Influence of compression therapy following varicose vein surgery: a prospective randomized study

被引：2
作者：
Neto, Felipe Coelho [1 ]
Boim Araujo, Walter Junior [2 ]
Belczak, Sergio [3 ]
Rui, Eduarda Ferreira [1 ]
Borsato, Beatriz Begnini [1 ]
Baldesserra, Nathalia Favaretto [1 ]
de Oliveira, Rodrigo Gomes [1 ]
机构：
[1] Pontificia Univ Catolica Parana PUCPR, Clin Cirurg, Londrina, Parana, Brazil
[2] Univ Fed Parana UFPR, Curitiba, Parana, Brazil
[3] Ctr Univ Sao Camilo, Sao Paulo, SP, Brazil
来源：
JORNAL VASCULAR BRASILEIRO | 2023年 / 22卷
关键词：
venous insufficiency; varicose veins; compression stockings; GREAT SAPHENOUS-VEIN; ENDOVENOUS LASER-ABLATION; CLINICAL-PRACTICE-GUIDELINES; VASCULAR-SURGERY; STOCKINGS; TRIAL; SOCIETY;
D O I：
10.1590/1677-5449.202200522
中图分类号：
R6 [外科学];
学科分类号：
1002 ; 100210 ;
摘要：
Background: The use of compression dressings after phlebectomy is based solely on clinical experience due to the lack of a unified set of definitive recommendations, which makes clinical practice extremely heterogeneous. Objectives: To evaluate compression therapy with elastic stockings for 7 days after phlebectomy. Methods: We randomly allocated 104 lower limbs with disease classified as C1 and C2 to 1 of 2 groups: an intervention group (64 limbs) - wearing elastic compression stockings for the first 7 days after phlebectomy; or a control group (40 limbs) - given conventional bandaging for 24 hours postoperatively. We compared clinical response by analyzing the evolution of symptoms, hematoma formation, and preoperative vs. postoperative limb volume. Results: Pain (median 1.0 vs. 1.5, p=0.0320) and limb volume (mean 43.7 vs. 99.8, p=0.0071) were significantly improved in patients wearing elastic compression stockings for 7 days after phlebectomy compared with controls. Conclusions: Use of elastic compression therapy for 7 days after phlebectomy was effective for improving pain and lower limb volume.
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页数：6
相关论文
共 22 条
[1]   The role of compression after endovenous ablation of varicose veins [J].
Al Shakarchi, Julien ;
Wall, Michael ;
Newman, Jeremy ;
Pathak, Rajiv ;
Rehman, Atiq ;
Garnham, Andrew ;
Hobbs, Simon .
JOURNAL OF VASCULAR SURGERY-VENOUS AND LYMPHATIC DISORDERS, 2018, 6 (04) :546-550
[2]   Compression versus No Compression after Endovenous Ablation of the Great Saphenous Vein: A Randomized Controlled Trial [J].
Ayo, Diego ;
Blumberg, Sheila N. ;
Rockman, Caron R. ;
Sadek, Mikel ;
Cayne, Neal ;
Adelman, Mark ;
Kabnick, Lowell ;
Maldonado, Thomas ;
Berland, Todd .
ANNALS OF VASCULAR SURGERY, 2017, 38 :72-77
[3]   Compression Stockings after Endovenous Laser Ablation of the Great Saphenous Vein: A Prospective Randomized Controlled Trial [J].
Bakker, N. A. ;
Schieven, L. W. ;
Bruins, R. M. G. ;
van den Berg, M. ;
Hissink, R. J. .
EUROPEAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY, 2013, 46 (05) :588-592
[4]  
Benigni J P, 2011, Perspect Vasc Surg Endovasc Ther, V23, P238, DOI 10.1177/1531003511431737
[5]   Randomised clinical trial of the duration of compression therapy after varicose vein surgery [J].
Biswas, S. ;
Clark, A. ;
Shields, D. A. .
EUROPEAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY, 2007, 33 (05) :631-637
[6]   A randomised trial of different compression dressings following varicose vein surgery [J].
Bond, R ;
Whyman, MR ;
Wilkins, DC ;
Walker, AJ ;
Ashley, S .
PHLEBOLOGY, 1999, 14 (01) :9-11
[7]   Systematic review of compression following treatment for varicose veins [J].
El-Sheikha, J. ;
Carradice, D. ;
Nandhra, S. ;
Leung, C. ;
Smith, G. E. ;
Campbell, B. ;
Chetter, I. C. .
BRITISH JOURNAL OF SURGERY, 2015, 102 (07) :719-725
[8]   Role of compression stockings after endovenous laser therapy for primary varicosis [J].
Elderman, Jan H. ;
Krasznai, Attila G. ;
Voogd, Adri C. ;
Hulsewe, Karel W. E. ;
Sikkink, Cornelis J. J. M. .
JOURNAL OF VASCULAR SURGERY-VENOUS AND LYMPHATIC DISORDERS, 2014, 2 (03) :289-296
[9]   To Wear or not to Wear Compression Stockings after Varicose Vein Stripping: A Randomised Controlled Trial [J].
Houtermans-Auckel, J. P. ;
van Rossum, E. ;
Teijink, J. A. W. ;
Dahlmans, A. A. H. R. ;
Eussen, E. F. B. ;
Nicolai, S. P. A. ;
Welten, R. J. Th. J. .
EUROPEAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY, 2009, 38 (03) :387-391
[10]   Compression after sclerotherapy for telangiectasias and reticular leg veins:: A randomized controlled study [J].
Kern, Philippe ;
Ramelet, Albert-Adrien ;
Wutschert, Robert ;
Hayoz, Daniel .
JOURNAL OF VASCULAR SURGERY, 2007, 45 (06) :1212-1216
123