Use of Esmarch Bandage in Adult Orthopedic Lower Limb Surgery in the Modern Era: A Review of Safeguards

Abstract

Abstract An Esmarch bandage has commonly been used to achieve a bloodless field during adult orthopedic limb surgery. The exsanguination achieved effectively provides a clear field during surgical procedures. In the modern era, the use of Esmarch bandage presents its own challenges. The characteristics of the bandage limit its indications. The complications and effects associated with its use further dissuade orthopedic surgeons from using it in present-day practice. The use of the bandage along with tourniquet application for lower limb arthroplasty procedures has been considered as a technique to limit blood loss, provide a bloodless field, and shorten the duration of the operation. Safeguards need utmost attention and careful execution to achieve the desired outcome in lower limb surgery.