Skip to main content
Log in

Strickart, Stiffness, Strumpflänge

Update moderne Kompressionstherapie

  • Fortbildung
  • Published:
hautnah dermatologie Aims and scope

Die Kompressionstherapie mit verschiedenen medizinischen Verbänden und Strumpfsystemen gilt als Basismaßnahme der phlebologischen und lymphologischen Therapie. Einige Grundsätze, die seit Jahren etabliert, wenn nicht sogar Standard sind, gilt es jetzt aufgrund neuer Studienerkenntnisse infrage zu stellen. Der nachfolgende Beitrag fasst die wichtigsten aktuellen Kenntnisse in übersichtlicher Form zusammen.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Literatur

  1. Amsler F, Willenberg T, Blättler W (2009) In search of optimal compression therapy for venous leg ulcers: a meta-analysis of studies comparing diverse [corrected] bandages with specifically designed stockings. J Vasc Surg 50:668–674 (Erratum in: J Vasc Surg 2010; 51:289)

    Article  PubMed  Google Scholar 

  2. Baumeister et al (2009) AWMF-Leitlinie: Diagnostik und Therapie der Lymphödeme. Letzte Überarbeitung 4

  3. Blättler W, Borer M, Linder C, Bergan J (1998) Outpatient and conventional treatment acute deep-vein thrombosis evaluated in a controlled single-center study. Phlébologie 51:41–44

    Google Scholar 

  4. Hach W, Hach-Wunderle V (2001) Die Kompressionstherapie in der Chirurgie der primären Varikose. Gefässchirurgie 6:47–53

    Article  Google Scholar 

  5. Hamel-Desnos CM, Guias BJ, Desnos PR, Mesgard A (2010) Foam sclerotherapy of the saphenous veins: randomised controlled trial with or without compression. Eur J Vasc Endovasc Surg 39:500–507

    Article  CAS  PubMed  Google Scholar 

  6. Hirai M, Koyama A, Miyazaki K et al (2011) Interface pressure and stiffness in different combinations of compression material. Phlebology (Epub ahead of print)

    Google Scholar 

  7. Kern P, Ramelet AA, Wüschert R, Hayoz D (2007) Compression after sclerotherapy for teleangiectasias and reticular veins: a randomized controlled study. J Vasc Surg 45:1212–1216

    Article  PubMed  Google Scholar 

  8. Krankendonk SE, Koster AM (1993) A double blind clinical trial of the efficacy and tolerability of (beta-hydroxyethyl)-ruto sides and compression stockings in the treatment of leg oedema and symptoms following surgery of varicose veins. Phlebology 8:77–81

    Google Scholar 

  9. McNeely ML, Magee DJ, Lees AW et al (2004) The addition of manual lymph drainage to compression therapy for breast cancer related lymphedema: a randomized controlled trial. Breast Cancer Res Treat 86:95–106

    Article  PubMed  Google Scholar 

  10. Milic DJ, Zivic SS, Bogdanovic DC et al (2010) Theinfluence of different sub-bandage pressure values on venous leg ulcers healing when treated with compression therapy. J Vasc Surg 51:655–661

    Article  PubMed  Google Scholar 

  11. Mosti G, Partsch H (2010) Is low compression pressure able to improve venous pumping function in patients with venous insufficiency? Phlebology 25:145–150

    Article  CAS  PubMed  Google Scholar 

  12. Noppeny T, Nüllen H (2011) Kompressionstherapie nach invasiven Maßnahmen in der Phlebologie. Phlebologie 40:15–19

    Google Scholar 

  13. Nüllen H, Noppeney T (2011) Kompressionstherapie — theoretische Grundlagen. Phlebologie 40:3–8

    Google Scholar 

  14. Pannier F, Hoffmann B, Stang A et al (2007) Prevalence and acceptance of therapy with medical compression stockings. Phlebologie 36:245–249

    Google Scholar 

  15. Partsch H, Fluor M, Colderidge-Smith P et al (2008) Indications for compression therapy in venous and lymphatic disease. Consensus based on experimental data and scientific evidence under the auspices of the IUP. Int Angiol 27:193–219

    CAS  PubMed  Google Scholar 

  16. Prandoni P, Lensing AWA, Prins MH et al (2004) Below-knee elastic compression stockings to prevent the postthrombotic syndrome. Ann Intern Med 141:249–256

    Article  PubMed  Google Scholar 

  17. Quaseem A, Chou R, Humphrey LL et al (2011) Venous thromboembolism prophylaxis in hospitalized patients: a clinical practice guideline from the American College of Physicians. Ann Intern Med 155:625–632

    Article  Google Scholar 

  18. Rastel D, Perrin M, Guidicelli M (2004) Compressive therapy after varicose vein surgery. J Mal Vasc 29:27–34

    Article  CAS  PubMed  Google Scholar 

  19. Reich-Schupke S, Altmeyer P, Stücker M (2012) Pilotstudie zur Kompressionsversorgung von Patienten mit Lipödem, Lymphödem und Lipolymphödem. LymphForsch 16:65–69

    Google Scholar 

  20. Reich-Schupke S, Feldhaus F, Altmeyer P et al (2013) Efficacy and comfort of medical compression stockings with low and moderate pressure six weeks after vein surgery. Phlebology (Epub ahead of print)

    Google Scholar 

  21. Reich-Schupke S, Gahr M, Altmeyer P, Stücker M (2009) The resting pressure exerted by round knitted moderate compression stockings on the lower leg in clinical practice — results of an experimental study. Dermatol Surg 35:1989–1998

    Article  CAS  PubMed  Google Scholar 

  22. Reich-Schupke S, Murmann F, Altmeyer P, Stücker M (2012) Compression therapy in elderly and overweight patients. Vasa 41(2):125–131. doi:10.1024/0301-1526/a000175

    Article  PubMed  Google Scholar 

  23. Reich-Schupke S, Murmann F, Altmeyer P, Stücker M (2009) Quality of life and patient’s view of compression therapy. Int Angiol 28:385–393

    CAS  PubMed  Google Scholar 

  24. Renner R, Gebhardt C, Simon JC (2010) Compliance to compression therapy in patients with existing venous leg ulcers. Results of a cross-sectional study. Med Klin (Munich) 105:1–6

    Article  Google Scholar 

  25. Strölin A, Volkert B, Häfner HM, Jünger M (2005) Medizinische Kompressionsstrümpfe bei CVI-Patienten. Phlebologie 34–41

    Google Scholar 

  26. Thomasset SC, Butt Z, Fairbrother BJ, Makhadoomi KR (2010) Ultrasound guided foam sclerotherapy: factors associated with outcomes and complications. Eur J Vasc Endovasc Surg 40:389–392

    Article  CAS  PubMed  Google Scholar 

  27. Weindorf M, Stoffels I, Klode J, Dissemond J (2012) Einfluss visueller Kontrollsysteme auf den Druck von Kompressionsverbänden — Erste Resultate einer prospektiven klinischen Untersuchung verschiedener Anwenderkollektive. Phlebologie 41:18–24

    Google Scholar 

  28. Wienert V, Gerlach H, Gallenkemper G et al (2008) Leitlinie Medizinischer Kompressionsstrumpf. J Dtsch Dermatol Ges 6:410–415

    Article  PubMed  Google Scholar 

  29. Willenberg T, Lun B, Amlser F, Baumgartner I (2010) Ease of application of medical compression-stocking systems for the treatment of venous ulcers. Eur J vasc Endovasc Surg 40:129–133

    Article  CAS  PubMed  Google Scholar 

  30. Wolff O, Wentel D, Reeder SWI, Neumann HAM (2011) The effect of compression ulcer stockings on the capillary filtration rate and the formation of edema. Phlebologie 40:245–250

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Stefanie Reich-Schupke.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Reich-Schupke, S. Strickart, Stiffness, Strumpflänge. hautnah dermatologie 30, 30–36 (2014). https://doi.org/10.1007/s15012-014-0022-6

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s15012-014-0022-6

Navigation