Medi Contention

A new compression device

for increasing interface pressures at the thigh levelPressure measurements

and assessment by a CT scan

Jean-Patrick Benigni * **

Jean-François Uhl **, André Cornu-Thenard **.

*HIA Bégin, 69 av. de Paris, F94163 St MandéHIA Bégin, 69 av. de Paris, F94163 St Mandé

** French University Group for Medical Compression Study, ** French University Group for Medical Compression Study,

Université des Saints Pères, Paris V. Université des Saints Pères, Paris V.


• Background• Treatment of the great saphenous vein

• Stripping and/or phlebectomy• UGS• Endovenous procedures

• Thigh compression is little used

• No consensus• Laplace’s law• Compression stocking or bandage :

low pressures


• Background

• Nevertheless there are situations when

thigh compression can be useful :

• prevention of deep venous thrombosis,

• relief of pain after surgery, endovenous

procedures or sclerotherapy of the GSV,

• prevention of recanalisation.


• Background

• Prevention of side effects • Direct and efficient compression on the thigh

• Use of a pad between the compression and the skin


• Objectives

• To measure the interface pressures• point B1

• point F

• 1 CS

• 2 CS

• With a special pad and without pad

• Standing and supine position


• Objectives

• To evaluate the effects by CT scan with 3D

reconstruction on the GSV trunk of the

superimposition of 2 thigh CS before and after

adding the pad.


• Materials and method• Kikuhime device

• Mediven Struva thigh CS

( Point B 23 mm Hg in vitro)


• Material and methods • Foam pad

• Hard foam core

• Peripheral softer foam

• 29 mm thick and 70 mm wide

• Mediven Post Op Pad

• Material and methods• 10 healthy subjects

• 6 measurements

• Standing and supine

• 3 times

• 360 measurements



• Results

• Description of the population• 6 females and 4 males

• 41.7+/-17.4 years old

• Height 166.5+/-7.3 cm

• Weight 61.1+/-8.4 kg

• Circumference at point B1 22+/- 1.8 cm

• Circumference at point F 50 +/-3.4 cm


1 CS 2CS

Without pad

ankle

With pad

1 CS 2CS

19 mmHg 33 mmHg

11.5 mmHg 19 mmHg 36.5 mmHg 57.5 mmHg

Supine position


1 CS 2CS

Without pad

ankle

With pad

1 CS 2CS

23 42

12 22 43 mm Hg 66 mm Hg

Standing position


• Results

- 55 %


• Conclusion • The interposition of a specific pad between 2CS

and the skin can be used to increase the interface pressures

• A CT scan with 3D reconstruction confirms that the interposition of a specific foam pad produces a reduction of caliber of the GSV of over 50% under 2 CS.

Documents

Medi Contention