With any operation, damage to the walls of blood vessels occurs, resulting in an increased risk of developing thromboembolism. Blockage of blood vessels is an extremely dangerous condition that is easier to prevent than to cure. Compression stockings prevent the relaxation of blood vessels and the formation of congestion.

What are stockings for after surgery?

Stockings after surgery are considered a specialized type of medical device and are not intended for permanent wear. after surgery, they contribute to the correct distribution of pressure along the entire length of the limb, helping to restore blood flow and preventing. In addition, postoperative elastic stockings help to stabilize arterial pressure eliminating discomfort in the legs.

Types of knitwear

Knitwear with a compression effect can be divided into several classes:

• Anti-varicose – medical underwear is used for therapy. Helps to eliminate the symptoms of the disease, even in the later stages of pathology.
• Preventive - used in the presence of a predisposition to vascular diseases, necessary to prevent the development of pathology.
• Antiembolic - compression underwear after surgery, during intervention and childbirth prevents the appearance of thromboembolism. To prevent embolism, congestion and hypotension, elastic products are worn for several days after surgery.
• Decongestants - are indicated for use in patients with lymphatic congestion.

A phlebologist will help you choose stockings for laparoscopy and abdominal surgery. Based on the condition of the vessels and the presence of chronic vascular diseases, the specialist will select orthopedic products and give recommendations on wearing.

Indications

Elastic stockings for surgery are indicated for use by people who have one or more risk factors:

• Hereditary predisposition to varicose veins.
• Increased clotting and blood viscosity.
• Taking hormonal drugs.
• Overweight.
• Smoking and alcohol abuse.
• The presence of nodes on the vessels.
• Swelling of the extremities.

How to choose?

It is very important to choose the right knitwear. Special rules for choosing compression stockings have been developed to facilitate the selection of medical underwear:

• The stockings after the operation must distribute the pressure correctly - the person feels it on the rise: on the ankles, the maximum, weakening towards the hips.
• The color of underwear is also important - light products allow the doctor to control the color of the vessels during surgery. For men produce products and darker shades.
• Before buying, they measure the girths of the calves, ankles, hips, knees, as well as the length from the groin to the heels.
• Preference is given to hypoallergenic materials.
• Price is a measure of quality good product cannot be cheap, which is due to the peculiarities of production.
• The pressing force is always determined by a specialist.
• The presence of additional elements- elastic bands, zippers, straps.

The determining factor in the choice of surgical knitwear is the degree of compression, which depends on individual features patient.

Compression degree

Any medical knitwear differs in the degree of pressure (in mm Hg), which the underwear exerts on the limbs. Based on this, several types of products are implied:

• Preventive – 0 compression, about 15-18 mm Hg. Art. Applied in the presence of a predisposition to vascular pathologies.
• I class (18-21 mm Hg) - are indicated for patients with the initial stage of varicose veins, prevent the progression of the pathology and improve blood circulation.
• II class (23-32 mm Hg) - used for the treatment and prevention of chronic venous insufficiency of the initial degree, with 2 and 3 degrees of varicose veins, as well as with acute thrombophlebitis.
• III class - (34-46 mm Hg. Art.) - used to treat severe forms of venous disease.
• IV class - (more than 50 mm Hg) - are indicated only in extremely difficult situations, when the vessels cannot cope with the delivery of blood from the extremities to the heart.

Anti-embolic stockings usually have 0 or I degree of compression. Class 2 stockings are indicated for a patient with diagnosed pathologies of the veins of the extremities.

Dimensions

Healing elastic underwear is selected only after measuring with a centimeter tape, since improperly selected compression stockings after laparoscopy or abdominal surgery may not perform the stated functions. 4 main parameters are determined:

• The length of the leg from the foot to the hip, retreating 5 centimeters from the lower edge of the buttocks.
• Thigh circumference - measure the circumference of the leg 5 centimeters below the buttocks or 25 cm above knee joint.
• Calf circumference - measurements are taken immediately below the knee joint.
• Ankle circumference - measure the thinnest point above the ankle. This parameter is very important to measure correctly.

You can determine the size of the products yourself using special tables, or by contacting a consultant in an orthopedic salon for help.

Stockings after surgery must be worn for a certain period of time, which is determined by the specialist. On average, the product is worn for about 2 weeks after abdominal intervention. After laparoscopic operations, the period may be slightly shorter. In the first 3 days after surgical procedures, it is forbidden to remove stockings even for a short time- this can lead to complications that worsen the general condition of the patient.

Stockings after surgery are worn for a minimum of 7 days, the maximum period is 30 days. The duration of wearing depends on the initial state of the patient and his history - in the presence of chronic cardiovascular pathologies, the period is always longer. It is recommended to gradually give up underwear, first removing it only at night, slowly increasing the rest time from it to several days.

Price

Prices for stockings after surgery depend on the manufacturer, composition and other parameters. For example, compression hosiery from the Swiss company Sigvaris costs an average of 7,800 rubles. Stockings off Russian manufacturer Orto have a lower cost - about 2 thousand rubles.

Compression underwear is sold in pharmacies or specialty stores. Today it is possible to choose a product for every taste and budget, taking into account the recommendations of experts.

Useful video on how to properly put on compression stockings

How long to wear compression stockings after surgery?

Currently, such a dangerous disease as varicose veins is subject to an increasing number of people. The main localization of the disease is the region of the lower extremities. The disease affects men and women equally.

Provoking factors in the development of varicose veins are: a person's lifestyle, work associated with being in a static position for a long period of time, genetic predisposition, walking in high heels, pregnancy and childbirth. People who are faced with varicose veins of the legs know how much trouble it causes.

Varicose veins

Rehabilitation

At the initial stage, varicose veins are mostly asymptomatic. Therefore, most patients seek help only when the disease is running, and it is necessary to resort to surgical intervention.

After surgery, the patient needs to go through a long recovery period. How long the rehabilitation period will last depends on the individual characteristics of the human body and compliance with all doctor's prescriptions. It is imperative to follow the recommendations of the surgeon after the operation, as you can harm your body, and the recovery period will last much longer.

Compliance with bed rest after surgery for a long time is a provoking factor in the development of thrombosis. One of the most dangerous complications of vein blockage is pulmonary embolism (PE), since in most cases it leads to lethal outcome. In order to avoid any negative consequences in the postoperative period, preventive measures should be taken - wear compression underwear. Manufacturers make operating tights, stockings and stockings from a special material that exerts even pressure on the veins over the entire surface of the legs. Antithrombotic products have their own compression class, there are various sizes. This allows you to choose the right product for you.

Anti-embolic stockings ERGOFORMA 2 compression class 25 mm Hg

Types of antithrombotic knitwear

There are two types of compression (elastic) knitwear:

• Hospital (antiembolic or antithrombotic). It should be worn to prevent the formation of blood clots after surgery on the blood vessels, as well as after surgery in the area abdominal cavity, organs of the small pelvis, on the spine, lower extremities. In hospital knitwear, the compression class (the degree of compression and pressure on the veins) is calculated by the manufacturers, taking into account the fact that the patient will be in a supine position for a long time. It is also very important for the normal course of the rehabilitation period.
• For everyday use, medical knitwear is produced in various types and sizes: stockings, stockings, tights.

Hospital stockings for childbirth and operations ANTI-TROMBO

Indications

Many people wonder why wear therapeutic knitted underwear, and what type of underwear is preferred - stockings, stockings or tights?

Compression stockings after surgery contribute to the discharge of blood from the superficial veins, thereby preventing the process of thrombosis. Also, hospital compression stockings or tights help to remove puffiness.

Hospital postoperative compression garments must be worn due to the fact that during surgery:

• the patient loses a lot of blood;
• blood viscosity increases;
• arterial pressure decreases.

Elastic stockings after Heavyotis operation

All this leads to the development of thrombosis, resulting in the development of dangerous consequences. Often women have to wear anti-embolic jerseys after childbirth. When a woman has signs of varicose veins, products with elastic compression are worn during delivery. In this case, the compression class must be selected individually, taking into account the severity of the pathology and the size of the product.

Hospital jersey provides compression over the entire surface of the legs, which allows you to maintain a normal blood circulation process, prevents venous stasis, thereby preventing the formation of blood clots.

Your attending physician will help you to choose the right knitted medical garments (tights, stockings or golfs). Manufacturers provide their own table for selecting product sizes, taking into account the compression class.

Compression stockings after vein surgery

Cost and duration of operation

A frequently asked question is how much do antithrombotic garments cost and how long can they be worn? Therapeutic knitted anti-embolic tights, stockings or stockings, unfortunately, have a high cost. You should not buy very cheap products, as their wear resistance is much less. How long they will serve you depends on how you will. Manufacturers claim that the compression class lasts from 4-9 months. Products need careful care. Hand wash in warm water, do not tumble dry.

Compression stockings Mediven anti-embolic stockings THROMBEXIN

How to choose

The choice of antithrombotic knitwear for surgery must be approached with due attention, as it has big influence to your health. To obtain effective results, it is very important to choose the right anti-thrombotic tights, stockings or stockings. When choosing a piece of clothing, it is necessary to take into account the class (degree) of compression, choose the size.

Compression degree

There are four compression classes:

• The first class is used for the prevention of various diseases of the blood vessels in humans, including recommended for women during pregnancy to relieve swelling and a feeling of heaviness in the legs. Products of this class are used after surgery.
• Antithrombotic jerseys of the second degree of compression and pressure are recommended to be worn with edema, after injuries to the lower extremities, for women during pregnancy in the presence of the second stage of varicose veins. Can be worn during surgery.
• The third class is used to prevent the recurrence of long-term non-healing wounds (trophic ulcers), orthostatic hypotension, deep vein thrombosis. Often used during surgery.
• The fourth class is used to treat progressive lymphostasis and in the last stages of varicose veins.

Stockings long anti-embolic RelaxSan Medicale Anti Embolism ECO class 2 M1370AL

Antithrombotic jerseys are a piece of clothing and are produced by manufacturers in various forms (tights, golfs, stockings). To extend the service life and ease of use, each product is distinguished by a variety of sizes, models, colors and textures. To choose the right size, you need to take measurements of the leg in the area of ​​​​the foot, lower leg, thigh, knee. On the packaging of the product, manufacturers indicate a dimensional grid, which takes into account the height and weight of a person. By comparing these parameters, you can correctly determine the size you need. The garments are available in small to large sizes. Before purchasing the product, it is better to consult with your doctor.

Selection table for compression stockings

Most patients are always wondering how long to wear compression underwear? On the first day after, it is not allowed to remove antithrombotic stockings at all. Then for seven days they can be worn as needed. But if the patient's disease proceeded in an advanced form, as a result of which a complex surgical intervention was carried out, then the duration and time of wearing are extended from two months or longer.

If a we are talking about people who go in for sports, then, regardless of the course of the postoperative period, the duration of being in stockings increases significantly. This is due to the fact that even small physical exercise have a detrimental effect on the lower extremities, especially if surgical treatment was performed. In order to reduce the harmful effects during sports, it is not recommended to remove knee-highs or stockings. How long should athletes wear antithrombotic stockings, it is better to ask your doctor.

Wearing compression underwear is an integral part after surgical treatment, sclerotherapy, radiofrequency obliteration, endovasal laser coagulation of varicose veins.

And some secrets...

Have you ever tried to get rid of varicose veins yourself? Judging by the fact that you are reading this article, the victory was not on your side. And of course you know firsthand what it is:

• again and again to observe the next portion of spider veins on the legs
• wake up in the morning with the thought of what to wear to cover swollen veins
• suffer every evening from heaviness, schedule, swelling or buzzing in the legs
• constantly seething cocktail of hope for success, agonizing expectation and disappointment from a new unsuccessful treatment

Now answer the question: does it suit you? Is it possible to put up with this? And how much money have you already "leaked" on ineffective ointments, pills and creams? That's right - it's time to end them! Do you agree? That is why we decided to publish exclusive interview with the head of the Institute of Phlebology of the Ministry of Health of the Russian Federation Viktor Mikhailovich Semenov, who told how to defeat VARICOSIS in one or two weeks and protect yourself from cancer and blood clots at home...

On the lower extremities - one of the most common diseases today. The veins lose their elasticity (due to a very thin muscle layer), expand (due to disruption of the valves and reverse blood flow) - as a result, patients report such unpleasant and painful symptoms as burning, cramps, heaviness in the legs.

For many years, experts around the world have been fighting to improve the quality of life of patients with varicose veins and are looking for new ways to treat the pathology. Specialized postoperative stockings are recognized as one of such effective methods.

Surgical treatment for varicose veins

In the treatment of varicose veins, both are used. The latter is preferable, since medications, wearing special underwear, unfortunately, have a purely symptomatic or preventive effect, without affecting the underlying cause of the disease.

However, with the combined use of conservative and surgical methods, the highest positive results are noted than with the use of only invasive operations.

In the arsenal of a modern surgeon there are several methods of surgical treatment of varicose veins. The following are most commonly used:

Each of the above methods has its own advantages and disadvantages. For example, among the minuses there are such phenomena as: the likelihood of relapse (with sclerotherapy), scarring, the occurrence of complications, a relatively long period of rehabilitation, and so on.

Therefore, a doctor's consultation is a necessary and important point before making a decision in choosing a method of surgical intervention - only a specialist will be able to accurately establish all the indications and contraindications for each individual patient.

Compression stockings during surgery: is there a need?

Compression stockings are a highly specialized knitted product intended for use during surgical interventions - abdominal operations, operations on the spine, legs, as well as during caesarean section.

Putting on special compression underwear by the patient during the operation is a mandatory item that must be strictly controlled by both the patient himself and his attending physician. They protect the veins from the formation of blood clots, the occurrence of air embolism.

The principle of operation of stockings is that their compression elastic fabric exerts on the veins external pressure, which does not allow the pressure inside the vessels to decrease. There is a uniform distribution of the load, the outflow of blood is accelerated towards the heart (from the lower extremities), which prevents its stagnation and clotting. At the same time, the mechanism of "suction" of air bubbles into the vessel is suppressed and the risk of blockage is significantly reduced.

How much do these stockings cost? Them the price range varies from 600 to 1000 or more rubles at various pharmacies. Many patients prefer to order the product through online stores.

Attention! In no case should you try to save money by replacing stockings with elastic bandages that were previously used in medicine for the same purpose - many studies have shown that they are in many ways inferior to modern medical knitwear in a number of properties.

Their biggest disadvantage is the inability to use when moving - the bandages do not have a reliable fixation on the patient's leg, they shift, unwind, pinching the limbs to an even greater extent.

How to choose the right stockings for surgery

We will figure out how to choose compression stockings for surgery and which ones are better. At first glance, hospital (that is, put on immediately before the intervention and removed only a few weeks after it) varicose stockings for surgery are no different from ordinary everyday compression stockings. However, they have a number of features:

The attending physician can help the patient in choosing stockings for surgery - do not hesitate to contact him in case of any questions.

How to put on compression stockings

There are several simple rules for putting on stockings:

1. The patient puts on stockings in the supine position, on clean, dry skin of the legs.
2. Previously, each stocking is turned inside out.
3. In case of any difficulties, they can be put on not only manually, but also using a special mechanical device (this is especially indicated for weakened, elderly patients).
4. Manually roll the stocking from the top to the sock, pull the sock over the foot, gently draw along the leg, unfolding the fabric along its entire length, smoothing out the wrinkles.
5. When using the device, the machine independently collects the stocking. The patient can only put his foot into it and pull the compression stocking up to the thigh.
6. During all the manipulations, it is very important to follow the correct sequence of using the elastic product, as there is a risk of damaging the thin fibers of the tissue and leveling its therapeutic effect. Stockings are worn on the day of surgery in the morning, immediately after waking up, without getting out of bed.

How long to wear compression stockings after surgery and when to remove them

Recommendations for choosing the size of compression stockings

Stockings must be worn for at least 14 days after surgery, and for the first 3 days they cannot be removed at all. The minimum service life of the product is 1 week, the maximum is 30 days.

As a rule, in the future it is allowed to make preventive pauses in wearing stockings - starting with a night's rest and gradually increasing the time up to several days of break.

Conclusion

Varicose veins of the lower extremities is an insidious disease that in a short time changes the habitual rhythm of the patient's life and significantly reduces the quality of his life as a whole. Fortunately, there are many ways to solve this problem - from preventive conservative therapy to major surgery - in the most radical, encouraging way.

To maintain the effect after surgery, experts strongly recommend using special compression stockings during it, the most popular option of which is elastic surgical stockings. It is also necessary to apply compression products and some time after the operation. The terms of their wearing are selected by the attending physician of the patient in each case.

In contact with

Compression stockings are specially designed medical products that put pressure on different parts of the legs with different force. In the area of calf muscles they are the most dense, and in the knee / thigh area the density is already smaller.

Compression stockings perform the following functions:

• improve blood circulation;
• reduce the likelihood of blood clots in the veins;
• relieve pain, swelling and discomfort.

The manufacturing process of this compression product uses elastic fabrics that can compress muscle tissue so that blood circulation from the lower body to the heart is free, therefore, there will be no venous stasis of blood in the legs.

Basically, doctors prescribe stockings at the initial stage of varicose veins (bloating of peripheral veins under the skin). If the disease is running, then doctors recommend purchasing varicose stockings for surgery. And how to choose compression stockings for surgery, and which ones are better, let's figure it out.

Compression underwear is:

• preventive (pressure 15–18 mm Hg) - designed for everyday wear.
• therapeutic elastic and anti-embolic (pressure over 18 mm Hg. Art.) - designed to be worn after operations in the lower body, for example, in the abdominal cavity, groin or on the blood capillaries in the legs.

Compression underwear has four degrees of compression:

1. The first (pressure 18–21 mm Hg) is worn at the initial stage of varicose veins or in the presence of pain / swelling in the legs after exercise.
2. The second (pressure 23–32 mm Hg) - put on in the presence of the second and third stages of varicose veins, and also if there is phlebothrombosis.
3. Third (pressure 34–46 mm Hg) - put on in the presence of the fourth and subsequent stages of varicose veins with trophic complications.
4. The fourth (pressure over 46 mm Hg. Art.) - are used to eliminate violations of the lymph flow, they are mainly worn by patients who are on hospital treatment after operations.

Why are they needed?

So why do we need surgical stockings? First, it is worth noting that they prevent the development of pulmonary embolism. And secondly, elastic compression stockings for the operation of the product perform a number of functions. Here are the most basic ones:

• during the operation, the pressure in the veins is distributed in such a way that the outflow of blood is accelerated from the legs towards the heart;
• on the legs in soft tissues reduce the accumulation of fluid;
• shorten the recovery time after surgery;
• prevent air embolism before surgical interventions and laparoscopic operations.

How to wear?

Compression underwear can be put on manually or with a device specially designed for this purpose.

How to wear compression stockings for surgery manually:

• be in a supine position;
• neatly assemble the product from the top to the toe;
• insert the sock into the product and pull it over the leg with a little effort.

How to wear using a special tool:

• carefully from the top to the toe to assemble on the device;
• insert the sock into the stocking located on the device and pull it over the leg with a little effort.

How much to wear?

How, how much to wear and when to remove compression stockings after surgery can only be answered by a doctor. Usually postoperative stockings are worn from one week to one month, but if there are complications or varicose veins of an advanced stage, then they are worn much longer.

How much to wear stockings after laparoscopy, only the doctor will say the same. But usually after such an operation, medical products are worn for 24 hours 10-14 days. After that, you need to consult with a specialist who will tell you what to do next.

How to choose?

The main factor in choosing such underwear is the degree of compression. After all, it depends on it what pressure the products will exert on the muscles of the legs.

After you have decided on the degree of compression, you need to start choosing the length of underwear, which is up to the middle of the thigh, to the groin and with a zipper / fastener at the waist.

Do not forget that the disease itself also affects the choice. For example, a thigh-length compression stocking is appropriate if swollen veins are clearly visible in the calves, back of the knee, and mid-thigh.

In addition, you still need to choose the right size. In order to choose the correct size of the compression product, you need to arm yourself with a centimeter and take measurements (circumference of the lower leg and thigh). Next, compare the obtained data with the parameters with the dimensional grid of the product, located with reverse side packaging.

How to take Venarus venotonic? Read the article.

How much are?

You can buy compression underwear for 300 rubles, and if you buy stockings from the world's leading brands, the price will be much higher and vary from 1300 to 4000. The difference in price depends on three factors: the manufacturer, the duration of the wear and the design. But, despite this, all products have a healing property.

Conclusion

And in conclusion, I would like to note that doctors note a positive trend in the overall result of treatment when people use compression stockings not only after surgery, but also as a means of additional prevention of venous vessels.

Quite healthy people can wear such stockings for prevention.

Properly selected compression stockings have a powerful healing effect, they are comfortable to wear every day, and the products also look aesthetically pleasing on the legs. Such therapy helps to normalize blood flow, eliminates congestion in the lower extremities and brings stable improvements to problematic vessels.

How to choose compression products

To achieve a therapeutic effect is possible only with the help of underwear of a suitable size. The main rules you need to know before buying compression stockings for surgery: how to choose the size, class and model of the product.

Since therapeutic stockings are intended for long-term use, it is important to consider them hygienic properties. You should choose products that provide the feet with the most comfortable conditions.

It is recommended to wear stockings made of hypoallergenic material: they are more expensive, but keep the legs dry and do not exude an unpleasant smell.

Manufacturers make special marks showing that the product has a breathable, antimicrobial and hypoallergenic effect. Before buying, carefully inspect the packaging and select socks with the desired properties.

Also, there should be no seams on high-quality compression products - only in this way the tension is distributed evenly over the entire plane.

How to determine the size of compression stockings

Main recommendation: take measurements in the morning, preferably after waking up. In the afternoon, after a long walk, the legs swell, because the parameters are distorted. By morning, the limb will become narrower again, the medical stocking put on will be large and will not have the desired effect.

If it is not possible to measure the parameters in the morning, you can do it at another time, but having prepared in advance. Before measurements, you should get rid of the blood accumulated in the lower extremities by lying down for 20-30 minutes with your legs raised up. The minimum height of lifting the limbs is 15 cm above the level of the heart.

The circumference of the ankle (ankle) should be measured just above the bone, the circumference of the calf - in the widest possible place of the lower leg, the circumference of the thigh - at a height of 25-30 cm above the kneecap.

If there are difficulties with measurements, consultants of specialized stores can help. Their effectiveness depends on how correctly the measurements are taken and the size is selected. Stockings that are too tight will squeeze tissues and blood vessels, stimulating congestion.

If the product turns out to be large, then the compression will be distributed incorrectly: the therapeutic effect will be lost.

If the patient's measurements do not fall strictly in one size, we recommend that you consult a doctor: he will tell you what parameters you need to focus on in order to get a therapeutic result. With a non-standard addition of the figure, anti-varicose products can be sewn to order.

How to choose a class of medical stockings

For various operations, stockings with different degrees of tension are used.

Therefore, you should choose underwear, paying attention to the markings on the package. Manufacturers usually indicate the compression level (from 1 to 4) and the applied pressure (a numerical value in mmHg or hectopascals).

Healing stocking class	Compression (in mm Hg)	Compression (in GPa)	Indications for use
1	15-21	24-28	Isolated cases of vasodilatation, enlargement of the venous network. Appointed during pregnancy.
2	22-33	31-43	They are used for noticeable dilation of the veins that have arisen after vein surgery. Recommended for the prevention of thrombosis during surgical interventions (removal of the uterus, caesarean section, joint replacement).
3	34-46	45-61	They are prescribed after operations (most often in the field of gynecology) with significant vascular insufficiency.
4	From 49	From 65	This degree of compression is necessary for serious disorders in the body: post-thrombotic syndrome, severe lymphostasis.

In addition to the above classification, anti-varicose stockings of class A are additionally isolated, intended for prophylactic purposes. The compression they provide is 10-14 mm Hg. (or 13-19 GPa). Recommendations about the class required by the patient are determined by the phlebologist.

When choosing, the operating technique, the duration of the operation, the list of prescribed drugs for the postoperative period are necessarily taken into account.