1. ULOGA ADEKVATNE KOMPRESIVNE TERAPIJE NAKON HIRURŠKOG LIJEČENJA VARIKOZNIH VENA.
- Author
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Dilić, Mirza, Vranić, Haris, Hadžimehmedagić, Amel, Kacila, Mirsad, Talić, Adnana, and Švrakić, Suvada
- Subjects
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COMPRESSION therapy , *VARICOSE veins , *LEG , *VEIN surgery , *SURGICAL complications , *HEMODYNAMICS - Abstract
Therapy with compressive elastic stockings is widely used after surgical treatment of varicose veins of lower extremities. In comparison were used elastic compression stockings with two degrees of compression, one of which compression was in the category of moderate-strength (30 mmHg) and second, with compression of low-strength intensity (20 mmHg). After surgery both are equally effective in controlling the formation of hematoma and trombophlebits. We performed prospective study with total of 40 patients in the period 2008-2009, in which we made crosectomy and stripping along the saphene magna veins. Patients were in CEAP stage - C2, C3, Pr. Followup period was up to 3 months. Patients were divided into two groups, in the first group (N=20) we use low-strength compression (20 mmHg), and in the second group we use moderate-strength compression (30 mmHg). As a control group (N=40) we used both intensity compressive stockings in the patients CEAP stage - C3, Pr, who were treated with conventional therapy. The results obtained shows that there were not significant differences in postoperative complications among two groups of evaluated patients. Hemodynamic parameter, maximal venous velocity (V-max) with compression of 30 mmHg was just of numerical difference. With compression of 20 mmHg we had similar hemodynamic effect but with less discomfort of wearing elastic stockings. Conclusion: Postoperative treatment with elastic compression of low-strength (20 mmHg) has clinically adequate hemodynamic effect with significant improvement in patient comfort. [ABSTRACT FROM AUTHOR]
- Published
- 2010