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

被引：1
|
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
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