The standard surgical treatment for varicose veins is stripping of the greater saphenous vein. More recently minimally invasive techniques like endovenous laser therapy of the incompetent greater saphenous vein have gained increasing popularity. Post-operatively after both techniques, patients usually receive compression therapy with elastic stockings. However, no evidence is available to support this routine and frequently the patients experience discomfort from the use of these stockings.
Conditions
Interventions
Patients will receive elastic stockings (class II) up to the thigh during the day for two weeks. Stockings with a pressure gradient are used for treatment of venous insufficiency. These stockings are
Sponsors
Hulsewé
Dr.
Karel
Chirurg
Orbis Medisch Centrum
Dr. H. van der Hoffplein 1
Postbus 5500
6130 MB Sittard
Nederland
k.hulsewe@orbisconcern.nl
Eligibility
Inclusion criteria
Inclusion criteria: 1. Age between 18 and 65 years; 2. Duplex-proven varicose veins with insufficient saphenofemoral crosse; 3. CEAP-classification: C2-4EpAs,pPr; 4. Informed consent; 5. Suitable for surgical treatment and/or endovenous laser therapy.
Exclusion criteria
Exclusion criteria: 1. Pregnancy; 2. Refusal of informed consent; 3. Deep venous thrombosis in medical history; 4. Previous surgery to vascular structures in lower extremities; 5. Secondary varicose veins; 6. Ulcerative lesions on lower extremities; 7. Contra-indication for use of elastic stockings.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The primary endpoint of the study is the pain score. Pain will be measured using a visual analogue scale. In the first week patients will keep score of their pain daily and in the following 5 weeks they will register their pain scores weekly. We will investigate the difference between the group with and the group without elastic stockings in these parameters. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Presence of complications (deep venous thrombosis, haematoma, thrombophlebitis, wound-infections, oedema); 2. Time before returning to work (or hobby or sports); 3. Analgesics consumption; 4. Leg volume; 5. Functioning- and Varicose vein-scores (RAND-36, AVVQ). | — |
Contacts
Public ContactJ. Elderman
Postbus 5500
Outcome results
None listed