mediven® struva® 35: clinical compression stocking with a broad spectrum of care
mediven® struva® 35 is a round-knitted clinical compression stocking for compression of the lower limbs. The strongest clinical compression stocking from medi with 35 mmHg provides suitable care during the hospital stay for mobile patients and for those with serious venous diseases. The indications for the clinical compression stocking are:
- Prevention and therapy of post-operative and post-traumatic oedema5 and haematoma and for reduction of concomitant pain (e.g. orthopaedic after orthopaedic2 or venous surgery3, 4, 5)
- Physical thrombosis prophylaxis in mobile patients - pre-, intra- and post-operative6, 7, 8, 9
- Compressive treatment of acute deep vein thrombosis1, 10, 11
- Therapy of venous leg ulcer in partially mobile / mobile patients6, 12
Medical compression therapy with mediven® struva® 35 has benefits for both patients and nursing staff alike: the open toe simplifies hygiene and allows a quick inspection of the circulation situation. The silicone topband provides a secure hold and the special construction of the instep area ensures that there is reduced wrinkling when the foot is in dorsiflexion.
A recent study1 confirmed that the clinical compression stocking mediven® struva® 35 provides a significantly better health-related quality of life (HRQoL) compared to multilayer short-stretch bandages: this includes, amongst other things, mobility, self-care, pain and physical symptoms. Furthermore, approximately 40 percent of the mean weekly material costs can be saved compared to multilayer short-stretch bandages.
Authors' summary: this shows that the clinical compression stocking should be the preferred treatment option, both from the viewpoint of the patient and from the health economics perspective.
- 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
Benefits
- 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.
- Prevention and therapy of post-operative and post-traumatic oedema and haematoma and for reduction of concomitant pain (e.g. orthopaedic or venous surgery) (2, 3, 4, 5)
- Physical thrombosis prophylaxis in mobile patients - pre-, intra- and post-operative (6, 7, 8, 9)
- Compressive treatment of acute deep vein thrombosis (1, 10, 11)
- Therapy of venous leg ulcer in patients with 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
| Circumference in cm | Measure | I | II | III | IV | V | VI | VII |
|---|---|---|---|---|---|---|---|---|
| Knee (AD) | cB | 17 - 19 | 19 - 21 | 21 - 23 | 23 - 25 | 25 - 27 | 27 - 29 | 29 - 31 |
| cC | 30 - 35 | 31 - 37 | 32 - 40 | 33 - 42 | 34 - 44 | 35 - 46 | 36 - 48 | |
| cD | 28 - 34 | 29 - 36 | 30 - 39 | 31 - 41 | 32 - 43 | 33 - 45 | 34 - 47 | |
| cG | - | - | - | - | - | - | - | |
| Colour code heel | pink | blue | yellow | red | grey | green | brown | |
| Thigh (AG) | cB | 17 - 19 | 19 - 21 | 21 - 23 | 23 - 25 | 25 - 27 | 27 - 29 | 29 - 31 |
| cC | 30 - 35 | 31 - 37 | 32 - 40 | 33 - 42 | 34 - 44 | 35 - 46 | 36 - 48 | |
| cD | 28 - 34 | 29 - 36 | 30 - 39 | 31 - 41 | 32 - 43 | 33 - 45 | 34 - 47 | |
| cG | 42 - 54 | 46 - 58 | 50 - 62 | 54 - 66 | 58 - 70 | 62 - 74 | 66 - 78 | |
| Colour code heel | pink | blue | yellow | red | grey | green | brown |
Show sources
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.
