Compression Stockings after Endovenous Laser Ablation of the Great Saphenous Vein: A Prospective Randomized Controlled Trial
Objectives To determine if the duration of wearing compression stockings after endovenous laser ablation (EVLA) of the great saphenous vein (GSV) has influence on pain and quality of life. Methods This was a prospective randomized controlled trial. Between December 2006 and February 2008, 109 consec...
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Veröffentlicht in: | European journal of vascular and endovascular surgery 2013-11, Vol.46 (5), p.588-592 |
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description | Objectives To determine if the duration of wearing compression stockings after endovenous laser ablation (EVLA) of the great saphenous vein (GSV) has influence on pain and quality of life. Methods This was a prospective randomized controlled trial. Between December 2006 and February 2008, 109 consecutive patients with EVLA of the GSV were analyzed. Deep vein insufficiency, ulceration, more than one insufficient vein in one leg, and use of anticoagulants were exclusion criteria. Group A used compression stocking for 48 hours after therapy, group B for 7 days. Pain (visual analogue scale [VAS]) and quality of life (SF-36) were analyzed 48 hours, 1 week, and 6 weeks after therapy. Three months after treatment, duplex ultrasound imaging was performed to assess occlusion rates. Results Both groups (group A, n = 37; group B, n = 32) where comparable at baseline. After 1 week, there was a significant difference in pain (VAS score 3.7 [±2.1] vs. 2.0 [±1.1], p ≤ .001), and physical dysfunction (group A, 85.1 [±11.2] vs. group B, 95.7 [±10.1]; p |
doi_str_mv | 10.1016/j.ejvs.2013.08.001 |
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Methods This was a prospective randomized controlled trial. Between December 2006 and February 2008, 109 consecutive patients with EVLA of the GSV were analyzed. Deep vein insufficiency, ulceration, more than one insufficient vein in one leg, and use of anticoagulants were exclusion criteria. Group A used compression stocking for 48 hours after therapy, group B for 7 days. Pain (visual analogue scale [VAS]) and quality of life (SF-36) were analyzed 48 hours, 1 week, and 6 weeks after therapy. Three months after treatment, duplex ultrasound imaging was performed to assess occlusion rates. Results Both groups (group A, n = 37; group B, n = 32) where comparable at baseline. After 1 week, there was a significant difference in pain (VAS score 3.7 [±2.1] vs. 2.0 [±1.1], p ≤ .001), and physical dysfunction (group A, 85.1 [±11.2] vs. group B, 95.7 [±10.1]; p < .001) as well as vitality (group A, 75 [±13.0] vs. group B, 83.7 [±13.4]; p = .03), all in favor of group B, which disappeared after 6 weeks. After 6 weeks, no significant differences in all endpoints were present. Duplex ultrasound imaging revealed complete GSV occlusion in all patients, while no cases of deep venous thrombosis had developed. Conclusions 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.</description><identifier>ISSN: 1078-5884</identifier><identifier>EISSN: 1532-2165</identifier><identifier>DOI: 10.1016/j.ejvs.2013.08.001</identifier><identifier>PMID: 24012465</identifier><language>eng</language><publisher>England: Elsevier Ltd</publisher><subject>Adult ; Chi-Square Distribution ; Compression stockings ; Endovenous laser ablation ; Great saphenous vein ; Humans ; Laser Therapy - adverse effects ; Middle Aged ; Netherlands ; Pain Measurement ; Pain, Postoperative - etiology ; Pain, Postoperative - prevention & control ; Predictive Value of Tests ; Prospective Studies ; Quality of Life ; Saphenous Vein - diagnostic imaging ; Saphenous Vein - surgery ; Stockings, Compression ; Surgery ; Surveys and Questionnaires ; Time Factors ; Treatment Outcome ; Ultrasonography, Doppler, Duplex ; Venous Insufficiency - diagnosis ; Venous Insufficiency - surgery</subject><ispartof>European journal of vascular and endovascular surgery, 2013-11, Vol.46 (5), p.588-592</ispartof><rights>2013</rights><rights>Copyright © 2013. Published by Elsevier Ltd.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c455t-67c53e868e6a5b3d40bff85231102da5b5fd067b671d4b0c894d166a978e921a3</citedby><cites>FETCH-LOGICAL-c455t-67c53e868e6a5b3d40bff85231102da5b5fd067b671d4b0c894d166a978e921a3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S107858841300508X$$EHTML$$P50$$Gelsevier$$Hfree_for_read</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24012465$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Bakker, N.A</creatorcontrib><creatorcontrib>Schieven, L.W</creatorcontrib><creatorcontrib>Bruins, R.M.G</creatorcontrib><creatorcontrib>van den Berg, M</creatorcontrib><creatorcontrib>Hissink, R.J</creatorcontrib><title>Compression Stockings after Endovenous Laser Ablation of the Great Saphenous Vein: A Prospective Randomized Controlled Trial</title><title>European journal of vascular and endovascular surgery</title><addtitle>Eur J Vasc Endovasc Surg</addtitle><description>Objectives To determine if the duration of wearing compression stockings after endovenous laser ablation (EVLA) of the great saphenous vein (GSV) has influence on pain and quality of life. Methods This was a prospective randomized controlled trial. Between December 2006 and February 2008, 109 consecutive patients with EVLA of the GSV were analyzed. Deep vein insufficiency, ulceration, more than one insufficient vein in one leg, and use of anticoagulants were exclusion criteria. Group A used compression stocking for 48 hours after therapy, group B for 7 days. Pain (visual analogue scale [VAS]) and quality of life (SF-36) were analyzed 48 hours, 1 week, and 6 weeks after therapy. Three months after treatment, duplex ultrasound imaging was performed to assess occlusion rates. Results Both groups (group A, n = 37; group B, n = 32) where comparable at baseline. After 1 week, there was a significant difference in pain (VAS score 3.7 [±2.1] vs. 2.0 [±1.1], p ≤ .001), and physical dysfunction (group A, 85.1 [±11.2] vs. group B, 95.7 [±10.1]; p < .001) as well as vitality (group A, 75 [±13.0] vs. group B, 83.7 [±13.4]; p = .03), all in favor of group B, which disappeared after 6 weeks. After 6 weeks, no significant differences in all endpoints were present. Duplex ultrasound imaging revealed complete GSV occlusion in all patients, while no cases of deep venous thrombosis had developed. Conclusions 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.</description><subject>Adult</subject><subject>Chi-Square Distribution</subject><subject>Compression stockings</subject><subject>Endovenous laser ablation</subject><subject>Great saphenous vein</subject><subject>Humans</subject><subject>Laser Therapy - adverse effects</subject><subject>Middle Aged</subject><subject>Netherlands</subject><subject>Pain Measurement</subject><subject>Pain, Postoperative - etiology</subject><subject>Pain, Postoperative - prevention & control</subject><subject>Predictive Value of Tests</subject><subject>Prospective Studies</subject><subject>Quality of Life</subject><subject>Saphenous Vein - diagnostic imaging</subject><subject>Saphenous Vein - surgery</subject><subject>Stockings, Compression</subject><subject>Surgery</subject><subject>Surveys and Questionnaires</subject><subject>Time Factors</subject><subject>Treatment Outcome</subject><subject>Ultrasonography, Doppler, Duplex</subject><subject>Venous Insufficiency - diagnosis</subject><subject>Venous Insufficiency - surgery</subject><issn>1078-5884</issn><issn>1532-2165</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kUFv1DAQhSMEoqXwBzggH7kk2I7teBFCWq1KqbQSiC2Im-XYE-o0sYOdXakVPx5H23Lg0JNHo_eePN8ritcEVwQT8a6voD-kimJSV1hWGJMnxSnhNS0pEfxpnnEjSy4lOylepNRjjDmp-fPihDJMKBP8tPizCeMUISUXPNrNwdw4_ysh3c0Q0bm34QA-7BPa6pQX63bQ86IMHZqvAV1E0DPa6en6qPoBzr9Ha_Q1hjSBmd0B0DedU0Z3BxZtgp9jGIY8XkWnh5fFs04PCV7dv2fF90_nV5vP5fbLxeVmvS0N43wuRWN4DVJIEJq3tWW47TrJaU0IpjaveGexaFrREMtabOSKWSKEXjUSVpTo-qx4e8ydYvi9hzSr0SUDw6A95G8rwpiQDRFMZCk9Sk0-IUXo1BTdqOOtIlgt1FWvFupqoa6wVJl6Nr25z9-3I9h_lgfMWfDhKIB85cFBVMk48AasixmTssE9nv_xP7sZnHdGDzdwC6kP--gzP0VUogqr3dL7Ujupc-NY_qz_ArS_qWg</recordid><startdate>20131101</startdate><enddate>20131101</enddate><creator>Bakker, N.A</creator><creator>Schieven, L.W</creator><creator>Bruins, R.M.G</creator><creator>van den Berg, M</creator><creator>Hissink, R.J</creator><general>Elsevier Ltd</general><scope>6I.</scope><scope>AAFTH</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20131101</creationdate><title>Compression Stockings after Endovenous Laser Ablation of the Great Saphenous Vein: A Prospective Randomized Controlled Trial</title><author>Bakker, N.A ; Schieven, L.W ; Bruins, R.M.G ; van den Berg, M ; Hissink, R.J</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c455t-67c53e868e6a5b3d40bff85231102da5b5fd067b671d4b0c894d166a978e921a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Adult</topic><topic>Chi-Square Distribution</topic><topic>Compression stockings</topic><topic>Endovenous laser ablation</topic><topic>Great saphenous vein</topic><topic>Humans</topic><topic>Laser Therapy - adverse effects</topic><topic>Middle Aged</topic><topic>Netherlands</topic><topic>Pain Measurement</topic><topic>Pain, Postoperative - etiology</topic><topic>Pain, Postoperative - prevention & control</topic><topic>Predictive Value of Tests</topic><topic>Prospective Studies</topic><topic>Quality of Life</topic><topic>Saphenous Vein - diagnostic imaging</topic><topic>Saphenous Vein - surgery</topic><topic>Stockings, Compression</topic><topic>Surgery</topic><topic>Surveys and Questionnaires</topic><topic>Time Factors</topic><topic>Treatment Outcome</topic><topic>Ultrasonography, Doppler, Duplex</topic><topic>Venous Insufficiency - diagnosis</topic><topic>Venous Insufficiency - surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Bakker, N.A</creatorcontrib><creatorcontrib>Schieven, L.W</creatorcontrib><creatorcontrib>Bruins, R.M.G</creatorcontrib><creatorcontrib>van den Berg, M</creatorcontrib><creatorcontrib>Hissink, R.J</creatorcontrib><collection>ScienceDirect Open Access Titles</collection><collection>Elsevier:ScienceDirect:Open Access</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>European journal of vascular and endovascular surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Bakker, N.A</au><au>Schieven, L.W</au><au>Bruins, R.M.G</au><au>van den Berg, M</au><au>Hissink, R.J</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Compression Stockings after Endovenous Laser Ablation of the Great Saphenous Vein: A Prospective Randomized Controlled Trial</atitle><jtitle>European journal of vascular and endovascular surgery</jtitle><addtitle>Eur J Vasc Endovasc Surg</addtitle><date>2013-11-01</date><risdate>2013</risdate><volume>46</volume><issue>5</issue><spage>588</spage><epage>592</epage><pages>588-592</pages><issn>1078-5884</issn><eissn>1532-2165</eissn><abstract>Objectives To determine if the duration of wearing compression stockings after endovenous laser ablation (EVLA) of the great saphenous vein (GSV) has influence on pain and quality of life. Methods This was a prospective randomized controlled trial. Between December 2006 and February 2008, 109 consecutive patients with EVLA of the GSV were analyzed. Deep vein insufficiency, ulceration, more than one insufficient vein in one leg, and use of anticoagulants were exclusion criteria. Group A used compression stocking for 48 hours after therapy, group B for 7 days. Pain (visual analogue scale [VAS]) and quality of life (SF-36) were analyzed 48 hours, 1 week, and 6 weeks after therapy. Three months after treatment, duplex ultrasound imaging was performed to assess occlusion rates. Results Both groups (group A, n = 37; group B, n = 32) where comparable at baseline. After 1 week, there was a significant difference in pain (VAS score 3.7 [±2.1] vs. 2.0 [±1.1], p ≤ .001), and physical dysfunction (group A, 85.1 [±11.2] vs. group B, 95.7 [±10.1]; p < .001) as well as vitality (group A, 75 [±13.0] vs. group B, 83.7 [±13.4]; p = .03), all in favor of group B, which disappeared after 6 weeks. After 6 weeks, no significant differences in all endpoints were present. Duplex ultrasound imaging revealed complete GSV occlusion in all patients, while no cases of deep venous thrombosis had developed. Conclusions 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.</abstract><cop>England</cop><pub>Elsevier Ltd</pub><pmid>24012465</pmid><doi>10.1016/j.ejvs.2013.08.001</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Adult Chi-Square Distribution Compression stockings Endovenous laser ablation Great saphenous vein Humans Laser Therapy - adverse effects Middle Aged Netherlands Pain Measurement Pain, Postoperative - etiology Pain, Postoperative - prevention & control Predictive Value of Tests Prospective Studies Quality of Life Saphenous Vein - diagnostic imaging Saphenous Vein - surgery Stockings, Compression Surgery Surveys and Questionnaires Time Factors Treatment Outcome Ultrasonography, Doppler, Duplex Venous Insufficiency - diagnosis Venous Insufficiency - surgery |
title | Compression Stockings after Endovenous Laser Ablation of the Great Saphenous Vein: A Prospective Randomized Controlled Trial |
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