Treatment by medical compression stockings among 144 consecutive patients with non-complicated primary varicose veins: Results on compliance

2014 ◽  
Vol 39 (6) ◽  
pp. 389-393 ◽  
Author(s):  
D. Rastel
Keyword(s):  
Varicose Veins ◽  
Compression Stockings ◽  
Primary Varicose Veins ◽  
Medical Compression Stockings

Primary varicose veins

Phlebologie ◽  
2010 ◽  
Vol 39 (03) ◽  
pp. 133-137
Author(s):  
H. Partsch
Keyword(s):  
Varicose Veins ◽  
Compression Therapy ◽  
Daily Practice ◽  
Clinical Severity ◽  
Compression Stockings ◽  
Primary Varicose Veins ◽  
The Cost ◽  
Convincing Data ◽  
Long Term Studies

SummaryBackground: Compression stockings are widely used in patients with varicose veins. Methods: Based on published literature three main points are discussed: 1. the rationale of compression therapy in primary varicose veins, 2. the prescription of compression stockings in daily practice, 3. studies required in the future. Results: The main objective of prescribing compression stockings for patients with varicose veins is to improve subjective leg complaints and to prevent swelling after sitting and standing. No convincing data are available concerning prevention of progression or of complications. In daily practice varicose veins are the most common indication to prescribe compression stockings. The compliance depends on the severity of the disorder and is rather poor in less severe stages. Long-term studies are needed to proof the cost-effectiveness of compression stockings concerning subjective symptoms and objective signs of varicose veins adjusted to their clinical severity. Conclusion: Compression stockings in primary varicose veins are able to improve leg complaints and to prevent swelling.

A new technique to measure pressure in medical compression stockings

2017 ◽  
Vol 88 (22) ◽  
pp. 2579-2589 ◽  
Author(s):  
Eren Oner ◽  
Gungor Durur ◽  
Huseyin Ender Cansunar
Keyword(s):  
Venous Insufficiency ◽  
Varicose Veins ◽  
Venous Blood ◽  
Correlation Coefficients ◽  
Compression Stockings ◽  
Validation Data ◽  
New Device ◽  
Compression Properties ◽  
A New Technique ◽  
Medical Compression Stockings

Venous insufficiency is one of the most common diseases in adults, a condition in which venous blood escapes from its normal ante grade way of flow and the veins have problems sending blood from the legs back to the heart. It can be caused by several different vein disorders, but generally arises from either blood clots or varicose veins. Medical compression stockings are widely used in the treatment of chronic venous insufficiency. From this perspective, the measurement of the effects of compression stockings and understanding the operating principle of them are very important. This paper introduces a novel testing instrument composed of a computer-controlled artificial leg, and investigates the accuracy of the pressure measurement of the dynamic leg by comparing it with the standard method. For this purpose the compression properties of standard medical stockings were measured by the new testing device and pressure readings were validated against the Kikuhime device. The results revealed that there were significant correlation coefficients, and the calibration and validation data proved that the results of the new device were consistent and repeatable.

There is No Benefit from 6 Weeks' Postoperative Compression after Varicose Vein Surgery: A Prospective Randomised Trial

1999 ◽  
Vol 14 (1) ◽  
pp. 21-25 ◽  
Author(s):  
M. G. T. Raraty ◽  
M. G. Greaney ◽  
S. D. Blair
Keyword(s):  
Clinical Assessment ◽  
Varicose Vein ◽  
Statistical Difference ◽  
Varicose Veins ◽  
Randomised Trial ◽  
Compression Stockings ◽  
Varicose Vein Surgery ◽  
Prospective Randomised Trial ◽  
Primary Varicose Veins ◽  
To Receive

Background: It is often recommended that patients should wear compression stockings for 6 weeks after varicose vein surgery. The aim of this trial was to ascertain whether this is necessary. Method: Following a standardised operation for primary varicose veins, patients were randomised to receive postoperative compression with either Panelast Acryl adhesive short-stretch bandages for 1 week or crepe bandages for 16 h followed by 6 weeks wearing of TED antiembolic stockings. Symptoms were quantified by questionnaire and clinical assessment at 1 and 6 weeks. Results: Postoperatively there was significantly more bleeding in the crepe/TED group and a larger area of bruising at the end of the first week (117.5 cm2 vs. 96 cm2, p<0.02; Mann–Whitney U-test). However, this did not correlate with any difference in discomfort or activity between the two groups. There was no statistical difference in the symptoms reported after the first week. Twenty-seven patients out of 52 randomised to TEDs discarded them before the end of the 6 weeks. Both groups returned to full activities and work after similar periods (Panelast 18.5 days vs. crepe 20.0 days). Conclusion: There was no benefit in wearing compression for more than 1 week. Wearing Panelast bandages for the first week did significantly reduce pain on the first postoperative day, bleeding and the extent of bruising.

Lack of Tourniquet Effect of Below-Knee Stockings

2000 ◽  
Vol 15 (2) ◽  
pp. 60-63 ◽  
Author(s):  
M. Chauveau ◽  
F. Vin ◽  
B. Houot
Keyword(s):  
Varicose Veins ◽  
Venous Occlusion ◽  
Compression Stockings ◽  
Class 1 ◽  
Arterial Inflow ◽  
Primary Varicose Veins ◽  
Venous Volume ◽  
Carry Over ◽  
French Class ◽  
No Tourniquet

Objective: To determine whether below-knee compression stockings impede venous return by a tourniquet effect. Design: Randomised, cross-over clinical trial. Patients: Ten outpatient women suffering from mild or moderate primary varicose veins without skin trophic disorder. Methods: Air plethysmography with venous occlusion (50 mmHg) was used to measure arterial inflow (AI), venous volume (V50) and maximum venous outflow (MVO), without stockings and when wearing French class 1 (10-15 mmHg) and class 2 (15-20 mmHg) below-knee stockings. Results: No carry over due to the cross-over design was detected. There was no significant variation in MVO induced by class 1 (44 vs 45 ml/s) or class 2 (42 vs 41 ml/s) stockings. AI decreased significantly with class 2 (0.93 vs 1.22 ml/s, /? = 0.012) but not with class 1 (1.22 vs 1.20 ml/s) stockings. V50 did not change with class 1 (97 vs 95 ml) but decreased with class 2 (80 vs 98 ml, p = 0.031) stockings. Conclusion: No tourniquet effect of class 1 and class 2 below-knee stockings was observed. Venous capacity and arterial inflow were reduced by class 2 stockings.

Compression and venous ulcers

2013 ◽  
Vol 28 (1_suppl) ◽  
pp. 68-72 ◽  
Author(s):  
M Stücker ◽  
K Link ◽  
S Reich-Schupke ◽  
P Altmeyer ◽  
M Doerler
Keyword(s):  
Relapse Rate ◽  
Varicose Veins ◽  
Compression Therapy ◽  
Leg Ulcers ◽  
Compression Stockings ◽  
Venous Leg Ulcers ◽  
High Relapse Rate ◽  
Compression Bandages ◽  
First Choice ◽  
Medical Compression Stockings

Compression therapy is considered to be the most important conservative treatment of venous leg ulcers. Until a few years ago, compression bandages were regarded as first-line therapy of venous leg ulcers. However, to date medical compression stockings are the first choice of treatment. With respect to compression therapy of venous leg ulcers the following statements are widely accepted: (1) Compression improves the healing of ulcers when compared with no compression; (2) Multicomponent compression systems are more effective than single-component compression systems; (3) High compression is more effective than lower compression; (4) Medical compression stockings are more effective than compression with short stretch bandages. Healed venous leg ulcers show a high relapse rate without ongoing treatment. The use of medical stockings significantly reduces the amount of recurrent ulcers. Furthermore, the relapse rate of venous leg ulcers can be significantly reduced by a combination of compression therapy and surgery of varicose veins compared with compression therapy alone.

Randomized trial of medical compression stockings versus two-layer short-stretch bandaging in the management of venous leg ulcers

Phlebologie ◽  
2009 ◽  
Vol 38 (04) ◽  
pp. 157-163 ◽  
Author(s):  
A. Franek ◽  
L. Brzezinska-Wcislo ◽  
E. Blaszczak ◽  
A. Polak ◽  
J. Taradaj
Keyword(s):  
Drug Therapy ◽  
Randomized Clinical Trials ◽  
Therapy Group ◽  
Long Term Results ◽  
Leg Ulcers ◽  
Compression Stockings ◽  
Venous Leg Ulcers ◽  
Group A ◽  
Group B ◽  
Medical Compression Stockings

SummaryA prospective randomized clinical trial was undertaken to compare a medical compression stockings with two-layer short-stretch bandaging in the management of venous leg ulcers. Study endpoints were number of completely healed wounds and the clinical parameters predicting the outcome. Patients, methods: Eighty patients with venous leg ulcers were included in this study, and ultimately allocated into two comparative groups. Group A consisted of 40 patients (25 women, 15 men). They were treated with the compression stockings (25–32 mmHg) and drug therapy. Group B consisted of 40 patients (22 women, 18 men). They were treated with the short-stretch bandages (30–40 mmHg) and drug therapy, administered identically as in group A. Results: Within two months the 15/40 (37.50%) patients in group A and 5/40 (12.50%) in group B were healed completely (p = 0.01). For patients with isolated superficial reflux, the healing rates at two months were 45.45% (10/22 healed) in group A and 18.18% (4/22 healed) in group B (p = 0.01). For patients with superficial plus deep reflux, the healing rates were 27.77% (5/18 healed) in group A and 5.55% (1/18 healed) in group B (p = 0.002). Comparison of relative change of the total surface area (61.55% in group A vs. 23.66% in group B), length (41.67% in group A vs. 27.99% in group B), width (46.16% in group A vs. 29.33% in group B), and volume (82.03% in group A vs. 40.01% in group B) demonstrated difference (p = 0.002 in all comparisons) in favour of group A. Conclusion: The medical compression stockings are extremely useful therapy in enhancement of venous leg ulcer healing (both for patients with superficial and for patients who had superficial plus deep reflux). Bandages are less effective (especially for patients with superficial plus deep reflux, where the efficiency compared to the stockings of applied compression appeared dramatically low). These findings require confirmation in other randomized clinical trials with long term results.

Comfort Properties of Medical Compression Stockings from Biodesigned and Cotton Fibers

2021 ◽  
Author(s):  
Ferid Kırcı ◽  
Ecem Karamanlargil ◽  
Sena Cimilli Duru ◽  
Banu Nergis ◽  
Cevza Candan
Keyword(s):  
Cotton Fibers ◽  
Compression Stockings ◽  
Medical Compression Stockings

Cellular senescence at the saphenofemoral junction in patients with healthy, primary varicose and recurrent varicose veins – A pilot study

Vascular ◽  
2021 ◽  
pp. 170853812110128
Author(s):  
Dominic Mühlberger ◽  
Anne-Katrin Zumholz ◽  
Erich Brenner ◽  
Achim Mumme ◽  
Markus Stücker ◽  
...  
Keyword(s):  
Pilot Study ◽  
Cellular Senescence ◽  
Varicose Vein ◽  
Varicose Veins ◽  
Common Finding ◽  
Venous Disease ◽  
Venous Reflux ◽  
Recurrent Varicose Veins ◽  
Primary Varicose Veins ◽  
Saphenofemoral Junction

Objectives Cellular senescence could play a role in the development of venous disease. Superficial venous reflux at the saphenofemoral junction is a common finding in patients with primary varicose veins. Furthermore, reflux in this essential area is associated with higher clinical stages of the disease and recurrent varicose veins. Therefore, this pilot study aimed to investigate cellular senescence in the immediate area of the saphenofemoral junction in patients with healthy veins, primary varicose veins and additionally in patients with recurrent varicose veins due to a left venous stump. Methods We analyzed vein specimens of the great saphenous vein immediately at the saphenofemoral junction. Healthy veins were collected from patients who underwent arterial bypass reconstructions. Samples with superficial venous reflux derived from patients who received high ligation and stripping or redo-surgery at the groin, respectively. Sections were stained for p53, p21, and p16 as markers for cellular senescence and Ki67 as a proliferation marker. Results A total of 30 samples were examined (10 healthy, 10 primary varicose, and 10 recurrent varicose veins). We detected 2.10% p53+ nuclei in the healthy vein group, 3.12% in the primary varicose vein group and 1.53% in the recurrent varicose vein group, respectively. These differences were statistically significant ( p = 0.021). In the healthy vein group, we found 0.43% p16+ nuclei. In the primary varicose vein group, we found 0.34% p16+ nuclei, and in the recurrent varicose vein group, we found 0.74% p16+ nuclei. At the p < 0.05 level, the three groups tended to be significant without reaching statistical significance ( p = 0.085). There was no difference in respect of p21 and Ki67. Conclusion We found significantly higher expression rates of p53 in primary varicose veins at the saphenofemoral junction than in healthy veins. p16 expression tended to be increased in the recurrent varicose vein group. These preliminary findings indicate that cellular senescence may have an impact in the development of varicose veins or recurrence. Further studies addressing this issue are necessary.

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