Thromboseprophylaxe Krankenhaus Krankenschwester

mediven® struva® 23

Clinical compresion stocking with 23 mmHg

  • Graduated compression profile
  • Open toe
  • Secure hold thanks to silicone topband

 Medical specifications

Clinical compression stocking with a wide range of care

Clinical compression stockings with moderate compression strength cover a wide range of indications that can be treated with just one product. Most deep vein thrombosis occur during or within 24 hours after surgery. Therefore, the preoperative use of clinical compression stockings is already common practive. In the context of early mobilisation compression stockings with a higher working pressure are needed. With a standardised moderate compression of 23 mmHg mediven struva is the efficient alternative to conventional compression bandaging if indicated.

(1) Rabe E et al. Indications for medical compression stockings in venous and lymphatic disorders: An evidence-based consensus statement. Phlebology 2018;33(3):163–184. 
(2) Winge R et al. Compression therapy after ankle fracture surgery: a systematic review. European journal of trauma and emergency surgery: official publication of the European Trauma Society 2017;43(4):451–459.
(3) 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.
(4) Glod A et al. Kompression in der Wundbehandlung bei Ödemerkrankungen. Vasomed 2019;31(2):82–92.
(5) Attaran RR et al. Compression therapy for venous disease. Phlebology 2017;32(2):81–88.
(6) Lee BB 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.
(7) Munoz-Figueroa G. et al. Venous thromboembolism: use of graduated compression stockings. BJN 2015;24(13):680-685.  
(8) 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.
(9) Dissemond J et al. Compression therapy in patients with venous leg ulcers. Journal of the German Society of Dermatology: JDDG 2016;14(11):1072–1087.
(10) Partsch H et al. Compression for leg wounds. The British Journal of Dermatology 2015;173(2):359–369.
(11) 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.
(12) 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 2016;64:19–24.
(13) Amin E E et al. Clinical and economic impact of compression in the acute phase of deep vein thrombosis. Journal of Thrombosis and Haemostasis 2018; 16: 1555-1563.


Features

Product benefits

  • • 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

  • • 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 (10)

  • • Simple handling and saving of time make things easier for nursing staff and improves patient care (11, 12)

  • • Easy donning and doffing for fast wound inspection and treatment

  • • High level of compliance due to greater wearing comfort (4)

  • • Highly cost-effective due to reusability (13)


Intended purpose

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.

Details

Standard colours


Lengths

  • Below-knee stocking
  • Upper thigh-length stocking

Material components

29 % Elastane
71 % Polyamide
Latex-free


Size


Size

I – VII

Variants

Below-knee stocking (AD)
Thigh-length stocking (AG)
Thigh-length stocking (AG) with waist attachment

Medical specifications

Indications

  • Prevention and therapy of postoperative and posttraumatic oedema and haematoma as well as for reduction of concomitant pain (e.g. orthopaedic or venous surgery) (1, 2, 3, 4)
  • Physical thrombosis prophylaxis in partially mobile patients pre-, intra- and postoperative (5, 6, 7, 8)
  • Therapy of venous leg ulcer in immobile / partially mobile patients (9, 10)

Contraindications

  • Contraindications
  • 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

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