Ann Phlebology.  2024 Dec;22(2):74-76. 10.37923/phle.2024.22.2.74.

Hemodynamic Consideration of Thigh-Level Compression Stockings after Greater Saphenous Vein Ablation

• Yun S

• KMID: 2565364
• DOI: http://doi.org/10.37923/phle.2024.22.2.74

Abstract

Compression stockings are widely utilized for various purposes in the management of patients with varicose veins. Their primary applications include alleviating swelling and edema, preventing the progression of varicose veins, minimizing post-operative bleeding, and occluding veins following surgical interventions. Various compression devices, such as compression bandages, elastic or non-elastic stockings, are also commonly employed. Graduated compression stockings are particularly favored both preand post-operatively for varicose vein treatment. These stockings exert higher pressure in the ankle and calf regions, with gradually diminishing pressure towards the thigh. However, concerns remain regarding the efficacy of this reduced pressure in adequately compressing veins in the thigh region. Moreover, silicone band products designed to prevent slipping often induce significant skin side effects, suggesting their avoidance in clinical practice. For these reasons, below-knee compression stockings may be recommended, as they enhance the calf muscle pump function and improve wearing comfort. In cases where thigh-high stockings are necessary, the addition of targeted pads to the affected vein areas may be beneficial in increasing localized pressure to occlude target vein.

Keyword

Varicose veins; Compression; Hemodynamics; Pressure