Abstract
Medical compression therapy of the extremities with medical compression stockings (MCS), phlebological compression bandages (PCB), and medical adaptive compression systems (MAC) : S2k guideline of the German Phlebology Society (DGP) in cooperation with the following professional associations: DDG, DGA, DGG, GDL, DGL, BVP.
Highlights
This S2k guideline was published online by the AWMF in early 2019 and is valid until 30.12.2023
These guidelines do not cover compression therapy with medical thrombosis prophylaxis stockings (MTPS) or with intermittent pneumatic compression (IPC), which are treated in other guidelines (AWMF 003-001, S3; AWMF 037-001, S1)
While phlebological compression bandages (PCB) and medical adaptive compression systems (MAC) are usually applied in the decongestion phase, medical compression stockings (MCS) and ulcer stocking systems are used in the longterm therapy and maintenance phases, and MCS in prevention
Summary
Therapy with medical compression stockings (MCS) or phlebological compression bandages (PCB) is indispensable in the treatment of phlebological and lymphological diseases of the arms and legs. The elastic properties of the final bandage system, and its stiffness, can be altered by wrapping bandages over one another in several layers and by the use of different materials In this way, a PCB consisting of several layers of individual elastic bandages can assume the properties of inelastic bandaging on the leg. Medical adaptive compression systems (MAC) are called adjustable compression wrap devices They consist of mostly inelastic materials and are fixed with Velcro or equivalents suchas hooks. Medical compression therapy shall be an integral component of the treatment of phlebological disease It can be applied by MCS, PCB, or MAC. Special knowledge and experience are necessary, for diagnosis, differential diagnosis, risks, and contraindications, and for ordering contemporary compression materials and for the application technique
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