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

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. To evaluate compression therapy with elastic stockings for 7 days after phlebectomy. We ran...

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Published inJornal vascular brasileiro Vol. 22; p. e20220052
Main Authors Coelho, Felipe, Araújo, Walter Junior Boim, Belczak, Sergio, Rui, Eduarda Ferreira, Borsato, Beatriz Begnini, Baldesserra, Nathália Favaretto, de Oliveira, Rodrigo Gomes
Format Journal Article
LanguageEnglish
Published Brazil Sociedade Brasileira de Angiologia e de Cirurgia Vascular (SBACV) 01.01.2023
Subjects
CARDIAC & CARDIOVASCULAR SYSTEMS
compression stockings
Original
PERIPHERAL VASCULAR DISEASE
SURGERY
varicose veins
venous insufficiency
venous insufficiency
varicose veins
compression stockings
meias de compressão
varizes
insuficiência venosa
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Summary: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. To evaluate compression therapy with elastic stockings for 7 days after phlebectomy. 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. 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. Use of elastic compression therapy for 7 days after phlebectomy was effective for improving pain and lower limb volume.
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Author information FCN - MSc and PhD in Medical Sciences,, Universidade de Brasília (UnB); Board certified in Vascular Surgery and Vascular Ultrasound, Sociedade Brasileira de Angiologia e Cirurgia Vascular, Associação Médica Brasileira and Colégio Brasileiro de Cirurgiões. WJBA - MSc and PhD in Clínica Cirúrgica, Universidade Federal do Paraná (UFPR); Board certified in Vascular Surgery, Endovascular Surgery and Vascular Ultrasound, Sociedade Brasileira de Angiologia e Cirurgia Vascular, Associação Médica Brasileira and Colégio Brasileiro de Cirurgiões. SB - PhD and post-doctoral degree in Surgery, Universidade de São Paulo (USP); Specialist in Vascular Surgery, Endovascular Surgery and Vascular Ultrasound, Sociedade Brasileira de Angiologia e Cirurgia Vascular, Associação Médica Brasileira and Colégio Brasileiro de Cirurgiões. EFR - Medical student, Pontifícia Universidade Católica do Paraná (PUCPR). BBB - Medical student, Pontifícia Universidade Católica do Paraná (PUCPR). NFB - Medical student, Pontifícia Universidade Católica do Paraná (PUCPR). RGO - MSc in Surgery, Pontifícia Universidade Católica do Paraná (PUCPR); Board certified in Vascular Surgery, Endovascular Surgery and Vascular Ultrasound, Sociedade Brasileira de Angiologia e Cirurgia Vascular, Associação Médica Brasileira and Colégio Brasileiro de Cirurgiões.
Author contributions Conception and design: FCN, RGO, WJBA, SB Analysis and interpretation: FCN, RGO Data collection: RGO, EFR, BBB, NFB Writing the article: EFR, BBB, NFB, FCN, RGO Critical revision of the article: FCN, RGO, WJBA, SB Final approval of the article*: FCN, RGO, WJBA, SB Statistical analysis: EFR, BBB, NFB, FCN Overall responsibility: EFR, BBB, NFB, FCN, RGO *All authors have read and approved of the final version of the article submitted to J Vasc Bras.
Conflicts of interest: No conflicts of interest declared concerning the publication of this article.
Ethics committee approval: CAAE 24250719.0.0000.0099
ISSN:1677-5449
1677-7301
1677-7301
DOI:10.1590/1677-5449.202200522