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.
Literatur
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)
Baumeister et al (2009) AWMF-Leitlinie: Diagnostik und Therapie der Lymphödeme. Letzte Überarbeitung 4
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
Hach W, Hach-Wunderle V (2001) Die Kompressionstherapie in der Chirurgie der primären Varikose. Gefässchirurgie 6:47–53
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
Hirai M, Koyama A, Miyazaki K et al (2011) Interface pressure and stiffness in different combinations of compression material. Phlebology (Epub ahead of print)
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
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
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
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
Mosti G, Partsch H (2010) Is low compression pressure able to improve venous pumping function in patients with venous insufficiency? Phlebology 25:145–150
Noppeny T, Nüllen H (2011) Kompressionstherapie nach invasiven Maßnahmen in der Phlebologie. Phlebologie 40:15–19
Nüllen H, Noppeney T (2011) Kompressionstherapie — theoretische Grundlagen. Phlebologie 40:3–8
Pannier F, Hoffmann B, Stang A et al (2007) Prevalence and acceptance of therapy with medical compression stockings. Phlebologie 36:245–249
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
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
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
Rastel D, Perrin M, Guidicelli M (2004) Compressive therapy after varicose vein surgery. J Mal Vasc 29:27–34
Reich-Schupke S, Altmeyer P, Stücker M (2012) Pilotstudie zur Kompressionsversorgung von Patienten mit Lipödem, Lymphödem und Lipolymphödem. LymphForsch 16:65–69
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)
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
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
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
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
Strölin A, Volkert B, Häfner HM, Jünger M (2005) Medizinische Kompressionsstrümpfe bei CVI-Patienten. Phlebologie 34–41
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
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
Wienert V, Gerlach H, Gallenkemper G et al (2008) Leitlinie Medizinischer Kompressionsstrumpf. J Dtsch Dermatol Ges 6:410–415
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
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
Author information
Authors and Affiliations
Corresponding author
Rights 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
Published:
Issue Date:
DOI: https://doi.org/10.1007/s15012-014-0022-6