Terapi Kompresi pada Pasien Vena Varises yang Menjalani Operasi
Abstract
This study aims to determine the effectiveness of compression therapy in varicose veins patients to reduce pain and increase wound healing after surgery. The method used was a systematic review using a checklist of protocols and rules (PRISMA) and a flowchart with the feasibility of studies assessed using the PICOT framework, searches using five databases, Science Direct, CINAHL, Scopus, SAGE, and ProQuest. The results showed that as many as ten articles were obtained discussing the effects of compression therapy in patients with varicose veins, with different discussions in each study bringing positive impacts. In conclusion, compression therapy is considered the most effective conservative treatment for varicose veins, which has been shown to benefit from several research results. Namely, compression improves the healing of varicose veins compared to no reduction. Still, compression therapy has not been proven to provide long-term effects—benefits for postoperative varicose veins patients to return to normal activities.
Keywords: Surgery, Compression Therapy, Varicose Veins
References
Bayer, A., Kuznik, N., Langan, E. A., Recke, A., Recke, A. L., Faerber, G., Kaschwich, M., Kleemann, M., & Kahle, B. (2020). Clinical Outcome of Short-Term Compression after Sclerotherapy for Telangiectatic Varicose Veins. Journal of Vascular Surgery: Venous and Lymphatic Disorders, 9(2), 435–443. https://doi.org/10.1016/j.jvsv.2020.05.015
Bootun, R., Belramman, A., Bolton-Saghdaoui, L., Lane, T. R. A., Riga, C., & Davies, A. H. (2021). Randomized Controlled Trial of Compression after Endovenous Thermal Ablation of Varicose Veins (COMETA Trial). Annals of Surgery, 273(2), 232–239. https://doi.org/10.1097/SLA.0000000000003626
Cavallini, A. (2019). Doctor, Why Do I Have Varicose Veins? Pagepress, 18(1), 17-19. https://doi.org/10.4081/vl.2019.7937
Chiang, N., Rodda, O., Oldham, S., Sleigh, J., & Vasudevan, T. (2019). Effects of Compression Therapy and Venous Surgery on Tissue Oxygenation in Chronic Venous Disease. Phlebology, 34(7), 474–480. https://doi.org/10.1177/0268355518822582
Gomes, C. V. C., Nunes, M. A. P., Navarro, T. P., & Dardik, A. (2020). Elastic Compression after Ultrasound-Guided Foam Sclerotherapy in Overweight Patients Does Not Improve Primary Venous Hemodynamics Outcomes. Journal of Vascular Surgery: Venous and Lymphatic Disorders, 8(1), 110–117. https://doi.org/10.1016/j.jvsv.2019.07.008
Kappa-Markovi, K., Jalaie, H., Özhan-Hasan, H., Deges, M., & Rass, K. (2021). Intermittent Pneumatic Compression after Varicose Vein Surgery. Journal of Vascular Surgery. Venous and Lymphatic Disorders, 9(6), 1526–1534.e2. https://doi.org/10.1016/j.jvsv.2021.02.011
Liu, X., Zheng, G., Ye, B., Chen, W., Xie, H., & Zhang, T. 2019. Comparison of Combined Compression and Surgery with High Ligation-Endovenous Laser Ablation-Foam Sclerotherapy with Compression Alone for Active Venous Leg Ulcers. Scientific Reports, 9(1), 5–12. https://doi.org/10.1038/s41598-019-50617-y
Ma, F., Xu, H., Zhang, J., Premaratne, S., Gao, H., Guo, X., & Yang, T. (2022). Compression Therapy Following Endovenous Thermal Ablation of Varicose Veins: A Systematic Review and Meta-Analysis. Annals of Vascular Surgery, 80, 302–312. https://doi.org/10.1016/J.AVSG.2021.09.035
Moñux, G., Serna-Soto, M., Plá-Sanchez, F., Zamorano-León, J. J., Segura, A., Rial, R., Freixer, G., Zekri-Nechar, K., Hugo-MartÃnez, C., Serrano, J., & López-Farré, A. (2021). Compression Stockings Attenuate the Expression of Proteins Associated with Vascular Damage in Human Varicose Veins. Journal of Vascular Surgery. Venous and Lymphatic Disorders, 9(2), 428–434. https://doi.org/10.1016/j.jvsv.2020.05.020
Onwudike, M., Abbas, K., Thompson, P., & McElvenny, D. M. (2020). Editor’s Choice – Role of Compression after Radiofrequency Ablation of Varicose Veins: A Randomised Controlled Trial☆. European Journal of Vascular and Endovascular Surgery, 60(1), 108–117. https://doi.org/10.1016/j.ejvs.2020.03.014
Pihlaja, T., Romsi, P., Ohtonen, P., Jounila, J., & Pokela, M. (2020). Post-Procedural Compression VS. No Compression after Radiofrequency Ablation and Concomitant Foam Sclerotherapy of Varicose Veins: A Randomised Controlled Non-inferiority Trial. European Journal of Vascular and Endovascular Surgery : The Official Journal of the European Society for Vascular Surgery, 59(1), 73–80. https://doi.org/10.1016/j.ejvs.2019.08.020
Pramita, N. M. A. (2020). Berdiri Lama sebagai Faktor Risiko Terjadinya Varises Vena Tungkai Bawah pada Wanita Usia Menopause di Desa Perean Tengah. E-Jurnal Medika Udayana, 9(10), 49–53. https://doi.org/10.24843/10.24843.MU.2020.V09.i10.P09
Puspitasari, G. D., & Prawitasari, S. (2020). Combining Topical Therapy and Bisoprolol on Refractory Venous Ulcer. Journal of Dermatology, Venereology and Aesthetic, 1(2), 84–94. https://jdva.ub.ac.id/index.php/jdva/article/view/10
Raetz, J., Wilson, M., & Collins, K. (2019). Varicose Veins: Diagnosis and Treatment. American Family Physician, 99(11), 682–688. https://www.aafp.org/pubs/afp/issues/2019/0601/p682.html
Staniszewska, A., Onida, S., & Davies, A. H. (2019). Compression Therapy for Uncomplicated Varicose Veins - Too Little for Too Much?. Phlebology, 34(3), 148–150. https://doi.org/10.1177/0268355518781432
Copyright (c) 2023 Elin Hidayat, Abu Bakar, Retno Indarwati
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
