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Foam sclerotherapy combined with surgical treatment for recurrent varicose veins: short term results.
Eur J Vasc Endovasc Surg. 2007 May; 33(5):619-24.EJ

Abstract

OBJECTIVE

To study the short term results of combined peroperative foam sclerotherapy (PFS) and surgical treatment for recurrent varicose veins.

METHODS

PFS was used to treat 129 limbs with recurrent varices: 100 great saphenous (GSV), 29 small saphenous veins (SSV). Foam was prepared with 1% polidocanol mixed with 4 times its volume of air. The 100 GSVs comprised 28 trunks directly connected with the femoral vein, 28 connected to a lymph node venous network, 11 associated with perforators and 33 isolated trunks. The 29 SSVs comprised 4 trunks directly connected to the popliteal vein, 7 isolated trunks, 15 popliteal perforators and 3 recanalisations after SSV stripping. All operations included phlebectomies. In twenty limbs re-ligation of the SFJ and 4 SPJs was carried out. All were performed under local anaesthesia in an ambulatory setting. Patients were assessed clinically and by colour duplex ultrasound after 3 and 40 days follow-up.

RESULTS

120 patients (93%) showed complete obliteration of saphenous trunks, junctions and varices. The 9 incomplete obliterations were 3 venous recanalisations in the SSV compartment and 6 perforators (4 popliteal and 2 femoral). Two asymptomatic deep venous thromboses were detected by colour duplex 3 days after operation.

CONCLUSION

PFS facilitates surgical treatment of recurrent varicose veins. There is a small risk of post-operative deep vein thrombosis.

Authors+Show Affiliations

dcreton@veinsurg.comNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

17224284

Citation

Creton, D, and J F. Uhl. "Foam Sclerotherapy Combined With Surgical Treatment for Recurrent Varicose Veins: Short Term Results." European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery, vol. 33, no. 5, 2007, pp. 619-24.
Creton D, Uhl JF. Foam sclerotherapy combined with surgical treatment for recurrent varicose veins: short term results. Eur J Vasc Endovasc Surg. 2007;33(5):619-24.
Creton, D., & Uhl, J. F. (2007). Foam sclerotherapy combined with surgical treatment for recurrent varicose veins: short term results. European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery, 33(5), 619-24.
Creton D, Uhl JF. Foam Sclerotherapy Combined With Surgical Treatment for Recurrent Varicose Veins: Short Term Results. Eur J Vasc Endovasc Surg. 2007;33(5):619-24. PubMed PMID: 17224284.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Foam sclerotherapy combined with surgical treatment for recurrent varicose veins: short term results. AU - Creton,D, AU - Uhl,J F, Y1 - 2007/01/16/ PY - 2006/07/22/received PY - 2006/11/26/accepted PY - 2007/1/17/pubmed PY - 2007/6/21/medline PY - 2007/1/17/entrez SP - 619 EP - 24 JF - European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery JO - Eur J Vasc Endovasc Surg VL - 33 IS - 5 N2 - OBJECTIVE: To study the short term results of combined peroperative foam sclerotherapy (PFS) and surgical treatment for recurrent varicose veins. METHODS: PFS was used to treat 129 limbs with recurrent varices: 100 great saphenous (GSV), 29 small saphenous veins (SSV). Foam was prepared with 1% polidocanol mixed with 4 times its volume of air. The 100 GSVs comprised 28 trunks directly connected with the femoral vein, 28 connected to a lymph node venous network, 11 associated with perforators and 33 isolated trunks. The 29 SSVs comprised 4 trunks directly connected to the popliteal vein, 7 isolated trunks, 15 popliteal perforators and 3 recanalisations after SSV stripping. All operations included phlebectomies. In twenty limbs re-ligation of the SFJ and 4 SPJs was carried out. All were performed under local anaesthesia in an ambulatory setting. Patients were assessed clinically and by colour duplex ultrasound after 3 and 40 days follow-up. RESULTS: 120 patients (93%) showed complete obliteration of saphenous trunks, junctions and varices. The 9 incomplete obliterations were 3 venous recanalisations in the SSV compartment and 6 perforators (4 popliteal and 2 femoral). Two asymptomatic deep venous thromboses were detected by colour duplex 3 days after operation. CONCLUSION: PFS facilitates surgical treatment of recurrent varicose veins. There is a small risk of post-operative deep vein thrombosis. SN - 1078-5884 UR - https://www.unboundmedicine.com/medline/citation/17224284/Foam_sclerotherapy_combined_with_surgical_treatment_for_recurrent_varicose_veins:_short_term_results_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1078-5884(06)00700-3 DB - PRIME DP - Unbound Medicine ER -