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Effect of intraoperative pelot compression on pain syndrome after phlebectomy

https://doi.org/10.51922/2074-5044.2025.4.37

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, making clinical practice extremely heterogeneous.

Objectives: To evaluate intraoperative compression therapy with a pelot within 24 hours after phlebectomy. Methods: 60 lower limbs with varicose disease classified as C1–C3 were randomized to 1 of 2 groups: intervention group (36 limbs) with intraoperative compression then elastic bandaging after phlebectomy and control group (24 limbs) with elastic bandaging after phlebectomy. We compared the pain syndrome in the lower limb after surgical treatment. Results: the use of the pellot reduced the pain syndrome in patients (the average value of the CRS with compression was 3.36, without compression 5.13, Student’s t-test = 2.15, the differences are statistically significant (p = 0.037), the number of degrees of freedom f = 54, the critical value of the Student’s t-test = 2.005, at a significance level of α = 0.05).

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. Effect of intraoperative pelot compression on pain syndrome after phlebectomy. Military Medicine. 2025;(4):37-39. (In Russ.) https://doi.org/10.51922/2074-5044.2025.4.37

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ISSN 2074-5044 (Print)