Abstract

ESTEBAN-VICO, Juan Ramón et al. Autoadhesive bandage on comprehensive treatment and rehabilitation of burned hand. Cir. plást. iberolatinoam. [online]. 2016, vol.42, n.4, pp.347-353. ISSN 1989-2055.

Background and Objective: Hand burns constitute pathology with very difficult management and which functional sequelae are hugely important. The treatment of these burns has to include an early debridement followed by a focused rehabilitation process, with splints, physiotherapy and pressotherapy. In our Burns Unit we employ Coban™ 3M bandage as early pressure therapy. This is a proven technique from the rehabilitation of lymphedema, which applied to burns reduces the prolonged edema (causal agent of numerous complications and functional impairment), as well as hypertrophic healing. Patients and Methods: We conduct a retrospective study with 14 patients with 2^o deep grade and 3^rd grade in hand, to analyze their demographic features, burn characteristics, chronology of Coban bandage usage and performance of other therapies, complications rate and functional recovery rate. Furthermore, we detail the application method of this bandage. Results: The application of Coban bandage was performed in average of 17.93 days after burns coverage or healing by 2nd intention, keeping its application for 75.54 days in average, with low complication rate (mild hypertrophic scars: 28.57 %; pain: 7.14%; edema: 7.14%: itching: 7.14%; infection: 0), as well as high functional recovery rate (complete recovery in 64.28%, with mild impairment in 14.28%). From the data collected in our study we show that the application of Coban rehabilitation treatment of burns showed a low rate of complications, which were mostly minor, accompanied by high rates of functional recovery (64.28% full recovery and 14.28% with slight limitation). To our knowledge, there are no references in the literature that detail an application protocol of this bandage on burn patients. Conclusions: Based on the results of our study, we believe that early application of self-adhesive bandage Coban™ 3M as an additional tool in the comprehensive treatment of burns may be interesting as it reduces levels of edema and the incidence of hypertrophic healing. Our study shows low complication rates and high levels of functional recovery.

Keywords : Burns; Hand burns; Rehabilitation; Bandage; Hypertrophic scars.

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