Hugo Partsch

Hugo Partsch
Medical University of Vienna | MedUni Vienna · Division of General Dermatology

M.D. Emeritus Professor; RETIRED

About

515
Publications
141,308
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13,132
Citations
Introduction
Compression therapy Experiments with Mannequin leg (Hirai) Stiffness of different compression devices

Publications

Publications (515)
Article
Full-text available
Background: Compression therapy is an important part of the treatment of patients with lymphedema or chronic venous disease. However, there is no validated questionnaire evaluating the effect of compression and its acceptance by the patient. Therefore, the aims of this study were to construct a questionnaire evaluating the effect of compression and...
Article
Objectives The aim of this study was to illustrate how compression is performed worldwide in proximal DVT and if compression management has changed recently. Methods A global online survey, consisting of 36 questions, was used. The survey was solicited from membership lists of Union Internationale de Phlébologie (UIP) membership societies. For dif...
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This is Waldemar as we know him: incorruptibly believing on his own experience; which revolutionized conventional ideas concerning basic facts on physiology and pathology of tissue function. He was the first who described the contractility of normal lymphatics, and was a scientific pioneer in many other subjects, e.g. the long-term treatment of rec...
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The aim of this study was to investigate if compression therapy (CT) can be safely applied in diabetic patients with Venous Leg Ulcers (VLU), even when a moderate arterial impairment (defined by an Ankle-Brachial Pressure Index 0.5-0.8) occurs as in mixed leg ulcers (MLU). Materials and methods: in one of our previous publications we compared the...
Article
Objective The aim of this study was to test whether an investigational two layer stocking exerting 27–29 mmHg pressure at the medial supramalleolar level, but without compression in the foot and heel, is easier to put on and take off than a standard stocking of the same compression class (23–32 mmHg), and also to assess the prevention of diurnal oe...
Article
Response to letter to editor re: “Risks and contraindications of medical compression treatment – A critical reappraisal. An international consensus statement” Dear Editor, We read the letter of D. Rastel with great interest.1 The aim of our consensus paper was to review the available literature, to undertake a critical appraisal of reported side ef...
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Objectives: Medical compression therapy is used for non-invasive treatment of venous and lymphatic diseases. Medical compression therapy-associated adverse events and contraindications have been reported, although some contraindications are theoretically based. This consensus statement provides recommendations on medical compression therapy risks...
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Objective The conservative treatment of post-thrombotic syndrome includes application of compression on the affected extremity. However, the type and the level of compression required to manage post-thrombotic syndrome are still unclear. The aim of our proof-of-concept study was to assess the compression required to reduce cross section area of pos...
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Guidelines are fundamental in addressing everyday clinical indications and in reporting the current evidence-based data of related scientific investigations. At the same time, a spatial and temporal issue can limit their value. Indeed, variability in the recommendations can be found both among the same nation different scientific societies and amon...
Article
Zusammenfassung Vor Beginn einer Kompressionstherapie ist die Abklärung einer begleitenden peripheren arteriellen Verschlusskrankheit wichtig. Hierfür sind der Buergers Test und der Pole Test einfache klinische Untersuchungsmethoden zur Überprüfung der arteriellen Perfusion.
Article
Introduction Compression therapy by inelastic bandages is highly effective in achieving venous leg ulcer healing. Inelastic bandages may be expensive as they need to be changed and discarded at every dressing change. In addition, correct application is difficult in the clinical practice, even by expert healthcare personnel. The aim of our work was...
Article
Background The pressure exerted by a compression device on a part of the body corresponds to the dosage of the compression therapy. Therefore, the pressure course under compression materials should be investigated in different clinical situations. Material and methods Pressure measurements were carried out under different compression materials in...
Article
Background: For the currently used compression therapy, the applied compression pressure is usually inadequate to exert an effective impact on the veins in different body positions. The aim was to assess the venous ejection fraction achieved by a new compression device which automatically adjusts the interface pressure to body position in an acute...
Chapter
Compression is the mainstay of management of ambulatory venous hypertension, the most common sequel of which is venous leg ulceration. The logic for selecting compression is based on physical principles governing tension, pressure, volume as elegantly enshrined in the works of French mathematician philosophers Laplace and prior to him, Pascal. The...
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Guideline 1.1: Compression after thermal ablation or stripping of the saphenous veins. When possible, we suggest compression (elastic stockings or wraps) should be used after surgical or thermal procedures to eliminate varicose veins. [GRADE - 2; LEVEL OF EVIDENCE - C] Guideline 1.2: Dose of compression after thermal ablation or stripping of the va...
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Based on the historic reports about the life of Peregrine Laziosi (1265-1345) and a post-mortem examination 638 years after his death, the most probable diagnosis in this case was a venous ulcer on his right leg. As an act of penance, he did not lie down but stood in an upright position, praying to God for most of his adult life. Therefore he devel...
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Background: In a previous randomized controlled trial it has been demonstrated that arm compression sleeves worn immediately after breast cancer surgery, including axillary lymph node removal in addition to physical therapy are able to reduce the occurrence of early postoperative swelling and of arm lymphedema up to 1 year and to improve quality o...
Article
Aim: Self-application of properly performed compression bandages is generally considered as problematic. Therefore, the aim of this study was to measure the pressure of self-applied short stretch adjustable compression wrap compression systems (Juxta fit™) and to compare the results with the pressure achieved by bandaging other legs using the same...
Chapter
Compression therapy is the cornerstone of conservative therapy in lymphedema patients.
Article
Background: After breast cancer surgery patients are at higher risk of lymphedema development and decreasing physical activity (PA), as well as decreasing health-related quality of life (HRQOL). The aim of the study was to compare the level of PA and HRQOL in women after breast cancer surgery using light arm compression with women not using compre...
Article
Introduction: Bandage application does not exert consistent compression pressure, leading to extremely variable compression when applied to patients. A new elastic bandage can exert a predefined pressure independently of healthcare providers and the size of the wrapped limb. The bandage system includes a series of non-stretchable patches that when...
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p>Severe forms of chronic venous insufficiency and lymphedema require strong compression-pressure, which exceeds the pressure exerted by medical compression stockings (>40 mmHg). The aim was to investigate if patients are able to apply a Velcro-band compression device (Circaid Juxta Lite™) themselves with sufficient pressure. Thirty-one patients (C...
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Context: Breast cancer related lymphedema (BCRL) remains one of the major long-term complications after surgery. Many reports showed the effectiveness of compression in BCRL treatment but randomized controlled trials evaluating compression garments for postoperative prevention are lacking. Objectives: The aim of the study was to evaluate the pot...
Article
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Introduction: The adequate use of compression in venous leg ulcer treatment is equally important to patients as well as clinicians. Currently there is a lack of clarity on contra-indications, risk factors, adverse events and complications, when applying compression therapy for venous leg ulcer patients. Methods: The project aimed to optimize pre...
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This case report demonstrates that arterial ulcers may heal with compression therapy. The patient was a 72-year-old woman with elevated blood pressure and type II diabetes mellitus, who underwent angiography because of a painful, non-healing ulcer over the shin. The angiography showed multisegment arterial occlusive disease, not amenable to surgica...
Article
Compression therapy is the basis for successful treatment in most patients with venous leg ulcers. Concerning compression therapy, the initial phase of decongestion and the following phase of maintenance should be differentiated. While in the maintenance phase (ulcer) stocking systems are now frequently recommended, in the decongestion phase compre...
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Objective Medical compression stockings are a standard, non-invasive treatment option for all venous and lymphatic diseases. The aim of this consensus document is to provide up-to-date recommendations and evidence grading on the indications for treatment, based on evidence accumulated during the past decade, under the auspices of the International...
Article
Wund-D.A.CH. ist der Dachverband deutschsprachiger Fachgesellschaften, die sich mit den Thematiken der Wundbehandlung beschäftigen. Experten verschiedener Fachgesellschaften aus Deutschland, Österreich und der Schweiz haben nun einen aktuellen Konsens der Kompressionstherapie für Patienten mit Ulcus cruris venosum erstellt. In Europa ist das Ulcus...
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Wund-D.A.CH. is the umbrella organization of the various wound care societies in German-speaking countries. The present consensus paper on practical aspects pertinent to compression therapy in patients with venous leg ulcers was developed by experts from Germany, Austria, and Switzerland. In Europe, venous leg ulcers rank among the most common caus...
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The compression pressure, which corresponds to the dosage of compression therapy, has been widely neglected up to now, not only concerning scientific literature, but also in clinical practice. It is evident that compression pressures in the upright position and during walking are clinically more relevant than just the resting pressure. The Static S...
Chapter
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Compression garments are popular among competitive and recreational athletes alike. The debate about the efficacy of compression garments in sport is similarly popular, spanning the scientific literature, public press, social media, and the sports field itself. In this chapter we aim to assist both researchers and the general reader by discussing t...
Article
Objective/background: Peripheral arterial occlusive disease (PAOD) is reported in about 15-20% of patients with venous leg ulcers (VLU). In such cases arterial recanalization is often recommended, and compression therapy is considered a contraindication when the ankle brachial pressure index (ABPI) is < 0.8. The aim of this study was to compare th...
Article
In this review article the mechanisms of action of compression therapy are summarized and a survey of materials is presented together with some practical advice how and when these different devices should be applied. Some new experimental findings regarding the optimal dosage (= compression pressure) concerning an improvement of venous hemodynamics...
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Der angiologische Kompressionsverband und das entsprechende fertige textile Gestricke stellen eine wesentliche Säule der Therapie phlebologischer und lymphologischer Erkrankungen dar. Beide besitzen einen genau definierten Anpressdruck. Die Binde- und Stricktypen unterscheiden sich hinsichtlich der verwendeten Materialien (Polyamid, Elastan, Baumwo...
Article
The classification of medical elastic compression stockings (MECS) according to pressure classes varies from country to country and neither provides any information on the elastic property nor on the ambulatory interface pressure profiles of the different products. Beside elasticity, MECS are also characterized by other properties such as stiffness...
Article
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There are excellent guidelines for clinicians to manage venous diseases but few reviews to assess their hemodynamic background. Hemodynamic concepts that evolved in the past have largely remained unchallenged in recent decades, perhaps due to their often complicated nature and in part due to emergence of new diagnostic techniques. Duplex ultrasound...
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Phlebological and Lymphological Compression Treatment: Angiological Compression Bandage, Compression Knits. The angiological compression bandage and the corresponding finished textile knits represent a major pillar in the therapy of phlebologic and lymphologic diseases. Both possess a precisely defined contact pressure. The connective and knitting...
Article
To characterize and compare interface pressure profiles of an adaptive compression therapy (ACT) device and a traditional 4-layer bandage (4LB) system. A prospective, randomized, open-label, 1-arm, active controlled study. The sample comprised 12 healthy volunteers. Subjects wore both devices for 8 hours on 3 consecutive days. Treatments were rando...
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The objective of this study was to compare the efficacy and comfort of inelastic bandages (IBs) and adjustable Velcro(®) compression devices (AVCDs) in reducing venous leg edema in the initial treatment phase. Forty legs from 36 patients with untreated venous edema (C3EpsAsdPr) were randomized to two groups. Patients in the first group received IBs...
Article
The main points in this scholarly review on the use of compression therapy in leg ulcers are the different modes of action of this treatment and the tools that are available including their practical applicability and use for self management. Due to its effect of counteracting gravity, compression is also suggested for ulcers with aetiologies that...
Article
Full-text available
The classification of medical elastic compression stockings (MECS) according to pressure classes varies from country to country and neither provides any information on the elastic property nor on the ambulatory interface pressure profiles of the different products. Beside elasticity, MECS are also characterized by other properties such as stiffness...
Article
Aim of the study was to measure the effect of elastic and inelastic compression on calf muscle pump function in healthy male athletes. This was an experimental study which included 21 healthy male athletes. The ejection fraction (EF) of the venous calf pump was measured comparing the effects of a variety of compression materials: 1) sport compressi...
Article
The International Compression Club, a collaboration of medical experts and industry representatives, was founded in 2005 to develop consensus reports and recommendations regarding the use of compression therapy in the treatment of acute and chronic vascular disease. During the recent meeting of the International Compression Club, member presentatio...
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The recent change of the name of an American specialty board from ‘phlebology’ to ‘venous and lymphatic medicine’ (i.e. American Board of Venous and Lymphatic Medicine) reflects a broad change in contemporary concept regarding the venous-lymphatic circulation. Vein and lymphatic systems are delicately connected via the capillary system at the tissu...
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Zusammenfassung Einleitung: Die Empfehlung von Kompression und Mobilisierung im akuten Stadium einer Thrombose, zusammen mit exakter Antikoagulation, beruht vorwiegend auf Erfahrung. Schwerpunktmäßig konzentrieren sich die meisten Therapie-Studien auf das Schicksal der Thromben. Einige randomisierte Vergleichsstudien konnten zeigen, dass ein derart...
Article
Background Previous studies have shown that so-called progressive elastic compression stockings (PECS) with a negative pressure gradient have a more pronounced effect on venous pump function than conventional, graduated stockings. The aim of this study was to investigate the effect of higher graduated and non-graduated pressures on the venous calf...