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Oedema associated with chronic venous disorders: role of compression therapy Volume 31, issue 3, May-June 2019

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Author
Médecine vasculaire, 30, place Louis-Jouvet, 38100 Grenoble, France
* Tirés à part

Oedema as a complication of venous disorders can lead, over a long period of evolution, to trophic changes and a loss of distal leg mobility if untreated. Compression therapy is the key treatment of lower limb oedema. Despite poor clinical data, it is recommended to use bandages at the initial phase, over a short period of time, in case of severe oedema. Compression stockings are used during the maintenance phase. Nonetheless, this strategy must be adapted from patient to patient in order for the patient to adopt compression for life. Superimposed stockings, air pressotherapy and auto-adjustable compression devices are ways to increase patient adherence. Compression must be associated with postural drainage, physiotherapy. Since compression therapy using bandages can have adverse-events, a rigourous follow-up is mandatory.

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