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Influence of intraoperative compression on the postoperative period of pelotomas in phlebectomy

https://doi.org/10.51922/2074-5044.2026.1.56

Abstract

Varicose veins of the lower extremities in their various manifestations affect up to 80 % of the general population, and clinical treatment practice is heterogeneous worldwide. There is no single set of definitive recommendations, which makes clinical practice extremely heterogeneous.
Study objectives. To evaluate intraoperative compression therapy with a peloton within 24 hours after phlebectomy.
Materials and methods. 55 patients with varicose disease classified as C1–C3, in 1 of 2 groups: intervention group (33 limbs) – with intraoperative compression then elastic bandaging after phlebectomy and control group (23 limbs) – elastic bandaging after phlebectomy. We compared hematoma formation in the preoperative and postoperative limb.
Results. The use of intraoperative compression improved the condition of postoperative hematomas (the average visual value of a hematoma with compression was 1.68, without compression – 2.53 (Student’s t-test = 3.70, the differences are statistically significant (p = 0.000516), the number of degrees of freedom f = 53, the critical value of Student’s t-test = 2.007, at a significance level of α = 0.05), and significantly increased.

About the Authors

K. O. Listunov
State Institution «Minsk Scientific and Practical Center for Surgery, Transplantology and Hematology»
Belarus


M. Yu. Mitkevich
State Institution «Minsk Scientific and Practical Center for Surgery, Transplantology and Hematology»
Belarus


References

1. Coelho Neto, F. Influence of compression therapy following varicose vein surgery: a prospective randomized study / F. Felipe Coelho Neto [et al.] // J. Vascular Brasileiro − 2023. − Vol. 22. − P. 1–6.

2. Uhl, J. Prospective randomized controlled study of patient compliance in using a compression stocking: importance of recommendations of the practitioner as a factor for better compliance / J. Uhl [et al.] // Phlebology – 2018. – Vol. 33. – P. 36–43.

3. Rabe, E. Indications for medical compression stockings in venous and lymphatic disorders: an evidence-based consensus statement / E. Rabe [et al.] // Phlebology – 2018. – Vol. 33. – P. 163–184.


Review

For citations:


Listunov K.O., Mitkevich M.Yu. Influence of intraoperative compression on the postoperative period of pelotomas in phlebectomy. Military Medicine. 2026;(1):56-57. (In Russ.) https://doi.org/10.51922/2074-5044.2026.1.56

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ISSN 2074-5044 (Print)