Vascular Surgical Procedures
Conditions
Keywords
Stockings, Compression, Thermoablation, Radiofrequency, Saphenous Vein
Brief summary
Endovascular thermal ablation is currently considered as the best procedure for treating varicose veins thanks to its mini-invasiveness and the lowest rate of incidence of complications. At the end of the endovascular ablation procedure, the European Society of Vascular Surgery (ESVS) guidelines recommend the use of the compression stockings to reduce postoperative pain and the incidence of edema and thrombotic complications. Despite this, the duration, type and degree of compression to be used, particularly after radiofrequency ablation procedures, remain a matter of debate. Furthermore, although the benefits of postoperative elastic compression therapy are well known, there is various evidence demonstrating how patients often experience poor comfort in wearing stockings, especially those with a higher degree of compression, which causes poor compliance with therapy. In light of all this, each center recommends the use of elastic compression stockings in the postoperative period with a degree of compression that varies, however, according to internal protocols. There is currently no work in the literature that compares the advantages and disadvantages of using elastic compression stockings with a K2 versus K1 compression degree after radiofrequency ablative surgery.
Interventions
DEVICEElastic-compressive stockings
Use of Elastic-compressive stockings at 21 mmHg and 32 mmHg.
Sponsors
IRCCS Policlinico S. Donato
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* adult patients (\>18 years) suffering from varicose vein pathology of the lower limbs C2-3 class (varicose veins, edema) according to Clinic, Etiology, Anatomy, Pathophysiology (CEAP) classification, supported by incontinence of the great saphenous vein documented by Echo-Duplex study and candidates for thermal ablation by radiofrequency of the great vein saphenous vein with associated phlebectomy of the ipsilateral thigh and/or leg varices.
Exclusion criteria
* Patients who are minors (\< 18 years old) or adults who have not given their consent to participate in the study. * Presence of severe obliterating arterial disease of the lower limbs (ABI \<0.5) * Obesity (BMI \>30) * Varicose pathology of the lower limbs in C4-C6 class according to Clinic, Etiology, Anatomy, Pathophysiology (CEAP) classification (presence of: lipodermatosclerosis/eczema and/or ulcers in progress and/or previous ulcers in the affected lower limb). * Pregnancy.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Postoperative Pain | 3 days after surgery | Evaluation of postoperative pain using the Visual Analogic pain Scale (1-10, being higher the pain the higher the value of the scale) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Lower limb edema | 3 days from intervention | Evaluation of the circumference of the lower limb undergoing surgery in 3 points: 10 cm above the patella, at the level of the tibial tuberosity and 5 cm below the latter |
| Analgesic Drugs Use | 3 days from intervention | Evaluation of the possible use of analgesic drugs for postoperative pain. |
| Discomfort | 3 days from intervention | Evaluation of the discomfort caused to the patient by the use of stockings using the Aberdeen Varicose Veins Questionnaire . |
| Postoperative Complications | 3 days from intervention | Evaluation of the incidence of postoperative complications |
| Evaluation of Quality of Life | 3 days from intervention | Evaluation of the quality of life using a questionnaire |
Countries
Italy
Outcome results
None listed