or the corresponding surgical wounds, as illustrated below.

Additional advantageous features of the garment according to the invention are specified in the other claims.

The invention will be better understood on reading the description which follows, given only by way of example and made with reference to the drawings in which:

[Fig 1] Figure 1 is a perspective view of a first embodiment of a garment according to the invention;

[Fig 2] Figure 2 is an elevational view along arrow II of Figure 1;

[Fig 3] Figure 3 is an elevational view along arrow III of Figure 1;

[Fig 4] Figure 4 is a schematic view of the garment of Figure 1, worn by a patient;

[Fig 5] Figure 5 is a perspective view of a second embodiment of a garment according to the invention;

[Fig 6] Figure 6 is an elevational view along arrow VI of Figure 5;

[Fig 7] Figure 7 is a sectional view along the line VII-VII of Figure 6;

[Fig 8] Figure 8 is a perspective view of part of the garment of Figure 5, worn by a patient;

[Fig 9] Figure 9 is a perspective view of a third embodiment of a garment according to the invention, worn by a patient; and

[Fig 10] Figure 10 is a view similar to Figure 9, illustrating, on a larger scale, part of the garment of Figure 9.

In Figures 1 to 4 is shown a first postoperative compression garment, namely a sheath 100. The sheath 100 is designed to be worn by a patient after abdominal liposuction or abdominoplasty, more generally after a surgical intervention inducing tissue damage and / or an operative wound in the lower part of the abdomen and / or the lumbar region. of the patient.

As clearly visible in Figures 1 to 3, the sheath 100 comprises a front piece of fabric 1 10.1 and a rear piece of fabric 1 10.2, which are assembled together to give the sheath 100 its functional sheath configuration. The pieces of fabric 1 10.1 and 1 10.2 thus have an internal face 110A which, when the sheath 100 is worn by a patient, are applied directly to the patient's body, as illustrated in FIG. 4. their inner face 1 10A, the pieces of fabric 1 10.1 and 1 10.2 have an outer face 1 10B.

Each of the pieces of fabric 1 10.1 and 1 10.2 consists of a warp and weft fabric, which is stretchable in the warp and in the weft, that is to say that this fabric is able to elastically elongate according to its warp threads and following its weft threads. More precisely, this fabric has, on the one hand, a maximum chain elongation, that is to say an elongation at break in the direction of its warp yarns, of at least 50% and, on the other hand , a maximum weft elongation, that is to say an elongation at break in the direction of its weft threads, of at least 50%. It follows that, when the sheath 100 is worn by the patient, the pieces of fabric 1 10.1 and 1 10.2 exert on the patient's body a compression applied with an intensity, which is in particular a function of the respective values of the maximum elongations respectively in weft and warp of the fabric and which can therefore be adjusted to the desired effect, namely to exert sufficient compressive forces to facilitate or accelerate the reduction of postoperative edemas and hematomas, while allowing patient movement.

To reinforce the compression exerted by the fabric pieces 1 10.1 and 1 10.2, the fabric of the fabric pieces 1 10.1 and 1 10.2 advantageously exhibits greater extensibility: in particular, this fabric may have a maximum warp elongation equal to less 80%, or even at least 90%, as well as a maximum weft elongation of at least 80%, or even at least 90%.

In all cases, the fabric of the pieces of fabric 1 10.1 and 1 10.2 has a substantially homogeneous extensibility in the warp and in the weft. In other words, this fabric is stretchable in the same proportions, to within a few percent, typically within 10%, when it is stressed in the direction of its warp yarns and when it is stressed in the direction of its yarns. frame. In this way, the pressure exerted by this tissue is homogeneous on the body of the patient wearing the sheath. 100, regardless of the orientation of the warp and weft threads on the patient's body, and regardless of the patient's movements.

Furthermore, according to a preferred embodiment making it possible to achieve a satisfactory extensibility, this fabric contains elastane.

In practice, various textile materials can be envisaged for the fabric of the fabric pieces 1 10.1 and 1 10.2, as long as this fabric allows the fabric pieces 1 10.1 and 1 10.2 assembled together to apply, by their internal face 1 10A, substantial compression on the body of the patient wearing the sheath 100.

According to a practical embodiment, which is implemented in the exemplary embodiment of FIGS. 1 to 4, the pieces of fabric 1 10.1 and 1 10.2 are assembled together by seams 120 which secure these pieces of fabric 1. 10.1 and 1 10.2 juxtaposed next to each other. The specifics of these seams 120 are not limiting of the invention.

According to a particularly advantageous aspect, the seams 120 are provided, by the arrangement of the pieces of fabric 1 10.1 and 1 10.2, so as not to cover any operating area of the body of the patient wearing the sheath 100. Thus, as clearly visible on the Figures 1 to 3, the rear piece of fabric 1 10.2 is designed to be narrower than the front piece of fabric 1 10.1, so that the latter covers both the front of the patient, in particular the entire abdominal area of the patient , and part of the back of the patient, in particular the lower back of the patient. As a result, the operating area of the patient's body, located at the level of the lower part of the patient's abdomen and / or loins, is only covered by the piece of cloth 1 10.1, without being covered by the piece of fabric 1 10.2: it will be understood that the seams 120 are thus not present in this operating area. The deleterious effects that the presence of such a seam would have on the operating area is then avoided. Among these deleterious effects, mention may be made of non-regular healing, in particular hypertrophic or keloidal healing, linked to non-homogeneous compression along such a seam. Mention may also be made, as a deleterious effect, of the circulatory risks, in particular the risk of generating additional postoperative bleeding and / or that of blocking the underlying lymphatic circulation, due to the excess thickness inherent in such a seam. Another deleterious effect is that the irregularity that such a seam constitutes is conducive to bacterial development, with a risk of contamination of the operating area. Thanks to the seams 120, the sheath 100 avoids these deleterious effects, by eliminating any seam in the part of the sheath 100, provided to cover the operating area of the patient's body wearing this sheath. According to an advantageous optional arrangement, the fabric of the pieces of fabric 1 10.1 and 1 10.2 incorporates microcapsules containing one or more active ingredients. These microcapsules are designed to release the active ingredients onto the body of the patient wearing the sheath 100. A general teaching relating to these microcapsules is given in WO2014 / 041001 to which the reader can refer.

The microcapsules thus integrated into the sheath 100 are advantageously formulated to eliminate the risks of an allergic reaction on contact with the patient's skin, for example by being based on natural wax.

Among the active principles incorporated into these microcapsules, an active principle based on arnica is preferred, for example in the form of a lipophilic extract of arnica or else in the form of arnica oil: whatever its form, this principle Arnica-based active agent promotes the reduction of hematomas and the reduction of edemas. In addition to or as a replacement for the active ingredient based on arnica, one or more other active ingredients can be microencapsulated in the fabric of the pieces of fabric 1 10.1 and 1 10.2.

In all cases, insofar as the sheath 100 is, as a postoperative garment, designed to be worn only for a few weeks after surgery, the kinetics of release of the active ingredient (s) by the microcapsules is advantageously adjusted by consequence: the size and the concentration of the microcapsules are thus adapted so that the active principle (s) are released substantially in their entirety after three weeks of wearing of the sheath 100 by the patient. This results in rapid release just after surgery, for maximum efficiency. After three weeks, the effects associated with the microcapsules disappear or, at the very least, are marginal.

Also as clearly visible in Figures 1 to 3, the sheath 100 further comprises a yoke 130 in the form of a strip here. This yoke 30 is made of a warp and weft fabric, which, like the fabric of pieces of fabric 1 10.1 and 1 10.2, is stretchable in warp and weft, exhibiting substantially homogeneous stretchability in warp and weft, and has a maximum warp elongation of at least 50% and a maximum weft elongation of at least 50%.

The yoke 130 is assembled with the pieces of fabric 1 10.1 and 1 10.2. As clearly visible in Figures 1 to 3, the yoke 130 is thus attached flat on the outer face 1 10B of the pieces of fabric 1 10.1 and 1 10.2, being located in a predetermined part of the sheath 100, namely an abdominal part and a lumbar part of this sheath. The band formed by the yoke 130 thus runs along of the abdominal part of the sheath 100, as shown in FIG. 2, and extends, at each of its opposite longitudinal ends, on the lumbar part of the sheath, as shown in FIG. 3. When the sheath 100 is carried by a patient, the yoke 130 therefore covers the lower area of the abdomen and the lower back of the patient, in other words covers the operative area resulting from the surgical intervention for which the sheath 100 is designed as a postoperative garment, as illustrated by figure 4.

The assembly of the yoke 130 on the pieces of fabric 1 10.1 and 1 10.2 makes it possible to exert, on the operating area of the patient wearing the sheath 100, an increased compression, typically a double compression, resulting from the accumulation of the compression exerted by the pieces of fabric 1 10.1 and 100.2 and the compression exerted by the yoke 130. The additional compressive contribution, linked to the presence of the yoke 130, is applied uniformly to the operating area, which accelerates the reduction of edemas and hematomas in this operating area, in particular without inducing a "wave" effect. This additional compressive supply on the lymphatic path also induces a proprioception action, which stimulates or improves lymphatic circulation in the operating area, thus accelerating edematous resorption and healing.

It will be understood that the various technical considerations, developed above for the fabric of the pieces of fabric 1 10.1 and 1 10.2, can advantageously be applied to the fabric constituting the yoke 130. Moreover, according to a practical and effective embodiment , in particular for the sheath 100, these two fabrics are identical to each other. However, alternatively, these two fabrics may be different from each other, as long as each exhibits warp and weft stretchability characteristics appropriate for the desired compressive effect.

Likewise, the fabric of the yoke 130 can incorporate microcapsules similar to those optionally integrated into the fabric of the pieces of fabric 1 10.1 and 1 10.2.

According to a preferred embodiment, the assembly of the yoke 130 on the piece of fabric 11.1 is carried out by binding, commonly called “bonding” in the textile field. An adhesive is interposed between the entire face of the yoke 130, facing the piece of fabric 1 10.1, and the outer face 110B of this piece of fabric 1 10.1. This binding has the advantage of a homogeneous bonding and makes it possible, in particular thanks to the aforementioned adhesive, to keep the extensibility performance of the fabric of the piece of fabric 1 10.1 and of the fabric of the yoke 130, without the assembly between them negatively impacting their respective extensibility performance.

The sheath 100 also includes secondary features, aimed in particular at improving comfort. Thus, as clearly visible in Figures 1 to 4, the sheath 100 comprises straps 140, advantageously removable, as well as an opening in the crotch, reclosable by appropriate elements 150, such as snaps.

In Figures 5 to 8 is shown a second postoperative compression garment, namely a corsair 200.

The Corsair 200 is designed to be worn after liposuction of the thighs, liposuction of the buttocks or a thigh lift, more generally after a surgical intervention inducing an edema and / or a scar on the buttocks and / or the interior of the upper legs of a patient.

As clearly visible in Figures 5 to 8, the corsair 200 comprises an assembly of several pieces of fabric, namely a front piece of fabric 210.1, a central rear piece of fabric 210.2 and two lateral rear pieces of fabric 210.3 and 210.4. The assembly of these pieces of fabric gives the privateer 200 its functional configuration of a privateer. Thus, the fabric pieces 210.1, 210.2, 210.3 and 210.4 are assembled together so that these fabric pieces have an internal face 210A and an external face 210B, which are functionally similar to the internal face 110A and to the outer face 110B of the sheath 100, except that the part of the patient's body, covered by the corsair 200 is, by nature, different from that covered by the sheath 100.

The various technical considerations, which are developed above for the pieces of fabric 1 10.1 and 1 10.2 of the sheath 100, apply to the pieces of fabric 210.1, 210.2, 210.3 and 210.4 of the corsair 200. In particular, the fabric constituting the fabric pieces 210.1, 210.2, 210.3 and 210.4 is similar to the fabric of the fabric pieces 1 10.1 and 1 10.2 and may optionally incorporate microcapsules of active agents.

The corsair 200 also comprises yokes 230.1, 230.2, 230.3 and 230.4, which are functionally similar to the yoke 130 of the sheath 100, while being respectively located in predetermined parts of the corsair 200, specific to the latter. Thus, as clearly visible in Figures 5 to 8, the inserts 230.1 and 230.2 are located in the internal part of the legs, left and right respectively, of the corsair 200, this internal part extending all the way along the corsair's leg. Each of these inserts 230.1 and 230.2 is for example in the form of a strip. As for the 230.3 inserts and 230.4, they are located in a peripheral part of the legs, respectively left and right, of the corsair, this peripheral part being located at the top of the corsair's leg. Here again, each of the inserts 230.3 and 230.4 can for example be in the form of a strip. It is understood that when the corsair 200 is worn by the patient, the inserts 230.1 and 230.2 cover the inner face of the thighs and the inner face of the patient's knees, thus extending over the lymphatic path of the patient's legs, while the inserts 230.3 and 230.4 cover the circumference of the upper thighs of the patient: the areas of the patient's body, thus covered by the inserts 230.1, 230.2, 230.3 and

230.4, are the operating areas resulting from the surgery for which the corsair 200 is intended. According to a preferred embodiment, the inserts 230.1 and 230.3 are made in one piece and the inserts 230.2 and 230.4 are made in one piece.

The technical considerations, developed above for the yoke 130 of the sheath 100, apply to the yokes 230.1, 230.2, 230.3 and 230.4, in particular as regards the fabric constituting these yokes and the assembly of these yokes to the pieces fabric 210.1, 210.2, 210.3 and

210.4.

Furthermore, the pieces of fabric 210.1, 210.2, 210.3 and 210.4 are advantageously assembled together by seams 220 which are similar to the seams 120 of the sheath 100, apart from their location, due to the specific shape of the corsair 200. In particular, following considerations similar to those developed above for the seams 120, the seams 220 are provided, by the arrangement of the inserts 230.1, 230.2, 230.3 and 230.4, so as not to cover any of the operating areas of the patient's body, to namely the inner face of the thighs and the inner face of the knees, as well as the turn of the upper thighs except the outer portion of this turn.

In Figures 9 and 10 is shown a third postoperative compression garment, namely a bolero 300.

This bolero 300 is designed to be worn after liposuction of the arms or an arm lift, more generally after a surgical intervention inducing an edema with or without an operative scar on the inner side of a patient's arms.

The bolero 300 comprises an assembly of several pieces of fabric, including a front piece of fabric 310.1, visible in FIGS. 9 and 10, and one or more other pieces of fabric, in particular rear, not visible in the figures. The assembly of these pieces of fabric give the Bolero 300 its functional bolero configuration. Thus, these pieces of fabric are assembled together so that these pieces of fabric have an internal face, not visible in the figures, and an external face 310B, which are functionally similar to the internal face 110A and to the face. external 1 10B of the sheath 100, except that the part of the patient's body, covered by the bolero 300 is, by nature, different from that covered by the sheath 100.

The various technical considerations, which are developed above for pieces of fabric 11.1 and 11.2 of the sheath 100, apply to the pieces of fabric of the bolero 300, in particular to the fabric constituting the latter.

The bolero 300 also includes inserts, which are functionally similar to the yoke 130 of the sheath 100, while being respectively located in predetermined parts of the bolero 300 specific to the latter. Thus, the yokes of the bolero 300 are located in the internal part of the sleeves, respectively left and right, of the bolero, this internal part being located at the top of the sleeve, as shown for the yoke 330.1 of the left sleeve in FIGS. 9 and 10. It is understood that when the bolero 300 is worn by the patient, its inserts cover the internal face of the patient's upper arms: the areas of the patient's body, thus covered by these inserts, are the operating areas resulting from the surgical procedure for which the bolero 300 is designed.

The technical considerations, developed above for the yoke 130 of the sheath 100, apply to the yokes of the bolero 300, in particular as regards the fabric constituting these yokes and the assembly of these yokes to the pieces of fabric of the bolero.

Furthermore, the pieces of fabric of the bolero 300 are advantageously assembled together by seams 320 which are similar to the seams 120 of the sheath 100, apart from their location, due to the specific shape of the bolero. In particular, following considerations similar to those developed above for the seams 120, the seams 320 are provided, by the arrangement of the yokes of the bolero, so as not to cover any of the operating areas of the patient's body, namely the internal face. upper arm.

It will be understood that the invention is not limited to the three examples of clothing described so far, namely the sheath 100, the corsair 200 and the bolero 300, but is applicable to a multitude of postoperative compression garments, by applying to the latter the technical considerations developed so far.

Claims

1. Postoperative compression garment (100; 200; 300),

which garment comprises pieces of fabric (1 10.1, 1 10.2; 210.1, 210.2, 210.3, 210.4; 310.1), which are:

- each made up of a first warp and weft fabric, which is stretchable in warp and weft, exhibiting substantially homogeneous stretchability in warp and weft, and which has a maximum warp elongation of at least 50% and a maximum elongation in weft of at least 50%, and

- assembled together to give the garment a functional configuration so that the pieces of fabric have opposite sides, respectively internal (110A; 210A) and external (110B; 210B; 310B), and that, when the garment is worn by a patient, the pieces of fabric are applied by their internal face directly to the patient's body, exerting uniform compression on the patient's body,

and which garment further comprises at least one yoke (130; 230.1, 230.2, 230.3, 230.4; 330.1) which is:

- made of a second warp and weft fabric, which is stretchable in warp and weft, exhibiting substantially homogeneous stretchability in warp and weft, and which has a maximum warp elongation of at least 50% and a maximum elongation in weft equal to at least 50%, and

- assembled to the pieces of fabric (1 10.1, 1 10.2; 210.1, 210.2, 210.3, 210.4; 310.1), being attached flat on the outer face (1 10B; 210B; 310B) of the pieces of fabric and being located in a predetermined part of the garment, which, when the garment is worn by the patient, is designed to cover an operating area of the patient's body, so as to exert additional compression in a homogeneous manner on this operating area.

2. Garment according to claim 1, wherein the yoke or yokes (130; 230.1, 230.2, 230.3, 230.4; 330.1) are assembled to the pieces of fabric by binding.

3. Garment according to one of claims 1 or 2, wherein the first fabric and / or the second fabric have a maximum warp elongation and a maximum weft elongation of at least 80%.

4. Garment according to one of claims 1 or 2, wherein the first fabric and / or the second fabric have a maximum elongation in the warp and a maximum elongation in the weft of at least 90%.

5. A garment according to any preceding claim, wherein the first fabric and the second fabric each contain spandex.

6. A garment according to any preceding claim, wherein the first fabric and the second fabric are the same.

7. Clothing according to any one of the preceding claims, in which the pieces of fabric (1 10.1, 1 10.2; 210.1, 210.2, 210.3, 210.4; 310.1) are:

- assembled together by seams (120; 220; 320) which join together two of the pieces of fabric, juxtaposed one next to the other, and

- Arranged so that said seams (120; 220; 320) do not cover the operating area of the patient's body when the garment (100; 200; 300) is worn by the patient.

8. Garment according to any one of the preceding claims, in which the first fabric or the first and second fabrics incorporate microcapsules which are designed to release at least one active principle onto the patient's body when the garment (100; 200; 300) is worn by the patient.

9. The garment of claim 8, wherein the size and concentration of the microcapsules are adapted so that the active ingredient (s) are released substantially in full after three weeks of wearing the garment (100; 200; 300) by the patient. .

10. A garment according to any preceding claim, wherein the functional configuration is such that the garment is a sheath (100) in which the yoke (s) (130) are located in an abdominal part and a lumbar part of the. sheath.

11. Garment according to any one of claims 1 to 9, wherein the functional configuration is provided so that the garment is a corsair (200) in which the inserts (230.1, 230.2, 230.3, 230.4) are located:

- in an internal part of each leg of the corsair, this internal part extending all along the leg of the corsair, and

- in a peripheral part of each leg of the corsair, this peripheral part being located at the top of the corsair's leg.

12. Garment according to any one of claims 1 to 9, wherein the functional configuration is provided so that the garment is a bolero (300) in which the inserts (330.1) are located in an internal part of each sleeve of the bolero, this internal part being located at the top of the sleeve.