November 1973

Compression Bandage for Lower Extremities

Arch Surg. 1973;107(5):816. doi:10.1001/archsurg.1973.01350230168033

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To the Editor.—It is generally recognized that compression following operations on the venous system of the lower extremities is beneficial. A satisfactory compression bandage not only discourages hematoma formation, but reduces edema and contributes to the patient's well-being as initial ambulation is begun. The disadvantages of elastic bandages and antiembolic stockings, ie, loosening requiring constant rewrapping, tourniquet effect, difficulty with proper "fit," are well known. Unhappy with these usual alternatives, we of the Surgical Service of the University of Illinois began using an elastic bandage with adhesive backing for this purpose. This provides a firm, compressive force that remains in place without becoming loose or sliding on itself. The adhesive elastic bandage is applied with the adhesive side on the outside, obviating the unpleasant disadvantage of adhering to regrowing hair and suture lines. Liberal dusting with talc immediately after application prevents trouble-some adherence to clothing, bedclothes, and dirt. This

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