Esperienza clinica sull'impiego del bendaggio a 4 strati in patologie dermatologiche delle gambe differenti dalle ulcere venose

Aim. The 4 layer elastic compressive bandage system has been used for several years in the treatment of venous leg ulcers and used by us to speed up the healing process. Elastic compressive bandages increase the interstitial pressure, capillary clearance and flow speed in deep veins thus improving cutaneous oxygenation. Other skin diseases can also benefit from the positive effects of these bandages. Methods. In this study we have treated with this bandage system a total of 64 patients, 29 males and 35 females aged between 40 and 70 years inclusive, presenting with the following diseases of the lower limbs: stasis dermatitis, gravitational dermatitis, chronic lymphoedema, warty lichen and psoriasis. The bandage was kept in place for 15 days. Results. Patients were controlled when the bandage was removed and after 30 days from removal and assigned an arbitrary score. In all the pathologies the 4 layer bandage gave positive results. Conclusion. In this report we discuss the modalities and possibilities for use of the 4 layer bandage system in relation to cost/benefit.