Effect of elastic compression stockings in patients with varicose veins and healthy controls measured by strain gauge plethysmography

2002 ◽  
Vol 8 (4) ◽  
pp. 236-239 ◽  
Author(s):  
M. Hirai ◽  
H. Iwata ◽  
N. Hayakawa
Keyword(s):  
Strain Gauge ◽  
Varicose Veins ◽  
Healthy Controls ◽  
Compression Stockings ◽  
Elastic Compression ◽  
Strain Gauge Plethysmography

scholarly journals Elastic compression treatment of chronic superficial venous insufficiency of the lower limbs based on Doppler venous pressure index measurements

2015 ◽  
Vol 4 (1) ◽  
Author(s):  
Leonardo Corcos ◽  
Daniele Pontello ◽  
Tommaso Spina
Keyword(s):  
Venous Insufficiency ◽  
Varicose Veins ◽  
Venous Pressure ◽  
Lower Limbs ◽  
Compression Stockings ◽  
Elastic Compression ◽  
Pressure Index ◽  
Counter Pressure ◽  
The Difference ◽  
Compression Treatment

Ineffectiveness or discomfort from graduated elastic compression stockings (GES) in patients with chronic venous insufficiency (CVI) and/or varicose veins of the lower limbs (VVLL) can depend of inappropriate counter pressure applied. Counter pressure was calculated by Doppler venous pressure index (VPI). The aim of this study was to verify the value VPI in the choice of GES. A total of 1212 LL of 606 patients subjected to VPI measurements VPI correlated with the various sites of reflux (R) and C of Clinical-Etiology-Anatomy-Pathophysiology (CEAP) classification. The difference between standing VPI the and normal values=counter pressure to be applied by GES. Questionnaire to 96 patients with CVI/VVLL wearing GES. Mean VPI values: greater saphenous (GSV)>smaller saphenous; GSV with isolated venous reflux (R) at the leg>GSV at the thigh; additional R in perforators increases VPI in all the districts; superficial R increases VPI in PT. Relation between VPI/C of CEAP: P<0.05-0.0001; 81/83/96 (97.5%) patients improved; 0 complained. R in GSV at the leg and in perforators increases VPI in deep veins. Few discrepancies VPI/CEAP can be expected. Standing VPI is highly predictive. The best choice of GES can be based on the VPI measurement.

Interface Pressure under Elastic Stockings with Compression Pads during Posture Changes and Exercise

1999 ◽  
Vol 14 (2) ◽  
pp. 71-76 ◽  
Author(s):  
M. Hirai
Keyword(s):  
Strain Gauge ◽  
Pressure Measurement ◽  
Varicose Veins ◽  
Pressure Measurements ◽  
Interface Pressure ◽  
Elastic Materials ◽  
Muscle Pump ◽  
Strain Gauge Plethysmography ◽  
Elastic Stockings ◽  
College Of Nursing

Objective: To quantify the influence of posture and exercise on the interface pressure obtained under elastic stockings with compression pads. Design: Interface pressure measurement and plethysmographic evaluation of elastic stockings with and without compression pads. Setting: Department of Surgery, Aichi Prefectural College of Nursing, Nagoya, Japan. Main outcome measures: Pressure measurements in 24 volunteers were obtained beneath elastic stockings, elastic bandages and short-stretch bandages during supine resting, standing, tip-toe exercise and walking, and the effect of elastic stockings on the muscle pump of the leg was evaluated by strain-gauge plethysmography in 40 limbs with varicose veins. Results: Without compression pads, only short-stretch bandages showed a significant increase in pressure during standing and exercise. When pads were used, however, elastic stockings and bandages also showed a significant increase. With pads, significant improvement in the expelled volume during exercise was observed by strain-gauge plethysmography. Conclusions: Interface pressure under elastic materials during posture and exercise is similar to that under short-stretch bandages when compression pads are used, and pads effectively augment the muscle pump.

scholarly journals Acute Effects of Graduated Elastic Compression Stockings in Patients with Symptomatic Varicose Veins: A Randomised Double Blind Placebo Controlled Trial

2018 ◽  
Vol 55 (1) ◽  
pp. 118-125 ◽  
Author(s):  
Stavros K. Kakkos ◽  
Marios Timpilis ◽  
Panayiotis Patrinos ◽  
Konstantinos M. Nikolakopoulos ◽  
Chrysanthi P. Papageorgopoulou ◽  
...  
Keyword(s):  
Varicose Veins ◽  
Controlled Trial ◽  
Acute Effects ◽  
Compression Stockings ◽  
Double Blind ◽  
Double Blind Placebo ◽  
Elastic Compression

Partial Versus Total Stripping of the Great Saphenous Vein Evaluated by Strain-Gauge Plethysmography

1991 ◽  
Vol 6 (4) ◽  
pp. 227-232 ◽  
Author(s):  
Morten Helsted ◽  
Jørgen Hesselfeldt-Nielsen ◽  
Frits R. Mathiesen
Keyword(s):  
Saphenous Vein ◽  
Strain Gauge ◽  
Great Saphenous Vein ◽  
Varicose Veins ◽  
Previous Treatment ◽  
Saphenous Nerve ◽  
Strain Gauge Plethysmography ◽  
Group I ◽  
Significant Difference ◽  
Group Ii

This study was undertaken in order to assess the necessity of stripping the great saphenous vein totally or partially in the treatment of varicose veins. Thirty-four patients with varicose veins with no previous treatment were allocated to one of the two following treatments: sapheno–femoral ligation and complete stripping from the groin to the ankle with ligature of incompetent perforators and avulsion of visible varicose veins (group I); and partial stripping from the groin to 5 cm below the line of the knee joint and otherwise treated as mentioned above (group II). All patients were examined clinically before and 3 months after surgery to assess their varicose veins and the sensitivity in the saphenous nerve area. They were all investigated by strain-gauge plethysmography, recording venous return-time (RT) and expelled volume (EV). The patients scored their subjective findings on visual analogue scales (VAS) assessing discomfort, swelling and visual appearance. The Plethysmographic results of the two groups showed that RT increased by 25.5 and 22.5 s, respectively, to 53.4 and 63.6 s (median values) (normal RT > 42 s). The increment of the two groups, is significant, but a comparison does not show any significant difference. The EV-values showed nonsignificant changes. Saphenous nerve damage was found in five of 15 patients in group I and in one of 19 in group II, but this difference is not statistically significant ( P < 0.10). The VAS scores showed a significant improvement in both groups, in terms of discomfort and visible appearance, but that they did not differ in these respects. We conclude that partial stripping does not lead to a different outcome from total stripping, and that partial stripping seems to be the preferable treatment of primary varicose veins.

A Study of the Mechanisms by Which Haemodynamic Function Improves following Long Saphenous Vein-Saving Surgery

1996 ◽  
Vol 11 (3) ◽  
pp. 102-105 ◽  
Author(s):  
J. Hammarsten ◽  
P. Bernland ◽  
M. Campanello ◽  
M. Falkenberg ◽  
O. Henrikson ◽  
...  
Keyword(s):  
Physical Examination ◽  
Saphenous Vein ◽  
Strain Gauge ◽  
Venous Return ◽  
Varicose Veins ◽  
Return Time ◽  
Strain Gauge Plethysmography ◽  
Long Saphenous Vein ◽  
Primary Varicose Veins ◽  
Vein Diameter

Objective: To study the mechanisms by which haemodynamic function improves following long saphenous vein-saving surgery. Design: Cohort study. Patients: Twenty patients, 14 women and six men, with primary varicose veins. Interventions: Varicose vein surgery by the long saphenous vein-saving technique. Main outcome measures: Preoperative investigation by physical examination, strain-gauge plethysmography, phlebography and measurements of the long saphenous vein diameter at four different locations using high-resolution, real-time ultrasound. Three months following vein-saving surgery, the patients were reassessed with physical examination, strain-gauge plethysmography and measurements of the long saphenous vein diameter. Results: All patients but one showed excellent or good results following surgery. The preoperative diameter of the long saphenous vein was reduced by 40% at four different levels in the operated legs ( p<0.01). The venous return time of the same legs increased 2.4 times ( p<0.001). The decrease of the long saphenous vein diameter correlated positively with the increase in venous return time (t-50), ( r=0.50, p=0.04). Conclusion: The results suggest that the development of incompetent perforators is an early major event in the formation of primary varicose veins. The results also suggest that the long saphenous vein valvular incompetence in varicose veins is attributable to venous wall dilatation rather than degeneration of the valves. The results support the hypothesis that the improvement in haemodynamic function following long saphenous vein-saving surgery is due, at least partly, to a reduction of the long saphenous vein diameter, which in turn tends to restore valvular competence.

scholarly journals Acute Effects of Graduated Elastic Compression Stockings in Patients with Symptomatic Varicose Veins: A Randomised Double Blind Placebo Controlled Trial

2018 ◽  
Vol 67 (2) ◽  
pp. 679 ◽  
Author(s):  
Stavros K. Kakkos ◽  
Marios Timpilis ◽  
Panayiotis Patrinos ◽  
Konstantinos M. Nikolakopoulos ◽  
Chrysanthi P. Papageorgopoulou ◽  
...  
Keyword(s):  
Varicose Veins ◽  
Controlled Trial ◽  
Acute Effects ◽  
Compression Stockings ◽  
Double Blind ◽  
Double Blind Placebo ◽  
Elastic Compression

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.

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