Effect of Compression Bandage on the Healing of Diabetic Foot Ulcers: A Scooping Review

Abstract

Compression Therapy is a non-invasive application in the treatment of leg wounds. Bandage that is not done will cause lower leg edema when the swollen exudate is retained on the surface of the wound which will result in maceration of the skin around the wound, in cases of venous blood vessels there is a high risk of plasma leakage and venous thrombosis and cross infection of the factor. external so that healing can prolong the healing of diabetic foot wounds. Pressure dressings are implemented to improve the healing process of diabetic foot wounds which can stabilize venous pressure in the legs so that it can accelerate the circulation of blood vessels again, with a bandage pressure value . Objective: This study aims to determine how the effect of pressure dressing on the process of healing diabetic foot injuries. Methods: This study is a scooping review. Research sources were taken from several databases, with the keywords Compressions Bandage OR Diabetic Foot Ulcer OR ABI and Quantitative. From the PubMed, EBSCO, ProQuest and Elsevier databases found all 455,414 journals. Screening of all journals using PRISMA starting from identification, screening, eligibility and inclusion, obtained a whole database of 14 journals that meet the inclusion criteria. Result: The compression dressings have been shown to improve the healing process of diabetic foot wounds, improve venous blood flow, reduce leg edema and lower the ankle brachial index.

Off‐loading and compression therapy strategies to treat diabetic foot ulcers complicated by lower limb oedema: a scoping review

“…Compression therapy strategies to manage lower limb oedema where a diabetic foot ulcer is present, mapped against the review objectives, can be viewed in Table 3. This scoping review found eleven pieces of information across all of the literature, suggesting that compression bandaging was an effective way to reduce and manage oedema (as detailed in Table 1 and 2), which additionally could have beneficial effects on the healing of DFU [16, 19–26, 29, 40]. One scoping review [16] was found which explored the effect of compression bandaging on the healing of DFU.…”

“…This scoping review found eleven pieces of information across all of the literature, suggesting that compression bandaging was an effective way to reduce and manage oedema (as detailed in Table 1 and 2), which additionally could have beneficial effects on the healing of DFU [16, 19–26, 29, 40]. One scoping review [16] was found which explored the effect of compression bandaging on the healing of DFU. Compression bandaging was deemed to be safe in those without severe arterial compromise.…”

“…Although there is no current guidance for the use of compression therapy to manage lower limb oedema in the presence of a DFU, benefits for its use are acknowledged in the literature [16]. This scoping review found that full‐strength multi‐layer bandaging may be used in those without arterial compromise; reduced‐strength bandaging may be used in those with reduced arterial blood supply; and a wound was unlikely to heal if there was severe arterial compromise as compression is likely to further reduce blood flow [16, 19–26, 29, 40]. Several case studies [21, 22, 24, 26, 27, 37, 42, 49] were found all sharing successful practice where DFU management was complicated by lower limb oedema.…”

“…Total no. of strategies = 3 Included in 24 pieces of literature Compression bandaging 11 [2,16,[19][20][21][22][23][24][25][26] Compression hosiery/wrap devices 10 [20,[27][28][29][30][31][32][33][34][35] Pneumatic compression devices 5 [34,[36][37][38][39] Randomised controlled trial 2 [31,36] Prospective cohort study 1 [30] Pilot randomised controlled trial 1 [35] Scoping review 1 [16] Case study 7 [19,21,22,24,26,27,37] Foundational sources a 12 [2,20,23,25,28,29,[32][33][34][38][39][40] Off-loading Total no. of strategies = 7 Included in 13 pie...…”

“…An initial search for systematic and scoping reviews found five systematic reviews evaluating the effectiveness of various strategies to manage or enhance the healing of DFU, all of which acknowledge lower limb oedema as a risk factor [11][12][13][14][15] and one scoping review exploring the effect of compression bandaging on the healing of DFU [16]. None examined a multi-morbidity approach to scoping the evidence base specifically focusing on management strategies where diabetic foot ulcers and lower limb oedema co-exist.…”