A physiological study of elastic compression stockings in venous disorders of the leg

Author:

Jones N A G1,Webb P J1,Rees R I1,Kakkar V V1

Affiliation:

1. Thrombosis Research Unit, King's College Hospital, Denmark Hill, London SE5

Abstract

Summary The physiological effects of elastic compression stockings on venous disorders of the leg have been studied in three groups of 10 patients. These patients were divided by examination and ascending venography into those with: (a) a normal venous system in the leg, (b) superficial varicose veins and (c) a post-phlebitic limb. In a randomized cross-over trial each group wore Eesiness NHS two-way stretch or Sigvaris medium compression below-knee stockings for three weeks. In the post-phlebitic limb group a further comparison was made with Sigvaris strong compression below-knee stockings after a 6-week rest period. The effects were objectively compared using foot volumetry and sodium (24Na) subcutaneous tissue clearance. The physiological benefits of Sigvaris medium and strong compression stockings were comprehensively demonstrated by both methods of assessment in patients with the post-phlebitic limb. Benefit from Sigvaris medium compression stockings was also demonstrated in the patients with varicose veins. In the group with normal veins there were negligible physiological benefits from compression stockings. Eesiness stockings failed to produce a significant physiological effect in each group.

Funder

MRC Programme

Publisher

Oxford University Press (OUP)

Subject

Surgery

Reference9 articles.

1. Foot volumetry, a new method for objective assessment of oedema and venous function;Thulesius;Vasa,1973

2. The effects of elastic stockings on superficial venous pressures in patients with venous insufficiency;Somerville;Br. J. Surg.,1974

3. Compression of the deep venous system of the lower leg during inactive recumbency;Sigel;Arch. Surg.,1973

4. Compression treatment in venous insufficiency evaluated with foot volumetry;Gjores;Vasa,1977

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