Premium
The use of C oban TM compression bandage following below‐knee free‐flap surgery
Author(s) -
Smith Toby O,
Hazelden Sarah,
Parker Laura,
Jha Bhavana,
Youatt Margaret,
Haywood Richard
Publication year - 2012
Publication title -
international journal of nursing practice
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.62
H-Index - 55
eISSN - 1440-172X
pISSN - 1322-7114
DOI - 10.1111/ijn.12004
Subject(s) - medicine , surgery , bandage , thrombosis
The outcomes of C oban™ compression bandage in three cases following lower limb extremity free‐flap surgery are reported. Two patients sustained open tibial fractures with extensive soft tissue loss, one case underwent a squamous cell carcinoma excision. Postoperatively, each patient commenced compression therapy on the lower limb prior to beginning mobilization, and continued for the first three postoperative months when mobilizing. No complications such as thrombosis, anastomosis failure, flap congestion, infection or healing issues were reported during the first six postoperative months, with 100% patient adherence to the compression bandage. Lower limb circumference measurements initially reduced in all cases, suggesting early effective oedema control. At the final 6 month review, two patients' circumference had increased when compared to baseline measurements attributed to an increase in muscle bulk at this late stage. The cosmetic appearance of the flaps at 6 months was acceptable in all cases, with no evidence of hypertrophic scarring.