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

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 a...

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Detalles Bibliográficos
Autores principales: Coelho, Felipe, Araújo, Walter Junior Boim, Belczak, Sergio, Rui, Eduarda Ferreira, Borsato, Beatriz Begnini, Baldesserra, Nathália Favaretto, de Oliveira, Rodrigo Gomes
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Sociedade Brasileira de Angiologia e de Cirurgia Vascular (SBACV) 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10421576/
https://www.ncbi.nlm.nih.gov/pubmed/37576735
http://dx.doi.org/10.1590/1677-5449.202200522
Descripción
Sumario: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.