Jornal Vascular Brasileiro
Jornal Vascular Brasileiro
Original Article

Influence of compression therapy following varicose vein surgery: a prospective randomized study

Influência da terapia compressiva no pós-operatório de flebectomia: um estudo prospectivo e randomizado

Felipe Coelho Neto; Walter Junior Boim Araújo; Sergio Belczak; Eduarda Ferreira Rui; Beatriz Begnini Borsato; Nathália Favaretto Baldesserra; Rodrigo Gomes de Oliveira

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Abstract: Background: The use of compression dressings after phlebectomy is based solely on clinical experience due to the lack of a unified set of definitive recommendations, which makes clinical practice extremely heterogeneous.

Objectives: To evaluate compression therapy with elastic stockings for 7 days after phlebectomy.

Methods: We randomly allocated 104 lower limbs with disease classified as C1 and C2 to 1 of 2 groups: an intervention group (64 limbs) – wearing elastic compression stockings for the first 7 days after phlebectomy; or a control group (40 limbs) – given conventional bandaging for 24 hours postoperatively. We compared clinical response by analyzing the evolution of symptoms, hematoma formation, and preoperative vs. postoperative limb volume.

Results: Pain (median 1.0 vs. 1.5, p=0.0320) and limb volume (mean 43.7 vs. 99.8, p=0.0071) were significantly improved in patients wearing elastic compression stockings for 7 days after phlebectomy compared with controls.

Conclusions: Use of elastic compression therapy for 7 days after phlebectomy was effective for improving pain and lower limb volume.


venous insufficiency, varicose veins, compression stockings


Resumo: Contexto: O uso de curativos após flebectomia é baseado apenas na experiência clínica, visto que não existe um conjunto unificado de recomendações definitivas, o que torna a prática clínica extremamente variável.

Objetivos: Avaliar o uso de terapia elástica compressiva por 7 dias após flebectomia.

Métodos: Cento e quatro membros inferiores, classificados como CEAP C1 e C2, foram randomizados em dois grupos: grupo de intervenção (64 membros) – uso de meia elástica por 24 horas após a cirurgia – e grupo controle (40 membros) – uso de curativo convencional por 7 dias após a cirurgia. A resposta clínica foi comparada por meio de análise da evolução dos sintomas, de hematoma e do volume dos membros antes e depois da cirurgia.

Resultados: Os pacientes submetidos a terapia compressiva elástica apresentaram melhora significativa na dor (mediana 1,0 vs. 1,5; p=0,0320) e no volume dos membros (média 43,7 vs. 99,8; p=0,0071) em comparação ao grupo controle.

Conclusões: O emprego da terapia compressiva elástica por 7 dias após flebectomia mostrou-se efetivo na melhora da dor e do volume dos membros inferiores.


insuficiência venosa, varizes, meias de compressão


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Sociedade Brasileira de Angiologia e Cirurgia Vascular (SBACV)"> Sociedade Brasileira de Angiologia e Cirurgia Vascular (SBACV)">
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