Wound, Ostomy and Continence Nurses Society (WOCN) Practice Exam

What is a key postoperative consideration for myocutaneous flap management?

1. Encourage excessive movement to prevent stiffness

2. Prevent trauma, pressure, shear/friction, and edema

3. Use high shear surfaces to promote circulation

4. Limit all physical activity for two weeks

The correct answer is: Prevent trauma, pressure, shear/friction, and edema

A key postoperative consideration for myocutaneous flap management is the prevention of trauma, pressure, shear/friction, and edema. This is crucial because myocutaneous flaps, which consist of both muscle and skin, are particularly vulnerable after surgical procedures. Ensuring the integrity of the flap is essential for promoting healing and maintaining adequate blood flow. Excessive movement can jeopardize the stability and viability of the flap by introducing unnecessary stress to the surgical site, potentially leading to complications. High shear surfaces can also contribute to increased risk of damage to the flap, as the skin can experience friction and pressure that lead to breakdown. While limiting all physical activity is important, complete restriction is not always necessary or beneficial, as some movement might be required for circulation and preventive measures against stiffness. Therefore, maintaining a careful balance in which trauma, pressure, shear, friction, and edema are minimized is critical in the postoperative care of myocutaneous flaps.