Phlebologie 2019; 48(05): 321-324
DOI: 10.1055/a-0986-1720
Review
© Georg Thieme Verlag KG Stuttgart · New York

The new S2k Guideline: Medical compression therapy of the extremities with medical compression stockings (MCS), phlebological compression bandages (PCB) and medically adaptive compression systems (MCS)

Article in several languages: deutsch | English
Markus Stücker
1   Klinik für Dermatologie der Ruhr-Universität Bochum, Venenzentrum der Dermatologischen und Gefäßchirurgischen Kliniken, Kliniken der Ruhr-Universität Bochum, Dermatology Department of the Ruhr University Bochum, Centre for Venous Disorders of the Departments of Dermatology & Vascular Surgery, Ruhr University Bochum Hospitals
,
Eberhard Rabe
2   Praxis Dermatologie Phlebologie Bonn
› Author Affiliations
Further Information

Publication History

12 July 2019

12 July 2019

Publication Date:
09 September 2019 (online)

Abstract

For the first time, the new guideline for medical compression therapy addresses the different options of phlebological compression therapy. It assigns the phlebological compression bandage (PCB) and the medically adaptive compression system (MAC) primarily to the decongestion phase, medical compression stocking (MCS) to the maintenance phase. The use of flat-knit MCS is not attributed to a specific diagnosis, but to specific findings of the patient. The higher stiffness allows the use with therapy-resistant edema, the higher flexural rigidity in case of skin folds and the ability to individually increase or decrease the stitches of flat knitwear the use of exceptional caliber differences of the legs. In order to improve adherence, the lowest possible compression classes should be used for MCS. Many aspects of PCB have to be taken into account, from which results the limitation of PCB to the decongestion in this guideline. More than ever before, the goal of compression therapy is to improve patient’s quality of life.

 
  • Literatur / References

  • 1 Rabe E, Földi E, Gerlach H. et al. Die neue S2k Leitlinie: Medizinische Kompressionstherapie der Extremitäten mit Medizinischem Kompressionsstrumpf (MKS), Phlebologischem Kompressionsverband (PKV) und Medizinischen adaptiven Kompressionssystemen (MAK). Im Internet: https://www.awmf.org/leitlinien/detail/ll/037-005.html