The economic, simple and safe clinical compression
A recent study(1) from 2018 confirms that the clinical compression stocking emdiven struva offers valuable benefits in therapy:
• Significantly improved health-related quality of life (HRQoL) in the following dimensions during the acute phase of therapy compared to multilayer short- stretch bandages (p = 0.015):
- General activities
- pain / physical complaints
- fear / depression
• Economical: 40 percent savings in average weekly material costs compared to multilayer short-stretch compression bandaging
Conclusion of the authors: Compression hosiery is a relatively cheap, easy to use and safe alternative to multilayer bandaging in all patients. Therefore, both from both a patient perspective and an economic perspective, compression hosiery should be the preferred choice when initial compression is applied in unselected patients.
(1) Amin E E et al. Reduced incidence of vein occlusion and postthrombotic syndrome after immediate compression for deep vein thrombosis. Blood 2018;132(21):2298–2304.
(2) Winge R et al. Compression therapy after ankle fracture surgery: a systematic review. In: European journal of trauma and emergency surgery : official publication of the European Trauma Society 2017;43(4):451–459.
(3) Rabe E et al. Indications for medical compression stockings in venous and lymphatic disorders: An evidence-based consensus statement. In: Phlebology 2018;33(3):163–184.
(4) Al Shakarchi J et al. The role of compression after endovenous ablation of varicose veins. In: Journal of vascular surgery. Venous and lymphatic disorders 2018;6(4):546–550.
(5) Glod A et al. Kompression in der Wundbehandlung bei Ödemerkrankungen. In: vasomed 2019;31(2):82–92.
(6) Attaran R R et al. Compression therapy for venous disease. Phlebology 2017;32(2):81–88.
(7) Lee B B et al. Venous hemodynamic changes in lower limb venous disease: the UIP consensus according to scientific evidence. International angiology: a journal of the International Union of Angiology 2016;35(3):236–352.
(8) Munoz-Figueroa G. et al. Venous thromboembolism: use of graduated compression stockings. BJN 2015;24(13):680-685.
(9) Wrobel R et al. Messung des Kompressionseffektes von Kompressionsbinden und Strumpfverbänden mit einem Fesseldruck von 23 bzw. 35 mm Hg. Orthopädie-Technik 1997;4:264-267.
(10) Yadam S et al. Controversies in Venous Thromboembolism. Critical care nursing quarterly 2017;40(3):301–305.
(11) Galanaud J P et al. 25 mmHg versus 35 mmHg graduated elastic compression stockings to treat acute symptoms of deep-vein thrombosis: the celest double-blind trial. Research and practice in thrombosis and haemostasis 2018;2:327.
(12) Parker C N et al. Predicting the Likelihood of Delayed Venous Leg Ulcer Healing and Recurrence: Development and Reliability Testing of Risk Assessment Tools. In: Ostomy/wound management 63 (10), S. 16–33.
(13) Partsch H et al. Compression for leg wounds. The British Journal of Dermatology 2015;173(2):359–369.
(14) Khoshgoftar Z et al. Comparison of compression stocking with elastic bandage in reducing postoperative edema in coronary artery bypass graft patient. J Vasc Nurs 2009;27(4):103–106.
(15) Macintyre L. et al. How can the pressure in anti-embolism stockings be maintained during use? Laboratory evaluation of simulated 'wear' and different reconditioning protocols: International journal of nursing studies 2017;63(10):16 -33.
• Precisely deﬁned compression gradient for a high degree of medical effectiveness
• Open toe for improved hygiene and quick inspection of the circulatory situation
• Optimum care thanks to silicone topband with size indicator
• Also available with tricot topband
• Instep area for an optimal fit and reduced formation of wrinkles when the foot is bent
• Colour marking at the heel for easy and correct positioning
• Colour coded size system for quick and simple selection of the correct stocking size
• Suitable for thigh circumferences of up to 78 cm
• Also available with waist attachement
• Correctly applied, the textile fabric avoids painful constrictions and window oedema (13)
• Simple handling and saving of time make things easier for nursing staff and improves patient care (14, 15)
• Easy donning and doffing for fast wound inspection and treatment
• High level of compliance due to greater wearing comfort (5)
• Highly cost-effective due to reusability (1)
Round knitted clinical compression stocking for compression of the lower extremities, mainly for prevention and treatment of diseases of the venous system and general swelling.
- Below-knee stocking
- Upper thigh-length stocking
41 % Elastane
59 % Polyamide
- Prevention and therapy of postoperative and posttraumatic oedema and haematoma as well as for reduction of concomitant pain (e.g. orthopaedic or venous surgery) ( 2, 3, 4, 5)
- Physical thrombosis prophylaxis in mobile patients pre-, intra- and postoperative (6, 7, 8, 9)
- Compressive treatment of an acute deep vein thrombosis (1, 10, 11)
- Therapy of venous leg ulcer in partially mobile / mobile patients (6, 12)
- Advanced peripheral arterial occlusive disease (if one of these parameters is present: ABPI < 0.5, ankle arterial pressure < 60 mmHg, toe pressure< 30 mmHg or TcPO2 < 20 mmHg on dorsum of foot)
- Decompensated heart failure (NYHA III + IV)
- Septic phlebitis
- Phlegmasia cerulea dolens
- Massive oedema of the leg
- Particular attention to
- Severe weeping dermatosis
- Intolerance to compressive material
- Severe paraesthesia in the limbs
- Advanced peripheral neuropathy (e.g. as seen in diabetes mellitus)
- Primary chronic polyarthritis