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.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
NONE
Enrollment
64
Use of Elastic-compressive stockings at 21 mmHg and 32 mmHg.
I.R.C.C.S. Policlinico San Donato
San Donato Milanese, Milan, Italy
RECRUITINGPostoperative Pain
Evaluation of postoperative pain using the Visual Analogic pain Scale (1-10, being higher the pain the higher the value of the scale)
Time frame: 3 days after surgery
Postoperative Pain
Evaluation of postoperative pain using the Visual Analogic pain Scale (1-10, being higher the pain the higher the value of the scale)
Time frame: 7 days after surgery
Lower limb edema
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
Time frame: 3 days from intervention
Lower limb edema
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
Time frame: 7 days from intervention
Lower limb edema
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
Time frame: 30 days from intervention
Analgesic Drugs Use
Evaluation of the possible use of analgesic drugs for postoperative pain.
Time frame: 3 days from intervention
Analgesic Drugs Use
Evaluation of the possible use of analgesic drugs for postoperative pain.
Time frame: 7 days from intervention
Analgesic Drugs Use
Evaluation of the possible use of analgesic drugs for postoperative pain.
Time frame: 30 days from intervention
Discomfort
Evaluation of the discomfort caused to the patient by the use of stockings using the Aberdeen Varicose Veins Questionnaire .
Time frame: 3 days from intervention
Discomfort
Evaluation of the discomfort caused to the patient by the use of stockings using the Aberdeen Varicose Veins Questionnaire .
Time frame: 7 days from intervention
Discomfort
Evaluation of the discomfort caused to the patient by the use of stockings using the Aberdeen Varicose Veins Questionnaire .
Time frame: 30 days from intervention
Postoperative Complications
Evaluation of the incidence of postoperative complications
Time frame: 3 days from intervention
Postoperative Complications
Evaluation of the incidence of postoperative complications
Time frame: 7 days from intervention
Postoperative Complications
Evaluation of the incidence of postoperative complications
Time frame: 30 days from intervention
Evaluation of Quality of Life
Evaluation of the quality of life using a questionnaire
Time frame: 3 days from intervention
Evaluation of Quality of Life
Evaluation of the quality of life using a questionnaire
Time frame: 7 from intervention
Evaluation of Quality of Life
Evaluation of the quality of life using a questionnaire.
Time frame: 30 days from intervention
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