This invention relates to a support garment, especially a hernia support garment in the form of underpants.
A hernia is a protrusion of an organ or tissue through an abnormal opening in the body. Most hernias occur when a part of intestine slips through a weakness in the abdominal wall, creating a bulge that you can see and feel. Hernias can develop around the navel, in the groin, or any place where you may have had a surgical incision.
In case of hernias with a large opening and a relatively small sac, support belts or bandages may be helpful in holding back the protrusion of selected hernias when surgery is not possible or delayed.
Hernias in connection with stomas also often cause a problem. When a stoma is made at the surface of the abdomen the intestine must pass through the muscles of the abdominal wall, thus a potential site of weakness is immediately created. Stoma hernias may make it difficult to attach a bag properly and sometimes their sheer size is an embarrassment as they can be seen beneath the clothes.
U.S. Pat. No. 4,612,674 describes underwear having an elongated depression extending on the center line of a rear piece and conforming to the gluteal cleft between the buttocks of the wearer. Accordingly, the underwear, when worn, snugly fits to the curves of the buttocks and the gluteal cleft.
DK patent no. 174536 describes an ostomy support garment in the shape of pants, made out of a compression bandage comprising an abdominal reinforcement, a hole allowing the stoma to pass through the pants as well as a hole in the crotch. The ostomy support garment is custom made for each patient using an extensive measuring and adaptation procedure.
However, the overall pressure of a support garment of this type may create discomfort, especially in the crotch region e.g. when sitting. Furthermore, the hole in the crotch requires the use of a further pair of pants.
It is an object of this invention to provide a support garment for patients with hernia requiring support in the abdominal area which is more comfortable to use than prior art support garments.
A further object of this invention is to provide a support garment for patients with hernia requiring support in the abdominal area and having a crotch part made from a comfortable material.
It is yet another object of this invention to provide a comfortable support garment for patients with hernia requiring support in the abdominal area and which can be mass produced.
The support garment of the invention comprises an elastically extensible body part for exerting an overall pressure on the abdominal region of a patient and a crotch part, which parts are interconnected at the front and the back of the garment, the edges of those portions of the two parts which are interconnected at the back of the garment being curved in flat condition and the radii of curvature of opposed parts of the edges being related so that the radius of curvature of the curved edge of the crotch part is smaller than the radius of curvature of the curved edge of the body part.
It is preferred that the curved edge of the crotch part is essentially convex. The invention is based on the discovery that by joining the body support part and the crotch part at the back of the garment in the manner defined above, a bulge or pouching is created on the back of the garment and that this bulge or pouching makes more room in the crotch zone on the back of the garment, which consequently becomes more comfortable to use than a garment comprising a closely fitting crotch part. Furthermore, the support garment of the invention may be mass produced reducing the costs as compared to custom made products.
The radii of curvature of the edges may vary along the length of the edges, the variations normally being symmetrically distributed in relation to a vertical centerline of the garment thereby enabling a better fit to the user's anatomy.
In a preferred embodiment of the invention the radius of curvature of the edge on the crotch part is 10-15 mm smaller than the radius of the curvature of the edge on the body part within the parts of the edges showing the largest difference.
The parts of the edges of the body part and the crotch part to be gathered preferably have a circular shape in flat condition.
It should be understood that the edges of the body part and the crotch part may have any desired curved shape in flat condition.
The term ‘curved shape’ as used herein means that the shape deviates from straight line in a smooth, continuous fashion.
The elastically extensible body part of the invention serves to exert a uniform pressure on the abdominal body region of a patient and thus to suppress a hernia. The pressure exerted should preferably be within the range 15-50 mm Hg (20-67 hPa).
The body part is preferably prepared from a knitted material comprising one or more elastic yarns such as elastan yarns. A particularly suitable knitted material comprises between 16 and 60% and more specifically between 30 and 50% elastan yarn. More preferably it is made from a knitted tubular material so as to avoid uncomfortable seams such as side seams.
The body support part may be provided with a hole for a stoma and the edge of the hole may be stabilized as described in International patent application WO 2004/0069117.
The crotch part of the garment of the invention can be made from any flexible material having a good feel.
The crotch part may have a hole or be open at its lowermost end thus allowing the patient to use a toilet without having to remove the support garment. It may also be provided with a means for closing said hole or opening. Examples of such closing means are Velcro® closure, buttons and corresponding button holes, hooks and eyes, etc.
The interconnection between the body part and the crotch part is preferably in the form of seams, welding, etc., as appropriate depending on the materials
The invention will now be described in further detail with reference to the drawings in which,
In
Number | Date | Country | Kind |
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PA 2003 01909 | Dec 2003 | DK | national |
Filing Document | Filing Date | Country | Kind | 371c Date |
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PCT/DK04/00902 | 12/22/2004 | WO | 6/1/2007 |