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WO1997006761A9 - Pansement axillaire - Google Patents

Pansement axillaire

Info

Publication number
WO1997006761A9
WO1997006761A9 PCT/US1996/013192 US9613192W WO9706761A9 WO 1997006761 A9 WO1997006761 A9 WO 1997006761A9 US 9613192 W US9613192 W US 9613192W WO 9706761 A9 WO9706761 A9 WO 9706761A9
Authority
WO
WIPO (PCT)
Prior art keywords
axillary
dressing
bandage
wearer
strap
Prior art date
Application number
PCT/US1996/013192
Other languages
English (en)
Other versions
WO1997006761A1 (fr
Filing date
Publication date
Application filed filed Critical
Publication of WO1997006761A1 publication Critical patent/WO1997006761A1/fr
Publication of WO1997006761A9 publication Critical patent/WO1997006761A9/fr

Links

Definitions

  • This invention relates to dressings, particularly surgical dressings for the axillary area after procedures such as an axillary dissection for breast cancer or melanoma surgery, breast implantation placement or first rib resection (due to thoracic outlet syndrome) through an axillary approach, or hidradenitis excision (removal of sweat glands in the armpit).
  • This invention also relates to dressing for lesions to the axilla caused by sports, accidents, or other non-surgical reasons.
  • axillary wounds are dressed merely with gauze and tape.
  • the axillary area is difficult to dress, because movements of the affected arm often causes gauze and tape placed in that area to bunch up, lose coverage, or become uncomfortable for the wearer. Additionally, due to discomfort caused by the injury itself, a wearer may have limited mobility of the affected arm, thus making it difficult to affix the dressing properly.
  • a dressing for breast cancer surgery such as a surgical breast biopsy, called the Surgi-Bra, is manufactured by Baxter Healthcare Corp. of Deerfield, Illinois.
  • This dressing which looks much like a sports bra, is applicable for dressing the breast area after a breast biopsy, breast implantation placement through an inframammary approach, or a segmental resection.
  • Segmental resection is often called lumpectomy, wide excision, segmental mastectomy, and quadrantectomy, depending on the amount of breast tissue removed.
  • Another common name for segmental resection is partial mastectomy.
  • the Surgi-Bra dressing encircles the torso and covers both breasts. Two shoulder straps hold the dressing in place. To enable ease in fastening and removing the Surgi-Bra dressing, the torso section has a hook and loop fastener at the front, and the shoulder straps each have hook and loop fasteners at the top.
  • the Surgi-Bra dressing supports the affected breast during the convalescent period, reducing discomfort from the incision and protecting the affected breast. The Surgi-Bra dressing, however, does not provide coverage of the axillary area.
  • the axillary dressing may also be combined with a breast dressing such as the Surgi-Bra to create an axillary-breast dressing.
  • This dressing allows a patient to dress both an axillary dissection incision and a segmental resection incision simultaneously.
  • the axillary-breast dressing is fastened using hook and loop material around the torso and both shoulders.
  • the fasteners for the torso section and the shoulder straps are positioned at the front for ease in affixing the dressing.
  • the axillary- breast dressing supports and protects both the affected breast and axilla.
  • An object of the invention is to provide a dressing for the axillary area that adequately covers the axillary area, can be affixed and worn comfortably, and does not bunch up.
  • Another object of the invention is to facilitate a wearer's participation in physical activities during a convalescent period after axillary injury, so that the wearer has adequate protection of the lesion, yet does not experience discomfort caused
  • Figure 1 shows a diagram of the axillary area.
  • Figure 2 shows a diagram of the axillary dressing.
  • Figure 3 shows a diagram of the axillary dressing as worn.
  • Figure 4 shows a diagram of the axillary-breast dressing.
  • Figure 5 shows a diagram of the axillary-breast dressing as worn.
  • Figure 1 shows a diagram of the axillary area.
  • lymph nodes in the armpit are often removed.
  • This procedure, called axillary dissection usually involves an incision below the hair-bearing area of the armpit. This incision leaves a lesion 2 at the axillary area 1.
  • Other procedures that leave lesions in the same location include breast implantation placement through an axillary approach, hidradenitis excision, and axillary dissection for melanoma surgery. Physical therapy and active exercises of the affected arm and hand are encouraged during the convalescent period, however, this activity often causes difficulty in keeping dressings properly in place.
  • FIG. 2 shows a diagram of the axillary dressing.
  • the axillary dressing has a bandage section 11, preferably made of nylon or a cotton and lycra blend.
  • the bandage section can be made of any thin, flexible material, soft materials having elastic support are preferred.
  • the bandage section 11 is preferably of trapezoidal shape, with a top width 12 of five to six inches, a height 13 of twelve inches, and a bottom width 14 of seven to eight inches. This shape enables the bandage to completely cover the axillary area without having excess material.
  • the bandage section has elastic border 25 to ensure a snug fit against the axilla and any absorbent gauze covering the lesion.
  • the bandage section can be taller or shorter depending on the height of the wearer.
  • the widths of the bandage section can also be adjusted depending on the girth of the wearer.
  • the bandage section has top loop 34 at a top corner of the bandage section 11, middle loop 15 approximately three inches down from the top loop, and bottom loop 16 at a bottom corner of bandage section 11. All the loops are on the same side of the bandage section 11.
  • the loops may be integral with the bandage section or attached to the bandage section by sewing, snaps, adhesives, or other appropriate fastening method. These loops serve as attachments for strap closures, however, the strap closures may be attached directly to the bandage section using other procedures such as snaps, adhesives, or hook and loop material.
  • the straps are sewn to the bandage section, however, the straps may be attached using snaps, adhesive, or hook and loop material instead.
  • the hook material sections 31, 21, 24 of the straps are designed to fasten securely to the soft cotton sections of the strap. If hook material does not fasten securely, a strip of loop material may be attached to the soft cotton strap. Alternatively, snaps, buckles, adhesives, clasps, or a variety of other adjustable fasteners can be used instead of hook material.
  • the elastic material 29 of the arm strap is attached to an upper corner of the bandage section 11 opposite the top loop 34.
  • the elastic material 19 of the axilla strap is attached to the bandage section, approximately three inches down from the top corner, opposite the middle loop 15.
  • the elastic end of the torso strap is attach to the bottom corner of the bandage section opposite the bottom loop 16.
  • the elastic portions 29, 19, 22 of the strap provide additional security in securely fastening the axillary dressing, however, they are not necessary. Additionally, the elastic portions need not be at the end of the strap closest to the bandage; instead, the elastic portions may be in the middle of the straps.
  • the straps may be constructed of a single material such as a cotton and lycra blend. This material would provide the elasticity, support, and comfort of the elastic fabric and cotton fabric combination.
  • FIG. 3 shows a diagram of the axillary dressing as worn. Initially, the lesion is covered with an absorbent gauze. The gauze is then covered with the axillary dressing to protect the gauze and prevent bunching and shifting of the gauze.
  • the arm strap 28 goes over the upper arm of the wearer and through the top loop 34. The hook material at the end of the arm strap passes through top loop 34 and folds back on the strap for easily accessible and easily adjustable fastening.
  • the axilla strap 17 goes over the affected shoulder of the wearer through the middle loop 15, and the hook material 21 fastens back onto the strap.
  • the torso strap 18 goes around the lower torso of the wearer and through the bottom loop 16. Similarly, the hook material 24 of the torso strap 18 is folded back on the strap and fastened to the soft cotton section 23. If there is any difficulty keeping the axilla strap 17 from sliding off the shoulder of the wearer, the axilla strap may be fastened so that it goes around the neck of the wearer and is attached to loop 15.
  • a wearer In dressing an axillary wound using the axillary dressing, a wearer could loosely fasten the arm and axilla straps to the top and middle loops and then insert an arm through the straps. Bandage section 11 with elastic border 25 could then be properly positioned over the axillary area and any absorbent gauze. The arm and axilla straps could be tightened or adjusted to keep the bandage section snugly in place. Finally, torso strap 18 could be fastened through bottom loop 16. If, however, the wearer had an assistant, it might be easier to first properly place the bandage section 11 over the axillary area and then fasten the three straps.
  • Figure 4 shows a diagram of the axillary-breast dressing.
  • the axillary dressing can be combined with a breast dressing to dress multiple lesions such as those caused by axillary dissection performed in combination with segmental resection. Or a person may prefer to wear the axillary-breast dressing instead of wearing the axillary dressing and a separate bra.
  • the axillary-breast dressing has a bandage section 111, preferably made of nylon or a cotton and lycra blend fabric.
  • the axillary dressing portion of the bandage 111b is integral with the breast surgery portion of the bandage Ilia, and there are designated left and right axillary-breast dressings.
  • two axillary dressing portions may be used to dress both axilla.
  • An axillary dressing portion 111b can be a separate piece of material that is either removable or permanently attached to the breast surgery portion of the bandage Ilia.
  • a removable axillary dressing portion could allow the portion to be transferred to dress either axilla.
  • the bandage section is shaped to conform to the breasts 126a, 126b and the axilla 127.
  • the axillary-breast dressing has elastic material on the circumference 125a, 125b to ensure a secure fit around the torso.
  • the bandage section may be fastened around the torso using hook material 132 and loop material 133 to ensure a secure fit.
  • the bandage section has two loops 115, 116 used to attach and adjust the shoulder straps 117, 118 of the combination dressing.
  • the loops may be integral with the bandage section or attached to the bandage section by sewing, snaps, adhesives, or other appropriate fastening method.
  • the strap closures may also be attached directly to the bandage section using other procedures such as snaps, adhesives, or hook and loop material.
  • An arm strap 128 attaches around the affected arm to a third loop
  • the three straps 117, 118, 128 are approximately one inch to one-and-a-half inches wide and constructed from soft cotton.
  • the straps are sewn to the bandage section 111, however, the straps may be attached using snaps, adhesive, or hook and loop material instead.
  • each shoulder strap 117, 118 has three to three and a half inches of elastic fabric 119, 122 attached to the bandage section 111 and attached on the other end to a plush cotton strap 120, 123 of twelve inches in length with hook fabric 121, 124 at the far end.
  • the hook material sections 121, 124 of the straps are designed to go through loops 115, 116, fold back onto cotton straps 120, 123, and fasten securely to the soft cotton sections of the strap. If the hook material does not fasten securely, a strip of loop material may be attached to the soft cotton strap. Alternatively, snaps, buckles, adhesives, clasps, or a variety of other adjustable fasteners can be used instead of hook material.
  • the elastic portions 19, 22 of the strap provide additional security in securely fastening the axillary dressing, however, they are not necessary. Like the axillary dressing, the elastic portions need not be at the end of the strap closest to the bandage.
  • the hook material 131 of the arm strap 128 goes over the affected arm, is folded back on the strap, and is fastened to the soft cotton section 130.
  • the axillary dressing can thus be easily fastened from the front and is easily adjustable for wearers with differing heights and girths.

Abstract

Ce pansement axillaire permet une pose sûre et confortable sur la zone axillaire (1), après une dissection axillaire en cas de cancer du sein, de pose d'un implant mammaire par la voie axillaire ou de toute autre opération impliquant l'incision de la zone axillaire. Ce pansement axillaire sert ainsi en cas de lésion non chirurgicale de l'aisselle, et comporte un bandage (11) recouvrant complètement la zone affectée. Ce bandage est assujetti à la zone axillaire à l'aide de sangles souples (17, 18, 28), partiellement élastiques de préférence, qui sont cousues à une extrémité dudit bandage et s'attachent à l'autre extrémité à l'aide d'un crochet. Une sangle (18) est conçue pour entourer le torse, et une autre (17) pour passer sur l'épaule affectée, et les deux sangles sont conçues pour s'attacher depuis l'avant pour faciliter la fixation du pansement et le réglage de leur longueur. Ce pansement axillaire peut s'appliquer sur l'une ou l'autre aisselle et être combiné avec un pansement de chirurgie du sein pour créer un pansement aisselle/sein (111) recouvrant tant une aisselle que la zone d'un sein (1) pour faciliter la guérison d'une lésion.
PCT/US1996/013192 1995-08-16 1996-08-14 Pansement axillaire WO1997006761A1 (fr)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US51563795A 1995-08-16 1995-08-16
US08/515,637 1995-08-16

Publications (2)

Publication Number Publication Date
WO1997006761A1 WO1997006761A1 (fr) 1997-02-27
WO1997006761A9 true WO1997006761A9 (fr) 1997-11-06

Family

ID=24052155

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US1996/013192 WO1997006761A1 (fr) 1995-08-16 1996-08-14 Pansement axillaire

Country Status (1)

Country Link
WO (1) WO1997006761A1 (fr)

Families Citing this family (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
ES2303438B2 (es) * 2006-04-27 2009-07-07 Isabel Ruiz Escalera Dispositivo de compresion del torax.
CN101785720B (zh) * 2010-03-26 2011-08-31 中国人民解放军第三军医大学第一附属医院 乳腺癌术后康复支架
DE102012108254A1 (de) 2012-09-05 2014-03-06 systec Controls Meß- und Regeltechnik GmbH Ultraschall-Wandler und Verfahren zur Herstellung eines Ultraschall-Wandlers
WO2019060311A1 (fr) * 2017-09-19 2019-03-28 Thomas Jefferson University Système de soin de plaie hydradénite suppurée
CN114129344A (zh) * 2021-12-31 2022-03-04 贵州医科大学附属医院 一种乳腺外科用术后康复胸带
CN115670797A (zh) * 2022-12-12 2023-02-03 甘肃中医药大学 一种方便固定手臂的按摩式乳腺压力绷带

Family Cites Families (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US815186A (en) * 1904-04-27 1906-03-13 Lillian Lockie Dress-shield.
US1348754A (en) * 1919-06-17 1920-08-03 Shrader Ethel Dress-shield supporter
US5188587A (en) * 1991-06-07 1993-02-23 Mcguire Robert R Active shoulder brace
US5429593A (en) * 1993-12-23 1995-07-04 Matory; Yvedt L. Post-surgical, drainage accommodating, compression dressing

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