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Phlebologie 2016; 45(06): 363-369
DOI: 10.12687/phleb2331-6-2016
Original Article
Schattauer GmbH

Postoperative quality of life, satisfaction, and skin condition after varicose vein surgery

Dependency on compression stocking use and Aloe vera additive Article in several languages: English | deutsch
W. Kath
1   Universitätsklinikum Hamburg-Eppendorf (UKE), Klinik und Poliklinik für Dermatologie und Venerologie, Germany
,
G. Bruning
2   Tabea GmbH & Co.KG, Germany
,
A. Langenbruch
3   Universitätsklinikum Hamburg-Eppendorf (UKE), Institut für Versorgungsforschung in der Dermatologie und bei Pflegeberufen (IVDP), Competenzzentrum Versorgungsforschung in der Dermatologie (CVderm), Germany
,
M. Augustin
3   Universitätsklinikum Hamburg-Eppendorf (UKE), Institut für Versorgungsforschung in der Dermatologie und bei Pflegeberufen (IVDP), Competenzzentrum Versorgungsforschung in der Dermatologie (CVderm), Germany
› Author Affiliations
Further Information

Publication History

Received: 21 July 2016

Accepted: 03 November 2016

Publication Date:
22 December 2017 (online)

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Summary

Background

Compression is performed postoperatively with the intention of minimising side effects, such as bleeding and haematoma in the area of operation, as well as postoperative oedema and pain. Compression stocking manufacturing has incorporated the addition of skin care products into the yarn material in recent years. However, the benefits of these products remain controversial. In addition, the length of the compression stocking is disputed in terms of its effectiveness. This effectiveness was investigated in the present study.

Method

Before surgery, 160 patients with indication of surgical removal of varicose veins were randomly divided into four groups with different types of compression stockings in each case. In each group, 40 patients received a knee-length stocking (length A–D), thigh-length stocking (length A–G), knee-length stocking with Aloe vera or thigh-length stocking with AV. At time 0 (before surgery), one week and 8 weeks after surgery, skin moisture was measured as an objective parameter, quality of life was determined using the Freiburger questionnaire of quality of life in veinous disease (FLQA-vs), benefit to patients was evaluated using the patient benefit index (PBI-v) and further subjective parameters were investigated with a free-text questionnaire. After surgery, the extent of haematoma was determined using the point count method.

Result

After surgery, at both post-operative times, the FLQA-vs decreased significantly (corresponding to a better quality of life), and the PBI-v increased. In the group with Aloe, pruritus was significantly lower, comfort and skin moisture were increased, and skin condition was significantly improved. The extent of haematoma decreased regardless of the length of the stockings.

Conclusion

A benefit of AV as a skin care additive was observed. This finding was objectively confirmed based on the skin moisture. The multifactorial quality of life was not affected by the skin care additive. Thigh-length compression stockings did not provide a measurable benefit.

Keywords

Compression therapy - care additives - quality of life - skin condition
 

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