Effect of Impulsive Compression Treatment on Postoperative Complications After Open Peripheral Vascular Revascularization (In Situ): Protocol for a Randomized Control Trial

JMIR Research Protocols
Tenna KlitHans Ravn

Abstract

In patients with critical leg ischemia (CLI), the standard operative choice is an in situ bypass to the lower extremity to improve the patients´ prognosis and quality of life. Postoperative complications after surgery occur in 18 % of the patients, prolonging hospitalization and convalescence. The main operative complication is edema. This can be prevented by early mobilization or stimulation of the natural venous pump in the leg. To investigate whether compression therapy with foot pump reduces postoperative edema, facilitates wound healing of the operation wounds, promotes healing of ischemic ulcers, and shortens hospitalization, increasing and improving the patient's subjective quality of life faster. The protocol is designed as a randomized, unblinded prospective study with 50 patients in each group. Standard postoperative routines after bypass surgery, including short-stretch bandaging of the operated legs, are compared to supportive stimulation of the venous pump by an impulsive compression foot pump. The postoperative edema of the leg is measured 10 cm below the patella and 8 cm proximal to the medial malleolus. Measurements are performed preoperatively, 1 and 4 days postoperatively and at discharge. The primary endpoint...Continue Reading

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References

Jan 1, 1992·The Journal of Bone and Joint Surgery. British Volume·N V WilsonJ E Nixon
Sep 1, 1990·The Journal of Bone and Joint Surgery. British Volume·A M GardnerA G MacEachern
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Apr 6, 2005·Journal of Clinical Anesthesia·Koichi YamashitaMasanobu Manabe
Jul 11, 2006·Journal of Vascular Surgery·William A MarstonBlair A Keagy

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