POSTOPERATIVE COMPRESSION GEAR

Description

FIELD OF INVENTION

[0001] The present invention relates to a compression garment intended for post-operative use. STATE OF THE ART

[0002] Following surgery, inflammation and the formation of swelling and hematomas are very common. These swellings and hematomas are painful and can hinder proper tissue healing. There is also a risk of blood clots forming. In some cases, these effects can take several weeks to disappear completely.

[0003] Applying compression to areas of edema and hematoma helps reduce these adverse effects. However, applying compression to a patient's body is a delicate process, particularly because each operation involves different detachments, dissections, infiltrations, edema, and scarring, requiring tailored compression while protecting specific areas of scarring related to the procedure.

[0004] After plastic surgery, there is also a risk of skin laxity, which could lead to an unsightly result. This risk can be minimized by wearing a compression garment, such as those described in document US10596764, which holds the tissues in place and aids in skin tightening.

[0005] Compression needs change over time following surgery, depending on the phases of healing and post-operative maturation. For example, some areas may be very fragile in the immediate post-operative phase, while compression therapy may be beneficial in a later phase. DESCRIPTION OF THE INVENTION

[0006] One aim of the invention is to design a compression garment for post-operative use which provides improved healing of the treated anatomical area.

[0007] To this end, the invention proposes a compression garment for post-operative use adapted to provide compression to a part of a patient's body, characterized in that it comprises: at least one compression textile, and a plurality of silicone tracks arranged on a plurality of support bands arranged on one face of the compression textile intended to be in contact with the patient's skin, said support bands having a common point in an upper portion of the garment, the distance between the support bands increasing at an increasing distance from the common point so that the silicone tracks adhere to the patient's skin along a respective lymphatic drainage pathway of said part of the patient's body.

[0008] This type of compression garment allows for customization based on the patient's body area and the type of surgery. Silicone strips facilitate lymphatic drainage along the lymphatic vessels. Furthermore, the garment's design can be adjusted to suit the patient's postoperative stage.

[0009] Wearing such a compression garment helps reduce swelling, bruising, and pain for the patient, and accelerates and improves healing. It also improves patient comfort and speeds up the return to physical activity after surgery. Furthermore, wearing compression garments enhances skin remodeling and the overall outcome of the operation.

[0010] Advantageously, compression garments comprise at least two zones joined by elastic seams, with the seam allowances positioned on the outside of the garment. This allows for the application of different compression gradients depending on the type of surgery.

[0011] Preferably, the silicone tracks form a raised area on the backing strip. Advantageously, the silicone tracks are corrugated, preferably sinusoidal.

[0012] Advantageously, each support strip has several parallel silicone tracks, preferably two parallel silicone tracks.

[0013] In some embodiments, the compression garment takes the form of an abdominal compression girdle.

[0014] In other embodiments, the compression garment takes the form of a compression girdle for the lower limbs.

[0015] In other embodiments, the compression garment takes the form of a breast compression girdle.

[0016] Another object of the invention relates to an assembly comprising a compression garment and at least one self-adhesive plate suitable for being inserted between said compression garment and an area of ​​the patient's body.

[0017] Another object of the invention relates to an assembly comprising a compression garment according to one of the preceding claims and at least one foam compression cushion suitable for being inserted between said compression garment and an area of ​​the patient's body.

[0018] The invention also relates to a method for manufacturing a compression garment for a part of a patient's body, comprising the provision of at least two support strips comprising at least one respective silicone track, and the arrangement of said at least two support strips on an inner face of a garment in a compression textile, so that the silicone tracks adhere to the patient's skin, the support strips having a common point in an upper portion of the garment, the distance between the support strips increasing at a growing distance from the common point following at least one lymphatic drainage pathway of said part of the patient's body. BRIEF DESCRIPTION OF THE FIGURES

[0019] Other features and advantages of the invention will become apparent from the detailed description that follows, with reference to the attached drawings, in which: There Figure 1A This is a schematic view of an abdominal compression garment intended to be worn after abdominal liposuction. figure 1BThis is a schematic view of an abdominal compression garment intended to be worn after an abdominal dermolipectomy with liposuction using a low incision and central dissection. figure 1C This is a side view of an abdominal binder worn by a patient. figure 1D This is a rear view of an abdominal binder worn by a patient. figure 2A This is a schematic view of the front face of a lower limb compression sleeve. figure 2B This is a schematic view from the back of a lower limb compression garment. figure 2C This is a side view of a lower limb compression garment worn by a patient. figure 2D This is a rear view of a lower limb compression garment worn by a patient. figure 2E illustrates an area of ​​fabric with support strips incorporating silicone tracks, intended to form a portion of a lower limb compression sleeve. figure 3This is a schematic view of a breast compression garment intended to be worn after breast surgery. figure 4 This illustrates a silicone band that can be positioned according to the anatomical pathways of lymphatic drainage. figure 5 This illustrates a self-adhesive pad suitable for use with compression garments. figure 6 illustrates a foam compression pad suitable for use in conjunction with a compression garment. DETAILED DESCRIPTION OF IMPLEMENTATION METHODS

[0020] The invention provides a compression garment typically worn after plastic and cosmetic surgery that induces edema and / or scarring on a part of the patient's body. However, the use of such a garment is not limited to plastic surgery but can also be considered after other types of surgical procedures. By way of illustrative and non-limiting example, the garment can be worn after digestive surgery with a midline laparotomy, orthopedic surgery with knee or hip incisions, and breast surgery.

[0021] The garment is designed according to the specific anatomical area and the surgical procedure performed on the patient. For example, an abdominal compression garment can be designed for abdominal liposuction alone without incision or dissection, or for a lipo-abdominoplasty with a low incision and central dissection, or for a midline vertical laparotomy. A lower limb compression garment can be designed for liposuction of the lower limbs alone or for a thigh lift (cruroplasty) with liposuction via a midline or postero-midline incision. A breast compression garment can be designed for breast reduction with mastopexy or for breast augmentation with implants alone or with a composite technique involving an implant and autologous fat transfer.

[0022] Compression garments include at least one area of ​​fabric with a level of stretch chosen according to the compression to be applied to the part of the patient's body covered by that area. Each piece of fabric is typically made of a warp and weft weave, which is stretchable in both the warp and weft threads; that is, the fabric is able to stretch elastically along both its warp and weft threads.

[0023] Each warp and weft yarn may include in its composition: natural fibers, such as cotton or linen; synthetic fibers, such as polyamide, polyester, nylon, elastane or Lycra™, or a mixture of several of the aforementioned fibers.

[0024] A textile of this type exhibits maximum elongation in both the warp and weft, meaning elongation at break in the direction of its warp and weft yarns. The fabric(s) constituting the compression garment typically exhibit substantially uniform stretch in both the warp and weft. In other embodiments, different textile structures and different stretch values ​​may be used.

[0025] When the compression garment is worn by the patient, each fabric zone exerts compression on the patient's body, the intensity of which depends on the fabric's elasticity. High elasticity results in low compression, while low elasticity produces high compression. The elasticity of each fabric can therefore be adjusted to achieve the desired effect: sufficient compression to facilitate or accelerate the reduction of postoperative edema and hematomas while applying less pressure to areas weakened by surgery, thus allowing the patient to move. Generally, the compression is between 17 and 24 mmHg. In some cases, several fabric zones with varying elasticity can be combined in a single garment.

[0026] The compression garment also includes silicone tracks 1 arranged on the inner surface of the garment. Each silicone track is supported by an elastic textile backing band attached to the inside of the garment. These silicone tracks 1 are oriented according to the anatomical pathways of lymphatic drainage, which are known to those skilled in the art. The silicone tracks are, for example, arranged in a zigzag or sinusoidal pattern and may have a raised surface, for example, 2 mm high. In practice, one or more silicone tracks may be arranged on one side of a textile backing band, the opposite side of which can be applied to the inner surface of the garment and attached by sewing or gluing. figure 4This illustrates such a support band in the form of a textile ribbon 102. The support band has two raised silicone tracks 101. Advantageously, the tracks are corrugated, preferably sinusoidal. When the garment is worn, the silicone tracks 1 are applied against the patient's skin. The silicone provides some adhesion of the silicone tracks 1 to the skin. Thus, when the patient moves, the micro-movement and micro-shearing effect generated by these silicone tracks adhering to the skin acts as guided lymphatic drainage, directing lymph towards the lymph node areas. Furthermore, thanks to these silicone tracks adhering to the skin, the compression garment is better stabilized on the skin, particularly in areas that are difficult to keep in place, such as, for example, in the case of an abdominal compression garment, the upper thighs or the subcostal region.

[0027] In a particularly advantageous embodiment, several silicone tracks are arranged together on a support strip that is held to the fabric by one or more seams. Preferably, two parallel silicone tracks are in contact with the patient's skin when the garment is worn. The two tracks have a raised sinusoidal pattern. The presence of two parallel tracks provides improved garment adhesion to the skin compared to the use of a single track.

[0028] The arrangement of the silicone tracks and support bands is such that several silicone tracks converge at a common point in the upper part of the garment. In the case of pants or a girdle, this common point is located at the patient's waist. The support bands, which incorporate the silicone tracks, radiate downwards from this common point along the patient's lymphatic vessels, so that the distance between the respective support bands increases with increasing distance from the common point, towards the bottom of the garment.

[0029] Advantageously, the textile sections constituting the compression garment are joined together by elastic seams, the seam allowance of which is preferably located on the outside of the garment. These elastic seams are preferably arranged so as not to cover the incision area or the area where the garment is separated from the patient's body when worn.

[0030] We will now describe different ways of making such a compression garment.

[0031] There Figure 1A is a schematic view of a first embodiment of a postoperative compression garment, namely a first abdominal compression girdle 110. The girdle 110 is designed to be worn by a patient after surgery on the patient's abdomen, and in particular after abdominal liposuction.

[0032] The abdominal compression girdle 110 comprises several zones of a first textile 2 and several zones of a second textile 3. The first textile 2 has less extensibility than the second textile 3. The different textile zones are advantageously assembled by elastic seams 20. In addition, the girdle includes several silicone bands 1 arranged along lymphatic drainage pathways of the abdominal region.

[0033] When the sheath is worn by the patient, a first zone comprising the first textile 2 is arranged so as to exert a first compression imposing a concave shape in posterior and lateral regions of the patient, and the second zone comprising the second textile 3 is arranged so as to exert a second homogeneous compression and less than the first compression exerted on an abdominal region of the patient.

[0034] In combination with these compressions, the silicone tracks 1 ensure lymphatic drainage of the abdominal region.

[0035] On the upper edge, the sheath 110 has an elastic band 10 with loops 11 for attaching straps (not shown). In addition, the sheath 110 has a closure band 14 for fastening the sheath at the patient's abdomen with hooks 16. An elastic bias strip 15 is attached to the lower edge of the closure area.

[0036] The said sheath 110 has a cotton base 8 that can be closed and opened by a soft Velcro strip 12, which is designed to be attached to the hook-and-loop fastener strips 5. This base 8 helps to keep the sheath in place when worn by the patient. Lace strips 13 can be arranged over the leg openings.

[0037] On the figure 1Bis represented a second embodiment of a postoperative compression garment, namely a second abdominal compression sheath 120.

[0038] The elements designated by the same reference symbols as on the Figure 1A are identical or fulfill the same function as the elements already described in the first embodiment and will therefore not be described again.

[0039] The 120 girdle is designed to be worn by a patient after surgery on the patient's abdomen, and in particular after an abdominoplasty procedure such as an abdominal dermolipectomy with liposuction with low incision and central dissection.

[0040] The abdominal compression girdle 120 comprises several zones of a first textile 2, several zones of a second textile 3 and one or more zones of a third textile 7. The first textile 2 has less extensibility than the second textile 3, which is itself less than that of the third textile 7. The different textile zones are advantageously assembled by elastic seams.

[0041] A first zone comprising the first textile 2 is arranged so as to exert a first compression imposing a concave shape in the posterior and lateral regions of the patient, and the second zone comprising the second textile 3 is arranged so as to exert a second homogeneous compression lower than the first compression exerted on a part of the abdominal region of the patient, and the third zone comprising textile 7 exerts a very low pressure on the anterior and central zone which corresponds to the detachment zone.

[0042] THE Figures 1C and 1D represent an abdominal compression garment 120 worn by a patient. The support bands 102, including the silicone tracks 1 indicated by dotted lines, are arranged on the inner surface of the garment in contact with the patient's skin.

[0043] The support strips with silicone tracks meet at a common point 90 near the upper edge of the sheath with an elastic band 10. The distance between the support strips with silicone tracks increases towards the lower part of the sheath and is maximum at the lower edge with an elastic bias 15.

[0044] THE Figures 2A and 2B They present a 210 lower limb compression garment designed to be worn after liposuction of the thighs or buttocks. figure 2A presents a schematic view of the front face of said sheath 210, the figure 2B presents a schematic view of the rear view of said sheath 210.

[0045] The lower limb compression garment 210 comprises several textile zones 22 joined together by elastic seams 20. Furthermore, the garment includes several silicone tracks 1 arranged along the lymphatic drainage pathways of the lower limbs. Along the upper edge, the lower limb compression garment 210 has an elastic band 10 with loops 11 for attaching suspenders (not shown). In addition, the garment 210 has two straps 14 that allow the garment to be closed at the sides with hooks 16.

[0046] The said sheath 210 may have an opening at the level of the pubis (not shown) or, alternatively, have a closed bottom

[0047] The girdle 210 may also include an elastic bias strip 25 running across the width of the front of the corset, positioned at the pubic area, arranged to form a border for the portion of fabric constituting the edge of the opening on the front, if applicable. Lace bands 13 may be arranged on the lower openings allowing passage of the feet. At the calves, pieces 23 of a highly elastic fabric may be arranged, exerting very little pressure and thus increasing the comfort of the patient wearing the lower limb girdle 210.

[0048] THE figures 2C and 2D represent a compression sleeve for the lower limbs worn by a patient. The support strips 102, with the silicone tracks 1 indicated by dotted lines, are arranged on the inner surface of the sleeve in contact with the patient's skin.

[0049] The silicone tracks meet at a common point 91 near the upper edge of the sheath which has an elastic band 10. The distance between the silicone tracks increases towards the lower part of the sheath and is maximum at their lower end 95 at the level of the patient's knee.

[0050] There figure 2E This illustrates an area of ​​fabric cut to form a portion of the lower limb compression garment. Support strips with silicone tracks are sewn onto this fabric area. Several support strips with silicone tracks join at a common point to form the upper edge of the garment, to which an elastic band will be attached. Additional support strips with silicone tracks, designed to apply compression to other lymphatic drainage pathways, are arranged on the fabric area.

[0051] There figure 3This product features a 310 breast compression garment designed to be worn after breast surgery. Such surgery includes, for example, breast reduction with mastopexy or breast augmentation, for example, using implants alone or a composite technique involving an implant and autologous fat transfer.

[0052] The breast compression garment 310 comprises several zones of a first textile 2 and several zones of a second textile 3. The first textile 2 has less extensibility than the second textile 3. In addition, the garment 310 includes several support bands with silicone tracks 1 arranged along lymphatic drainage pathways of each breast.

[0053] When the patient wears garment 310, the first zone, comprising the first fabric 2, is arranged to exert initial compression between the lateral and lateral parts of the breast, allowing for breast shaping from the lateral inframammary fold. The second zone, comprising the second fabric 3, is arranged to exert a second, less intense compression on the lateral and central parts of the back. In combination with these compressions, the silicone tracks 1 ensure lymphatic drainage of the breasts.

[0054] In a central area of ​​the back and on part of each breast, the garment also includes a thermoregulating lining, arranged under an area of ​​the second textile 3. This thermoregulating lining helps to reduce the patient's perspiration.

[0055] The breast compression garment has an elastic waistband 38 positioned below the breasts to hold the garment in place. A split zipper 35 and hooks 36 are arranged along the front edges of the garment, allowing closure in the central area of ​​the patient's chest. The garment may include a foam insert 33 in the central chest area, increasing patient comfort. In addition, one or more ribbons 34 may be arranged in this area, forming a border along the front edges of the garment.

[0056] Two bands 37 are arranged in the part above the breast and passing over the patient's shoulders, said bands 37 each comprising several fasteners 39 suitable for being fixed onto loops 49 arranged on both sides of the central part of the back of the garment, said several fasteners allowing the length of the band 37 necessary for breast support to be adjusted by choosing the fastener 39 most suitable for the patient's morphology.

[0057] The invention is not limited to the garment examples described but is applicable to a multitude of postoperative lymphatic drainage compression garments, by applying to them the technical considerations developed so far. Other embodiments may include, by way of illustration and not limitation, compression garments covering the arms, the back, or a single upper or lower limb.

[0058] Compression garments can be used in conjunction with other items that may be added in later stages of healing following surgery.

[0059] For example, in the early stages of healing, it may be preferable not to exert too much pressure on the operated tissues.

[0060] When surgery has generated a scar, it may be helpful, in a second phase in which the scar is closed, to apply a suitable element to the scar to massage it in order to fade it.

[0061] In addition, one or more 60 compression foam cushions, as illustrated on the figure 6These pads can be placed between the compression garment and the patient's body to increase compression in an area that was initially only lightly compressed. For example, such pads can be placed in the anterior and subumbilical region, which corresponds to the area of ​​undermining when the garment is an abdominal compression girdle. These 60-density foam compression pads are typically added approximately 5-7 days after surgery. Compression before this time can decrease perfusion and increase the risk of skin necrosis. The pads are designed to provide strong compression to mold and flatten the skin, thereby improving the cosmetic outcome of the surgery. Although the 60-density pad is shown in a parallelepiped shape on the... figure 6 It goes without saying that any other form, particularly one adapted to the patient's morphology, can be used.

[0062] Furthermore, in certain situations, one or more self-adhesive plates 50, as illustrated on the figure 5 These plates can be inserted between the compression garment and the patient's body, at the level of the healing scar. For example, such plates can be placed at the level of the subpubic fold when the garment is an abdominal compression girdle used after an abdominoplasty. These plates are first glued to the patient's skin and then held in place by the pressure applied by the compression garment. Such plates are typically inserted after the incision has healed, which typically takes between 3 and 4 weeks. These plates, which conform to the patient's body, can be made of silicone or a mixture of tri-block copolymer and mineral oil. Although the plate is represented with a parallelepiped shape on the figure 5It goes without saying that any other form, particularly one adapted to the patient's morphology, can be used.

Claims

1. Compression garment for postoperative use suitable for ensuring a compression of a part of the body of a patient, characterized in that it comprises : • at least one compressive textile comprising at least two zones assembled by elastic seams (20) whose seam excess is arranged on the outside of the garment, and • a plurality of silicone tracks (1) arranged on a plurality of support bands arranged on a face of the compressive textile intended to be in contact with the skin of the patient, said support bands having a common point in an upper portion of the garment, the distance between the support bands increasing at an increasing distance from the common point so that the silicone tracks adhere to the skin of the patient following a respective lymphatic drainage path of said part of the body of the patient.

2. Compression garment according to claim 1, in which the silicone tracks (1) form a relief on the support band.

3. Compression garment according to one of the preceding claims, in which the silicone tracks (1) are wavy, preferably sinusoidal.

4. Compression garment according to one of the preceding claims, in which each support band comprises several parallel silicone tracks, preferably two parallel silicone tracks.

5. Compression garment according to one of the preceding claims, presented in the form of an abdominal compression girdle.

6. Compression garment according to one of claims 1 to 5, presented in the form of a compression garment of the lower limbs (210).

7. Compression garment according to one of claims 1 to 5, presented in the form of a breast compression garment (310).

8. Set comprising a compression garment according to one of the preceding claims and at least one self-adhesive plate (50) suitable for being inserted between said compression garment and an area of the body of the patient.

9. Set comprising a compression garment according to one of the preceding claims and at least one compression cushion (60) made of foam suitable for being inserted between said compression garment and an area of the body of the patient.

10. Method for manufacturing a compression garment of a part of the body of a patient, comprising : • providing of at least two support bands comprising at least one respective silicone track (1), and • arranging of said at least two support bands on an inner face of a garment made of a compressive textile comprising at least two zones assembled by elastic seams (20) whose seam excess is arranged on the outside of the garment, so that the silicone tracks are oriented towards the side of the skin of the patient, the support bands having a common point in an upper portion of the garment, the distance between the support bands increasing at an increasing distance from the common point following at least one lymphatic drainage path of said part of the body of the patient.