The optimal duration of compression therapy following varicose vein surgery: A meta-analysis of randomized controlled trials

T. W. Huang, S. L. Chen, C. H. Bai, C. H. Wu, K. W. Tam

研究成果: 雜誌貢獻文章

20 引文 (Scopus)

摘要

Objective: The optimal duration of compression therapy following varicose vein surgery of the great saphenous vein (GSV) remains controversial. Therefore, the aim of this study was to evaluate different durations of compression therapy after varicose vein surgery and their outcomes. Design: A systematic review and meta-analysis of randomized controlled trials (RCTs). Methods: Outcomes from short-duration (3-10 d) and long-duration (3-6 wk) compression therapy after GSV stripping and phlebectomies were evaluated. Pain was assessed post surgery using a visual analog scale. Secondary outcomes included leg volume, complications, and the duration of absenteeism from work. Results: We identified 4 RCTs published between 1991 and 2009 that evaluated 686 patients. We observed non-significant differences in postoperative pain scores between the long-duration and short-duration groups, with a weighted mean difference of -0.03 (95% confidence interval (CI): -0.53 to 0.47) at 4 weeks, and -0.01 (95% CI: -0.31 to 0.33) at 6 weeks, postoperatively. We also observed non-significant differences in the incidence of postoperative complications (risk ratio: 0.84, 95% CI: 0.60-1.18), and changes in leg volume, 4 weeks postoperatively (P = .18) between the groups. Conclusion: Our study results indicate that there are no benefits to long-term compression therapy after varicose vein surgery of the GSV regarding postoperative pain, leg volume, incidence of complications, and duration of absenteeism from work.
原文英語
頁(從 - 到)397-402
頁數6
期刊European Journal of Vascular and Endovascular Surgery
45
發行號4
DOIs
出版狀態已發佈 - 四月 2013

指紋

Varicose Veins
Meta-Analysis
Saphenous Vein
Randomized Controlled Trials
Absenteeism
Leg
Confidence Intervals
Postoperative Pain
Incidence
Therapeutics
Visual Analog Scale
Odds Ratio
Pain

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Surgery

引用此文

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title = "The optimal duration of compression therapy following varicose vein surgery: A meta-analysis of randomized controlled trials",
abstract = "Objective: The optimal duration of compression therapy following varicose vein surgery of the great saphenous vein (GSV) remains controversial. Therefore, the aim of this study was to evaluate different durations of compression therapy after varicose vein surgery and their outcomes. Design: A systematic review and meta-analysis of randomized controlled trials (RCTs). Methods: Outcomes from short-duration (3-10 d) and long-duration (3-6 wk) compression therapy after GSV stripping and phlebectomies were evaluated. Pain was assessed post surgery using a visual analog scale. Secondary outcomes included leg volume, complications, and the duration of absenteeism from work. Results: We identified 4 RCTs published between 1991 and 2009 that evaluated 686 patients. We observed non-significant differences in postoperative pain scores between the long-duration and short-duration groups, with a weighted mean difference of -0.03 (95{\%} confidence interval (CI): -0.53 to 0.47) at 4 weeks, and -0.01 (95{\%} CI: -0.31 to 0.33) at 6 weeks, postoperatively. We also observed non-significant differences in the incidence of postoperative complications (risk ratio: 0.84, 95{\%} CI: 0.60-1.18), and changes in leg volume, 4 weeks postoperatively (P = .18) between the groups. Conclusion: Our study results indicate that there are no benefits to long-term compression therapy after varicose vein surgery of the GSV regarding postoperative pain, leg volume, incidence of complications, and duration of absenteeism from work.",
keywords = "Bandages, Compression, Duration, Meta-analysis, Varicose vein surgery",
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T1 - The optimal duration of compression therapy following varicose vein surgery

T2 - A meta-analysis of randomized controlled trials

AU - Huang, T. W.

AU - Chen, S. L.

AU - Bai, C. H.

AU - Wu, C. H.

AU - Tam, K. W.

PY - 2013/4

Y1 - 2013/4

N2 - Objective: The optimal duration of compression therapy following varicose vein surgery of the great saphenous vein (GSV) remains controversial. Therefore, the aim of this study was to evaluate different durations of compression therapy after varicose vein surgery and their outcomes. Design: A systematic review and meta-analysis of randomized controlled trials (RCTs). Methods: Outcomes from short-duration (3-10 d) and long-duration (3-6 wk) compression therapy after GSV stripping and phlebectomies were evaluated. Pain was assessed post surgery using a visual analog scale. Secondary outcomes included leg volume, complications, and the duration of absenteeism from work. Results: We identified 4 RCTs published between 1991 and 2009 that evaluated 686 patients. We observed non-significant differences in postoperative pain scores between the long-duration and short-duration groups, with a weighted mean difference of -0.03 (95% confidence interval (CI): -0.53 to 0.47) at 4 weeks, and -0.01 (95% CI: -0.31 to 0.33) at 6 weeks, postoperatively. We also observed non-significant differences in the incidence of postoperative complications (risk ratio: 0.84, 95% CI: 0.60-1.18), and changes in leg volume, 4 weeks postoperatively (P = .18) between the groups. Conclusion: Our study results indicate that there are no benefits to long-term compression therapy after varicose vein surgery of the GSV regarding postoperative pain, leg volume, incidence of complications, and duration of absenteeism from work.

AB - Objective: The optimal duration of compression therapy following varicose vein surgery of the great saphenous vein (GSV) remains controversial. Therefore, the aim of this study was to evaluate different durations of compression therapy after varicose vein surgery and their outcomes. Design: A systematic review and meta-analysis of randomized controlled trials (RCTs). Methods: Outcomes from short-duration (3-10 d) and long-duration (3-6 wk) compression therapy after GSV stripping and phlebectomies were evaluated. Pain was assessed post surgery using a visual analog scale. Secondary outcomes included leg volume, complications, and the duration of absenteeism from work. Results: We identified 4 RCTs published between 1991 and 2009 that evaluated 686 patients. We observed non-significant differences in postoperative pain scores between the long-duration and short-duration groups, with a weighted mean difference of -0.03 (95% confidence interval (CI): -0.53 to 0.47) at 4 weeks, and -0.01 (95% CI: -0.31 to 0.33) at 6 weeks, postoperatively. We also observed non-significant differences in the incidence of postoperative complications (risk ratio: 0.84, 95% CI: 0.60-1.18), and changes in leg volume, 4 weeks postoperatively (P = .18) between the groups. Conclusion: Our study results indicate that there are no benefits to long-term compression therapy after varicose vein surgery of the GSV regarding postoperative pain, leg volume, incidence of complications, and duration of absenteeism from work.

KW - Bandages

KW - Compression

KW - Duration

KW - Meta-analysis

KW - Varicose vein surgery

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