Imperial College London
Alternate

Miss Celia V Riga

Faculty of Medicine, Department of Surgery & Cancer

Honorary Clinical Senior Lecturer
 
 
 
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Contact

 

c.riga

 
 
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Location

 

1003Queen Elizabeth the Queen Mother Wing (QEQM)St Mary's Campus

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Summary

 

Publications

Citation

BibTex format

@article{Bootun:2021:10.1097/sla.0000000000003626,
author = {Bootun, R and Belramman, A and Bolton-Saghdaoui, L and Lane, TRA and Riga, C and Davies, AH},
doi = {10.1097/sla.0000000000003626},
journal = {Annals of Surgery},
pages = {232--239},
title = {Randomized controlled trial of compression after endovenous thermal ablation of varicose veins (COMETA Trial)},
url = {http://dx.doi.org/10.1097/sla.0000000000003626},
volume = {273},
year = {2021}
}
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RIS format (EndNote, RefMan)

TY  - JOUR
AB  - Background: The 21st century has witnessed a rise in the use of endovenousthermal ablation. Being highly clinically and cost-effective and improving thequality of life of patients, they are now considered to be the ‘‘gold-standard’’treatment for varicose veins. Post-intervention management, especially interms of postoperative compression, however, remains unclear. As a result, arandomized study was undertaken to investigate the effects of wearingcompression stockings after varicose vein treatment.Method: Patients with saphenous vein reflux undergoing treatment withendothermal ablation (with or without concurrent phlebectomies) wererandomized to receive either 7 days of compression stockings or no stockings.The primary outcome measure for this study was the pain score over the first10 postoperative days. The pain scores, clinical score, time to return to normalactivities, and ecchymosis were assessed. Patients were followed-up at2 weeks and 6 months post-ablation.Results: In total, 206 patients were randomized, 49% of them to thecompression group. The mean age was 49.7 (16) years and approximately51% of the population was male. The median pain score in the compressiongroup using a visual analog scale was significantly lower on days 2–5,compared to the no compression group. Those having concurrent phlebectomies and compression stockings also had significantly better pain scores ondays 1–3, day 5, and day 7. Improvement in the median venous clinicalseverity score was noted at 6-month follow-up, but this was not significant. Nodifference in the generic- or disease-specific quality of life was observed andthe time to return to activities was similar. There were no differences in thedegree of ecchymosis between the 2 groups and both groups had similarocclusion rates.Conclusions: These results indicate that wearing compression stockings afterendothermal ablation is advantageous in the first few days after treatment andis especially benef
AU  - Bootun,R
AU  - Belramman,A
AU  - Bolton-Saghdaoui,L
AU  - Lane,TRA
AU  - Riga,C
AU  - Davies,AH
DO  - 10.1097/sla.0000000000003626
EP  - 239
PY  - 2021///
SN  - 0003-4932
SP  - 232
TI  - Randomized controlled trial of compression after endovenous thermal ablation of varicose veins (COMETA Trial)
T2  - Annals of Surgery
UR  - http://dx.doi.org/10.1097/sla.0000000000003626
UR  - https://insights.ovid.com/crossref?an=00000658-900000000-94733
UR  - http://hdl.handle.net/10044/1/75795
VL  - 273
ER  -
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