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Phlebologie 2018; 47(01): 17-19
DOI: 10.12687/phleb2407-1-2018
Übersichtsarbeit – Review
Schattauer GmbH

Kompressionstherapie nach operativer Varizensanierung

Article in several languages: deutsch | English
B. Cucuruz
1   MVZ Obere Turnstraße, Nürnberg
,
J. Noppeney
1   MVZ Obere Turnstraße, Nürnberg
,
M. Bourdy
1   MVZ Obere Turnstraße, Nürnberg
,
A. Korte
1   MVZ Obere Turnstraße, Nürnberg
,
T. Noppeney
1   MVZ Obere Turnstraße, Nürnberg
› Author Affiliations
Further Information

Korrespondenzadresse

Dr. Thomas
Dr. Jeanette Noppeney
MVZ Obere Turnstraße
Obere Turnstraße 8–10
90429 Nürnberg

Publication History

Received Eingereicht: 18 December 2017

Accepted Angenommen: 18 December 2017

Publication Date:
15 March 2018 (online)

 
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Zusammenfassung

Einleitung

Die Kompressionstherapie ist bis heute eine Alternative zur operativen Varizensanierung und der Goldstandard in der Therapie chronisch venöser Insuffizienz. Umstritten ist die Frage der postoperativen Kompressionstherapie. Ziel dieser Arbeit ist es einen Überblick der aktuellen Literatur bezüglich der postoperativen Kompressionstherapie zu bieten.

Methodik

Es wurde eine Literaturrecherche in Medline, pubmed und Embase mit dem Thema der operative Varizensanierung durchgeführt. Aus den Arbeiten wurde die jeweils verwendete postoperative Kompressionstherapie erfasst.

Ergebnisse

Es wurden 182 Studien erfasst, davon jedoch nur 7 randomisierte Studien Die Kompressionstherapie variiert von keiner bis zu 6 Wochen langen Kompression. Es wurde immer eine elastische Kompression verwendet, zumeist Kompressionsstrümpfe.

Schlussfolgerung

Die postoperative Kompressionstherapie nach operativer Varizensanierung wird unabhängig der verwendeten operativen Methode empfohlen. Aufgrund der eingeschränkten Datenlage gibt es keine Empfehlung zur Dauer der postoperativen Kompression oder eine empfohlene Kompressionsstrumpflänge.


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Schlüsselwörter

Postoperative Kompressionstherapie - Varikose - Crossektomie - Radiofrequenzablation

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Interessenkonflikt

Dr. Thomas Noppeney, Beratervertrag mit Firma Medi GmbH, Bayreuth

  • Literatur

  • 1 Carradice D. Superficial venous insufficiency from the infernal to the endothermal. Ann R Coll Surg Engl 2014; 96: 5-10.
    CrossrefGoogle Scholar
  • 2 Royle J, Somjen GM. Varicose veins: Hippocrates to Jerry Moore. ANZ J Surg 2007; 77: 1120-1127.
    CrossrefGoogle Scholar
  • 3 Pocard M. Varicose veins and methods used to cut them:from the Ebers papyrus to Trendelenburg. Ann Chir 1997; 51: 710-712.
    Google Scholar
  • 4 Melrose DG, Knight MT, Simandl E. The stripping of varicose veins: a clinical trial of intermittent compression dressings. Br J Surg 1979; 66: 53-55.
    CrossrefGoogle Scholar
  • 5 Travers JP, Rhodes JE. Postoperative limb compression in reduction of haemorrhage after varicose vein surgery. Ann R Coll Surg Engl 1993; 75: 119-122.
    Google Scholar
  • 6 Houtermans-Auckel JP, van Rossum E, Teijink JA, Dahlmans AA, Eussen EF, Nicolaï SP, Welten RJ. To wear or not to wear compression stockings after varicose vein stripping: a randomised controlled trial. Eur J Vasc Endovasc Surg 2009; Sep; 38 (03) 387-391.
    CrossrefPubMedGoogle Scholar
  • 7 Writing Committee. Wittens C, Davies AH, Baekgaard N, Broholm R, Cavezzi A, Chastanet S. et al. Editor’s Choice – Management of Chronic Venous Disease. Clinical Practice Guidelines of the European Society for Vascular Surgery (ESVS). Eur J Vasc Surg 2015; 49: 678-737.
    Google Scholar
  • 8 Rastel D, Perrin M, Guidicelli M. Compressive therapy after varicose vein surgery: results of a French national inquiry. J Mal Vasc 2004; 29: 27-34.
    Google Scholar
  • 9 El-Sheikha J, Carradice D, Nandhra S, Leung C, Smith GE, Campbell B, Chetter IC. Systematic review of compression following treatment for varicose veins. J Vasc Nurs 2016; Mar; 34 (01) 31.
    CrossrefGoogle Scholar
  • 10 El-Sheikha J, Nandhra S, Carradice D, Acey C, Smith GE, Campbell B, Chetter IC. Compression regimes after endovenous ablation for superficial venous insufficiency--A survey of members of the Vascular Society of Great Britain and Ireland. Phlebology 2016; Feb; 31 (01) 16-22.
    CrossrefGoogle Scholar
  • 11 Biswas S, Clark A, Shields DA. Randomised clinical trial of the duration of compression therapy after varicose vein surgery. Eur J Vasc Endovasc Surg 2007; May; 33 (05) 631-637.
    CrossrefGoogle Scholar
  • 12 Hamel-Desnos CM, Guias BJ, Desnos PR, Mesgard A. Foam sclerotherapy of the saphenous veins: randomised controlled trial with or without compression. Eur J Vasc Endovasc Surg 2010; Apr; 39 (04) 500-507.
    CrossrefGoogle Scholar
  • 13 O’Hare JL, Stephens J, Parkin D, Earnshaw JJ. Randomized clinical trial of different bandage regimens after foam sclerotherapy for varicose veins. Br J Surg 2010; May; 97 (05) 650-656.
    CrossrefGoogle Scholar
  • 14 Bakker NA, Schieven LW, Bruins RM, van den Berg M, Hissink RJ. Compression stockings after endovenous laser ablation of the great saphenous vein: a prospective randomized controlled trial. Eur J Vasc Endovasc Surg 2013; Nov; 46 (05) 588-592.
    CrossrefGoogle Scholar
  • 15 Elderman JH, Krasznai AG, Voogd AC, Hulsewé KW, Sikkink CJ. Role of compression stockings after endovenous laser therapy for primary varicosis. J Vasc Surg Venous Lymphat Disord 2014; Jul; 02 (03) 289-296.
    Google Scholar
  • 16 Kern R, Ramelet AA, Wutschert R, Hayoz D. Compression after sclerotherapy for telangiectasias and reticular leg veins: a randomized controlled study. J Vasc Surg 2007; 45: 1212-1216.
    CrossrefGoogle Scholar

Korrespondenzadresse

Dr. Thomas
Dr. Jeanette Noppeney
MVZ Obere Turnstraße
Obere Turnstraße 8–10
90429 Nürnberg

  • Literatur

  • 1 Carradice D. Superficial venous insufficiency from the infernal to the endothermal. Ann R Coll Surg Engl 2014; 96: 5-10.
    CrossrefGoogle Scholar
  • 2 Royle J, Somjen GM. Varicose veins: Hippocrates to Jerry Moore. ANZ J Surg 2007; 77: 1120-1127.
    CrossrefGoogle Scholar
  • 3 Pocard M. Varicose veins and methods used to cut them:from the Ebers papyrus to Trendelenburg. Ann Chir 1997; 51: 710-712.
    Google Scholar
  • 4 Melrose DG, Knight MT, Simandl E. The stripping of varicose veins: a clinical trial of intermittent compression dressings. Br J Surg 1979; 66: 53-55.
    CrossrefGoogle Scholar
  • 5 Travers JP, Rhodes JE. Postoperative limb compression in reduction of haemorrhage after varicose vein surgery. Ann R Coll Surg Engl 1993; 75: 119-122.
    Google Scholar
  • 6 Houtermans-Auckel JP, van Rossum E, Teijink JA, Dahlmans AA, Eussen EF, Nicolaï SP, Welten RJ. To wear or not to wear compression stockings after varicose vein stripping: a randomised controlled trial. Eur J Vasc Endovasc Surg 2009; Sep; 38 (03) 387-391.
    CrossrefPubMedGoogle Scholar
  • 7 Writing Committee. Wittens C, Davies AH, Baekgaard N, Broholm R, Cavezzi A, Chastanet S. et al. Editor’s Choice – Management of Chronic Venous Disease. Clinical Practice Guidelines of the European Society for Vascular Surgery (ESVS). Eur J Vasc Surg 2015; 49: 678-737.
    Google Scholar
  • 8 Rastel D, Perrin M, Guidicelli M. Compressive therapy after varicose vein surgery: results of a French national inquiry. J Mal Vasc 2004; 29: 27-34.
    Google Scholar
  • 9 El-Sheikha J, Carradice D, Nandhra S, Leung C, Smith GE, Campbell B, Chetter IC. Systematic review of compression following treatment for varicose veins. J Vasc Nurs 2016; Mar; 34 (01) 31.
    CrossrefGoogle Scholar
  • 10 El-Sheikha J, Nandhra S, Carradice D, Acey C, Smith GE, Campbell B, Chetter IC. Compression regimes after endovenous ablation for superficial venous insufficiency--A survey of members of the Vascular Society of Great Britain and Ireland. Phlebology 2016; Feb; 31 (01) 16-22.
    CrossrefGoogle Scholar
  • 11 Biswas S, Clark A, Shields DA. Randomised clinical trial of the duration of compression therapy after varicose vein surgery. Eur J Vasc Endovasc Surg 2007; May; 33 (05) 631-637.
    CrossrefGoogle Scholar
  • 12 Hamel-Desnos CM, Guias BJ, Desnos PR, Mesgard A. Foam sclerotherapy of the saphenous veins: randomised controlled trial with or without compression. Eur J Vasc Endovasc Surg 2010; Apr; 39 (04) 500-507.
    CrossrefGoogle Scholar
  • 13 O’Hare JL, Stephens J, Parkin D, Earnshaw JJ. Randomized clinical trial of different bandage regimens after foam sclerotherapy for varicose veins. Br J Surg 2010; May; 97 (05) 650-656.
    CrossrefGoogle Scholar
  • 14 Bakker NA, Schieven LW, Bruins RM, van den Berg M, Hissink RJ. Compression stockings after endovenous laser ablation of the great saphenous vein: a prospective randomized controlled trial. Eur J Vasc Endovasc Surg 2013; Nov; 46 (05) 588-592.
    CrossrefGoogle Scholar
  • 15 Elderman JH, Krasznai AG, Voogd AC, Hulsewé KW, Sikkink CJ. Role of compression stockings after endovenous laser therapy for primary varicosis. J Vasc Surg Venous Lymphat Disord 2014; Jul; 02 (03) 289-296.
    Google Scholar
  • 16 Kern R, Ramelet AA, Wutschert R, Hayoz D. Compression after sclerotherapy for telangiectasias and reticular leg veins: a randomized controlled study. J Vasc Surg 2007; 45: 1212-1216.
    CrossrefGoogle Scholar

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