Name of the Procedure:

Common name(s): Surgical Stockings, Compression Stockings, Full-Length Stockings
Technical/medical term: Graduated Compression Stockings (HCPCS Code: A4510)

Summary

Surgical stockings, also known as compression stockings, are specially designed hosiery that helps promote blood flow and reduce swelling and discomfort in the legs. They are often made of elastic material and are worn up to the knee or thigh.

Purpose

Conditions addressed:

• Chronic venous insufficiency
• Deep vein thrombosis (DVT)
• Edema (swelling)
• Varicose veins
• Post-surgical recovery

Goals/expected outcomes:

• Enhance blood circulation in the legs
• Reduce swelling
• Provide relief from pain and discomfort
• Prevent formation of blood clots

Indications

Symptoms/conditions:

• Chronic leg pain or swelling
• Varicose veins
• Post-surgical requirements for improved circulation
• Risk factors for blood clots
• Heavy or aching legs, especially after prolonged periods of standing or sitting

Patient criteria:

• Individuals with diagnosed venous disorders
• Post-operative patients requiring enhanced circulation
• Those with limited mobility or prolonged sitting/standing durations

Preparation

Pre-procedure instructions:

• No special fasting requirements
• Ensure the skin is clean and dry

Diagnostic tests or assessments:

• Pre-measurement of legs to ensure proper stocking size
• Venous ultrasound if there's a suspicion of DVT

Procedure Description

Step-by-step explanation:

1. Measurement: Proper sizing of the stockings is essential; measurements of the ankle, calf, and sometimes the thigh are taken.
2. Application: The stockings are put on starting from the toes and gradually rolled or pulled up to the knee or thigh.
3. Adjustment: Ensure there are no wrinkles or folds to prevent restricted blood flow.

Tools/equipment:

• Measuring tape for accurate sizing
• Special stocking applicators or donning devices (for patients with limited hand strength or dexterity)

Anesthesia or sedation:

• Not applicable

Duration

Typically takes a few minutes for application.

Setting

Performed either at home, in a medical office, clinic, or during a hospital visit.

Personnel

Healthcare professionals involved:

• Typically, a nurse or medical assistant for initial fitting
• Instruction for patient self-application often provided

Risks and Complications

Common risks:

• Skin irritation or redness if the stockings are too tight
• Discomfort or pain if improperly fitted

Rare risks:

• Severe allergic reactions to material
• Restricted blood flow if not fitted correctly

Possible complications:

• Monitoring and adjustment to avoid complications; typically managed by reassessment and refitting

Benefits

Expected benefits:

• Immediate relief from swelling and discomfort
• Improved circulation in the lower extremities

Realization of benefits:

• Often immediate, with full benefits realized with consistent, proper use

Recovery

Post-procedure care:

• Regular inspection of skin for irritation
• Hand wash stockings regularly and air dry

Expected recovery time:

• Varies depending on the condition being treated, ongoing as long as the condition persists or as recommended by the physician

Restrictions/follow-up:

• Regular follow-up for reassessment and new measurements, especially if weight changes or swelling patterns alter

Alternatives

Other treatment options:

• Medication (e.g., anticoagulants)
• Surgical intervention for severe varicose veins
• Regular leg elevation and exercise

Pros and cons:

• Compression stockings pros: Non-invasive, immediate relief, easy to use
• Compression stockings cons: Potential discomfort, need for regular maintenance and replacement
• Medical alternatives pros/cons vary widely based on invasiveness, cost, and severity.

Patient Experience

During the procedure:

• Mild stretching or tightness as the stocking is applied
• Generally not painful

After the procedure:

• Sensation of snugness or firmness around the legs
• Possible initial discomfort which usually subsides

Pain management:

• Mild discomfort may be managed with proper fitting and gradual acclimatization to wearing stockings.