Compression burn garment, upper trunk to waist including arm openings (vest), custom fabricated
HCPCS code
Name of the Procedure:
Compression Burn Garment, Upper Trunk to Waist Including Arm Openings (Vest)
- Common Name: Custom Compression Vest
- Technical Term: Compression burn garment
Summary
A custom compression vest is a specially designed garment used to apply pressure to burned skin areas, particularly on the upper trunk, waist, and arm openings. It helps in reducing scarring and improving skin healing post-burn injury.
Purpose
- Medical Conditions Addressed: Burn injuries requiring pressure therapy.
- Goals/Outcomes: Minimize scarring, reduce itchiness and pain, and promote even skin healing.
Indications
- Patients with hypertrophic scars and keloids from burn injuries.
- Individuals experiencing uneven skin graft take.
- Those in need of pressure therapy for improved healing post-burn.
Preparation
- No specific fasting or medication adjustments required.
- Measurements and skin assessments to custom fit the garment.
- Consultation to determine the appropriate fabric and pressure level.
Procedure Description
- Measurement: Healthcare provider takes precise measurements of the patient’s upper trunk, waist, and arm openings.
- Fabrication: A custom compression vest is fabricated according to the measurements.
- Fitting: The patient returns to ensure the vest fits properly and adjustments are made if necessary.
- Instruction: The patient is instructed on how to wear and care for the garment.
Tools/Equipment:
- Measuring tape
- Custom fabrication tools
No anesthesia or sedation is required.
Duration
The fitting session typically takes about 30-60 minutes. Fabrication time varies but usually takes a few weeks.
Setting
- Outpatient clinic or specialized medical equipment facility.
Personnel
- Certified Prosthetist-Orthotist (CPO)
- Healthcare provider specialized in burn care
Risks and Complications
- Common Risks: Skin irritation, discomfort from pressure.
- Rare Risks: Allergic reaction to fabric, restricted movement.
Benefits
- Expected Benefits: Reduced scar formation, improved skin texture and appearance, less pain and itchiness.
- Timeline: Benefits typically observed over several months of consistent use.
Recovery
- Post-Procedure Care: Regular cleaning of the vest as instructed, ensuring proper fit over time.
- Recovery Time: Continuous use for several months; adjustments as necessary.
- Follow-Up: Regular follow-up appointments to monitor skin healing and adjust the garment.
Alternatives
- Silicone gel sheets: Less invasive but may not provide adequate pressure.
- Surgery: More invasive and comes with its own risks.
- Pros and Cons: Compression garments are non-invasive and can be used long-term, whereas surgery is a single-event treatment but involves a more complex recovery.
Patient Experience
- During Procedure: Measurement and fitting process are painless.
- Post-Procedure: Initial discomfort as patient adjusts to wearing the vest, but generally well-tolerated. Regular use and proper fit significantly enhance patient comfort over time.
- Pain Management: Minimal pain, managed through adjustments and soft, breathable materials for the vest.