Thigh compression of the great saphenous vein area after venous procedures: Literature Review and Practical Recommendations

Thigh compression of the great saphenous vein area after a venous procedure is a debated topic, due to the lack of consensus in the scientific literature. Existing studies are often imprecise and methodologically biased, but some data suggest a potential interest in this practice. An interface pressure of at least 40 mmHg is required to reduce the caliber of the great saphenous vein in the thigh in standing position. To achieve this pressure, the superimposition of 2 compression stockings (15-20 or 18-21 mmHg) combined with an eccentric compression (pad) is effective. The application of a pad, consisting of rolls of cotton compresses or polyurethane foam, provides localized pressure while minimizing the risk of skin irritation or blisters. After surgical, thermal or foam procedures, the use of compression has shown a significant reduction in post-procedure pain. A wearing period of less than 7 days seems adequate to optimize benefits without discomfort.