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

Abstract

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.

• Authors: Felipe Coelho, Walter Junior Boim Araújo, Sergio Belczak, Eduarda Ferreira Rui, Beatriz Begnini Borsato, Nathália Favaretto Baldesserra, Rodrigo Gomes de Oliveira
• Journal: Jornal vascular brasileiro (J Vasc Bras) Vol. 22 Pg. e20220052 ( 2023) ISSN: 1677-7301 [Electronic] Brazil
• PMID: 37576735 (Publication Type: Journal Article)
• Copyright: Copyright© 2023 The authors.