From Big Medical Encyclopedia

BANDAGE — the medical products applied to fixing of bandages, and also to prevention and treatment of some surgical diseases.

In the USSR the main characteristics of B. are regulated by the standards establishing the sizes of products, their properties, completeness, packaging, testing methods, instructions on use, etc. So, GOST 1172 — 46 establishes release sterile and unsterile gauze it are provided by B. Sterilnye B. of six sizes, and unsterile — seventeen.

The widespread sizes of gauze B. are: 5 cm of X 5 m, 10 cm of X 5 m, 14 cm of X 7 m and 16 cm of X 10 m of GOST 16977 — 71 elastic B.' release defines («Ideal») of two sizes: 5 cm of X 3 m and 10 cm of X 3 m. Depending on material, manufacturing techniques and appointments distinguish the following types of B.: made of cloth, woven, knitted, elastic, rubber, paper, wadded, starched, plaster. Depending on B.'s design divide on tape, tubular and mesh.

Fig. 1. Tubular knitted bandage.

Tape B. are called long strips of matter; tubular — knitted tubes from viscose or a cotton (fig. 1); mesh — knitted tubes of a rare interlacing from yarn and elastomeric threads.

Requirements to B.: a certain durability and distensibility, sufficient stickiness between tours, the good absorbing and ventilating properties, B.'s edge shall be soft, edges shall not be showered and twist, at a namokaniye and B.'s drying shall not take seat. These qualities provide reliable fixing and an esthetic type of a bandage, a comfortable position of the bandaged part of a body, admissible volume and plasticity of movements.

B. made of cloth produce from the bleached gauze, is more rare from cotton (a cloth, coarse calico, etc.). Paper B. cut from wet-strength krepirovanny paper, to-ruyu impregnate melanino-formaldehyde or other pitches. In elastic B. there are elastic (elastic capron) and elastomeric (polyurethane, rubber) threads. Rubber B. produce from the thin sheet of rubber.

Fig. 2. Woven elastic bandage with elastomeric threads.

Woven B. cut from a woven panel, napr, a gauze. Such B. have no edges and their edges are showered. For reduction of volume gauze B. podpressovyvatsya. Threads in woven B. are always located at right angle to each other. The weaver's way is applicable also for B.'s production with elastomeric threads (fig. 2).

Knitted B. as a result of a knitted interlacing of threads and the different modes of knitting gain elastic properties which increase introduction to these B.' structure of elastic and elastomeric threads. On knitters are developed tape, tubular and mesh B. Lentochnye knitted B. have a soft edge and are not showered.

Plaster B. are trained from gauze. In the USSR and abroad produce not showered plaster B. For deduction of gypsum methyl cellulose is used.

Apply to fixing of bandages tape and tubular B more often. They are also used at an immobilization of extremities tires, the hard and hardening bandages.

Fig. 3. The bandage on the head is strengthened by tubular knitted bandage.
Fig. 4. Imposing of a compressing bandage elastic bandage.

Tubular and mesh B., unlike tape B., do not reel up on the damaged part of a body, and put on like a stocking or a hat (fig. 3). Knitted and elastic B. (fig. 4) use for prevention and treatment of a varicosity, varicose ulcers, at postoperative maintaining patients, for treatment of patients with stretching of the copular device and with posttraumatic hypostasis.

Starched B. use for the hardening bandages, hl. obr. at treatment of trophic and varicose ulcers.

Tubular knitted and wadded B. use as laying under the fixing plaster bandage.

Rubber B. provide desalination of extremities across Esmarkh, a stop of bleeding or a congestive hyperemia on Bira.

Plaster B. apply in plaster bandages, corsets, etc. (see. Plaster equipment ).

See also Dressing material .

Bibliography: Burenin P. I., etc. Knitted tubular bandage in orthopedic and traumatologic practice, in book: Aktualn, vopr, travmat, and the orthoitem, under the editorship of M. V. Volkov, century 2, page 88, M., 1970; To l and N of of e A. G. Dressing means, their processing and production of a dressing material, Kharkiv, 1930; Mikirticheva 3. B. New dressing means from wet-strength krepirovanny paper, Surgery, No. 4, page 132, 1967; Schneider W. u. Fischer H. Die chronische-venose Insuffizienz (Ana-tomie, Pathophysiologie, Klinik und The-rapie), Stuttgart, 1969, Bubliogr.

P. I. Burenin.