Optimum Methods of Limb Compression following Varicose Vein Surgery

1987 ◽  
Vol 2 (3) ◽  
pp. 165-172 ◽  
Author(s):  
P.D. Coleridge Smith ◽  
J.H. Scurr ◽  
K.P. Robinson
Keyword(s):  
Varicose Vein ◽  
Testing Machine ◽  
Compression Stocking ◽  
Compression Stockings ◽  
Varicose Vein Surgery ◽  
The Poor ◽  
High Compression ◽  
Limb Compression

It has been shown that bandages rapidly lose their ability to compress the leg in ambulant patients. However, they are still widely used following varicose vein surgery. We have measured the compression produced by crepe bandages, elastocrepe bandages or graduated high compression stockings following varicose vein surgery. Pressures exerted by the bandages and stockings were measured during the first 24 h following operation. Initially the bandages exerted greater pressures than the stockings. However, the bandaging techniques lost 13-38% of their compression in the first hour and 29–48% in 24 h compared with 3-5% for the compression stocking. Further testing of the bandages on a standard wooden leg and a commercial fabric testing machine confirmed that the loss of compression in the bandaged groups was due to the poor elastic qualities of crepe and elastocrepe bandages. The stockings provided a more constant compression with maintained graduation compared with the bandages.

Varicose Veins: optimum compression after surgery and sclerotherapy

1990 ◽  
Vol 76 (2) ◽  
pp. 101-104
Author(s):  
P. J. Shouler ◽  
P. C. Runchman
Keyword(s):  
Surgical Treatment ◽  
Varicose Vein ◽  
Varicose Veins ◽  
Compression Stocking ◽  
Compression Stockings ◽  
Varicose Vein Surgery ◽  
High Compression ◽  
Graduated Compression Stockings ◽  
Non Surgical Treatment

SummaryGraduated compression stockings are used in both surgical and non-surgical treatment of varicose veins. In a trial of high versus low compression stockings (40mmHg vs 15mmHg at ankle) after varicose vein surgery, both were equally effective in controlling bruising and thrombophlebitis, but low compression stockings proved to be more comfortable.In a further trial after sclerotherapy, high compression stockings alone produced comparable results to Elastocrepe® bandages with stockings. It is concluded that after varicose vein surgery low compression stockings provide adequate support for the leg and that after sclerotherapy, bandaging is not required if a high compression stocking is used.

scholarly journals Modification of varicose vein stripping to achieve immediate compression in a theatre setting with minimum personnel

2020 ◽  
Vol 7 (10) ◽  
pp. 3418
Author(s):  
Joseph Francis ◽  
Nihaz Y. Nazer
Keyword(s):  
Varicose Vein ◽  
Single Layer ◽  
Cost Effective ◽  
Compression Stocking ◽  
Silk Suture ◽  
Compression Stockings ◽  
Varicose Vein Surgery ◽  
Modified Technique ◽  
Below The Knee ◽  
Compression Bandaging

Compression bandaging is a key aspect following stripping for varicose vein surgery. With adequate compression, formation of subcutaneous hematoma can be prevented and thereby prevent revascularisation of the hematoma leading to recurrence of varicose vein. Various techniques exist to provide compression. Our modification provides an easy alternative to achieve immediate compression following stripping and is especially useful in a setting where staff is very limited. Materials required include a 10 cm width gauze bandage, 1% lidocaine with epinephrine, and number 1 silk suture in addition to the conventional tools for open varicose vein surgery. The gauze bandage is introduced along with the stripper which is passed from groin to below knee. The bandage is kept in the subcutaneous tunnel till perforator ligation, groin wound closure and application of compression bandage. The gauze bandage is removed through a small window within the compression stocking below the knee and the wound closed in a single layer. From 2005 to 2020, 410 patients underwent varicose vein surgery with the modified technique. Of these, 1 patient developed complication secondary to hematoma formation which was managed conservatively. Our modification of the varicose vein stripping technique is shown to be a cost effective and simple technique which provides immediate compression and effortlessly facilitates haemostasis till wounds are closed and compression stockings applied. in various literatures.

Post-treatment compression: duration and techniques

2013 ◽  
Vol 28 (1_suppl) ◽  
pp. 21-24 ◽  
Author(s):  
G Mosti
Keyword(s):  
Postoperative Pain ◽  
Varicose Vein ◽  
Varicose Veins ◽  
Standing Position ◽  
Compression Stocking ◽  
Compression Stockings ◽  
Varicose Vein Surgery ◽  
Compression Bandaging ◽  
Compression Bandages ◽  
Eccentric Compression

Background: Compression treatments used the following intervention for varicose veins range from no compression, to elastic stockings and compression bandaging. There is no consensus on the strength or duration of compression which should be applied following a particular treatment. The author reviews the evidence that has led him to reach his own viewpoint on this subject. Summary: Compression stockings are often prescribed after treatment of varicose veins, but these in general exert a much lower pressure in the thigh compared with firm inelastic compression bandages. It has been shown by objective investigation that it takes a pressure of 10–15 mmHg in the supine position and 40–50 mmHg in the standing position to occlude a superficial vein in the thigh. The author has published a study in which three groups of patients were studied following varicose vein surgery. One group received a strong medical compression stocking, the second group an inelastic bandaging system which achieved 63 mmHg compression in the standing position and an eccentric compression system which achieved 98 mmHg in the standing position. Adverse events after surgery were most frequent in the stocking group with fewer in the inelastic compression bandage group and fewest in the eccentric compression group. A further study has been published by another author in which elastic compression has been compared with eccentric compression following endovenous laser ablation of the saphenous vein. Eccentric compression reduced postoperative pain. Unfortunately, very little data are available to indicate the period for which compression should be applied following varicose vein treatment. Conclusions: In comparison to compression treatments following varicose vein surgery where the actual level of compression has been measured, higher levels of compression are more effective than lower levels in moderating postoperative pain and complications. Strong compression can be achieved by inelastic bandaging or by eccentric compression systems. Far fewer data are available to indicate the duration for which postoperative compression is required.

A Simple Technique to Reduce Blood Loss and Improve Cosmesis in Varicose Vein Surgery

1998 ◽  
Vol 13 (4) ◽  
pp. 153-156
Author(s):  
A. Rehman ◽  
V. S. P. Rallapalle ◽  
R. Iqbal ◽  
R. P. Grimley ◽  
A. P. Jayatunga
Keyword(s):  
Blood Loss ◽  
Varicose Vein ◽  
Varicose Veins ◽  
Operation Time ◽  
Cosmetic Result ◽  
Compression Stocking ◽  
Varicose Vein Surgery ◽  
Cosmetic Results ◽  
Group A ◽  
Group B

Objective: To assess the effectiveness of preoperative compression hosiery in reducing blood loss during surgery for varicose veins and improving cosmetic results. Setting: Vascular Surgical Unit, Dudley Group of Hospitals NHS Trust, West Midlands, UK. Design: Randomized, single-blind, prospective, controlled trial. Patients: Thirty-nine patients with varicose veins in 50 legs. Intervention: Group A, the control group ( n = 19), were given compression stockings on the first postoperative day after the bandages were removed. Group B, the study group ( n = 20), used compression stocking 24 h before surgery as well as in the postoperative period. The surgical procedure was standardized. Main outcome measures: Blood loss, weight of veins removed, operation time and cosmetic result after 6 weeks. Results: In group B, patients were noted to have reduced blood loss, a shorter operation time and a greater weight of avulsed veins. Poor cosmetic results were recorded in group A. Conclusions: Preoperative emptying of veins by using a compression stocking is useful in reducing blood loss and improving the cosmetic result after routine varicose vein surgery.

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.

scholarly journals Adequate Pressure of Elastic Compression Stocking after Varicose Vein Surgery

2014 ◽  
Vol 25 (4) ◽  
pp. 381-385
Author(s):  
Natsuki Suzuki ◽  
Yasuaki Fujisawa ◽  
Hiroko Oguchi ◽  
Eiko Saito ◽  
Rie Ise
Keyword(s):  
Varicose Vein ◽  
Compression Stocking ◽  
Varicose Vein Surgery ◽  
Elastic Compression

scholarly journals The Structure and Compression of Medical Compression Stockings

Materials ◽  
2022 ◽  
Vol 15 (1) ◽  
pp. 353
Author(s):  
Miloš Lozo ◽  
Željko Penava ◽  
Ivo Lovričević ◽  
Zlatko Vrljičak
Keyword(s):  
The Other ◽  
Compression Stocking ◽  
Knitted Fabric ◽  
Structure Parameters ◽  
Compression Stockings ◽  
Fabric Structure ◽  
High Compression ◽  
Finer Yarn ◽  
Medical Compression Stockings ◽  
Made In

This paper lays out standards of compression stockings and their classification into classes. The analysis of knitted fabric structure parameters, elongation and compression of moderate- and high-compression stockings was conducted. Stocking compression on specific parts of the stocking leg was measured on three sizes of a wooden leg model. For moderate-compression stockings, compression above the ankle was 32 hPa. For high-compression stockings, compression above the ankle was 60 hPa. Both groups of the analyzed compression stockings were made on modern one-cylinder hosiery automats. The legs of the stockings were made in single inlaid jersey 1 + 1. Both yarns were elastane covered. The finer yarn formed loops and its knitting into a course was significantly larger than in the other yarn, which was much coarser and does not form loops but “lay the weft in a bent way”. The smallest elongation of knitted fabric was above the ankle, where the highest compression was achieved, while the largest elongation was under the crotch, where the stocking leg exerted the smallest compression on the surface. The leg of the compression stocking acted as a casing that imposed compression on the leg and often reinforced it to be able to sustain compression loads.

Sign in / Sign up

Export Citation Format

Share Document