Compression Stockings after Endovenous Laser Ablation of the Great Saphenous Vein: A Prospective Randomized Controlled Trial

Abstract

Prescribing compression stockings for longer than 2 days after endovenous GSV ablation (without simultaneous phlebectomies) leads to reduced pain and improved physical function during the first week after treatment.

Compression regimes after endovenous ablation for superficial venous insufficiency – A survey of members of the Vascular Society of Great Britain and Ireland

“…[21][22][23][24] One randomised controlled trial did link compression to reductions in pain, bruising and phlebitis after thermoablation, 25 but others have failed to make any links. 9,10,26 Historically, compression was used for at least two to three weeks after sclerotherapy. 27 A previous survey of members of the VSGBI by Edwards et al 28 in 2006 reported that 99% of respondents routinely used compression after varicose vein interventions but there was significant variation in the duration of compression with a range of 6 h to three months (however, this survey included patients treated by open surgery and other methods).…”

“…In recent years, evidence has emerged which suggests that a shorter duration (or even no compression) after UGFS may be associated with similar outcomes to more prolonged regimes and there seems to have been a reduction in the duration commonly used. [9][10][11][29][30][31] The NICE Clinical Guideline recommends compression for no longer than seven days, but with the clear qualification that there is insufficient evidence in the literature on which to base a clear recommendation on the degree of compression, the method or the duration. 32 If compression of a certain type and/or duration were shown to be associated with improved vein ablation rates after UGFS or endothermal treatment then this would clearly be important information, because truncal vein ablation is considered to be the mainstay of a good long-term result and of minimising the need for further treatments.…”

“…Compression bandages and/or stockings have been commonly worn by patients for two or three weeks after treatment, but recent evidence suggests that shorter durations may be equally effective and it is now not unusual to see patients using compression for durations of a week or less. [9][10][11][12] However, evidence on the influence of compression on the outcomes of vein ablation is poor and there is still substantial uncertainty about the optimum duration of compression. 12 The aim of this questionnaire study was to identify the current practice of the members of the Vascular Society of Great Britain and Ireland (VSGBI) and use this information to inform the design of future studies into the use of compression.…”

Antiembolik çorap yönetiminde hemşirelerin rol ve sorumlulukları: Antiembolik Çorap Bakım Protokolü

“…Bu bilgilendirme hemşireler tarafından yapılması gerekmektedir. [10,14,15,33] [34] Hemşireler hastalarına AEÇ ile ilgili şu başlıklar altında bilgilendirme yapması gerekmektedir. [15,35] • Antiembolik çorap giymek neden gereklidir?…”

“…• En son hastaya çorabın konforlu olup olmadığı sorulmalıdır. [10,33] Bakker ve diğerlerinin (2013) yaptıkları çalışmada hastaların AEÇ'ların uzun süre kullanımından rahatsız oldukları yönünde gözlem yaptıkları bildirilmiştir. [33] Antiembolik çorabın bakımı ve değerlendirilmesi ile ilgili adımlar; (Şekil 6)…”