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Reverse foam sclerotherapy of the great saphenous vein with sapheno-femoral ligation compared to standard and invagination stripping: a prospective clinical series.
Eur J Vasc Endovasc Surg. 2008 Oct; 36(4):485-90.EJ

Abstract

OBJECTIVES

Comparison of Reverse Foam Sclerotherapy of the great saphenous vein (GSV) combed with sapheno-femoral junction (SFJ) ligation to standard (Babcock) stripping and invagination (Pin) stripping in a prospective clinical series.

DESIGN

Prospective clinical series.

MATERIALS AND METHODS

90 consecutive limbs of 82 patients with incompetence of the GSV resulting in varicose veins were prospectively randomised into 3 groups of 30, treated by SFJ ligation and either reverse foam sclerotherapy, standard stripping or invagination stripping of the GSV. Outcomes were assessed post-operatively and at 2-weeks follow-up. Peri-operative blood loss (24 hrs), analgesic requirement, bruising and residual varicosities were assessed. Bruising was assessed by both patients and independent assessors using questionnaires.

RESULTS

SFJ ligation plus reverse foam sclerotherapy of the GSV was associated with significantly less blood loss, bruising and post-op discomfort than either of the stripping techniques. (p<0.001, Mann-Whitney)

CONCLUSION

Standard stripping of the GSV and invagination stripping are not associated with major discomfort and problems in the early post-operative period. SFJ ligation and GSV reverse foam sclerotherapy yielded greater patient satisfaction with less post-op bruising and discomfort and reduced analgesic requirements.

Authors+Show Affiliations

Department of Vascular Surgery, Broomfield Hospital, Chelmsford, Essex, UK. abelrachel@googlemail.comNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Randomized Controlled Trial

Language

eng

PubMed ID

18718769

Citation

Abela, R, et al. "Reverse Foam Sclerotherapy of the Great Saphenous Vein With Sapheno-femoral Ligation Compared to Standard and Invagination Stripping: a Prospective Clinical Series." European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery, vol. 36, no. 4, 2008, pp. 485-90.
Abela R, Liamis A, Prionidis I, et al. Reverse foam sclerotherapy of the great saphenous vein with sapheno-femoral ligation compared to standard and invagination stripping: a prospective clinical series. Eur J Vasc Endovasc Surg. 2008;36(4):485-90.
Abela, R., Liamis, A., Prionidis, I., Mathai, J., Gorton, L., Browne, T., & Panayiotopoulos, Y. (2008). Reverse foam sclerotherapy of the great saphenous vein with sapheno-femoral ligation compared to standard and invagination stripping: a prospective clinical series. European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery, 36(4), 485-90. https://doi.org/10.1016/j.ejvs.2008.06.029
Abela R, et al. Reverse Foam Sclerotherapy of the Great Saphenous Vein With Sapheno-femoral Ligation Compared to Standard and Invagination Stripping: a Prospective Clinical Series. Eur J Vasc Endovasc Surg. 2008;36(4):485-90. PubMed PMID: 18718769.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Reverse foam sclerotherapy of the great saphenous vein with sapheno-femoral ligation compared to standard and invagination stripping: a prospective clinical series. AU - Abela,R, AU - Liamis,A, AU - Prionidis,I, AU - Mathai,J, AU - Gorton,L, AU - Browne,T, AU - Panayiotopoulos,Y, Y1 - 2008/08/20/ PY - 2007/07/24/received PY - 2008/06/22/accepted PY - 2008/8/23/pubmed PY - 2008/10/3/medline PY - 2008/8/23/entrez SP - 485 EP - 90 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 - 36 IS - 4 N2 - OBJECTIVES: Comparison of Reverse Foam Sclerotherapy of the great saphenous vein (GSV) combed with sapheno-femoral junction (SFJ) ligation to standard (Babcock) stripping and invagination (Pin) stripping in a prospective clinical series. DESIGN: Prospective clinical series. MATERIALS AND METHODS: 90 consecutive limbs of 82 patients with incompetence of the GSV resulting in varicose veins were prospectively randomised into 3 groups of 30, treated by SFJ ligation and either reverse foam sclerotherapy, standard stripping or invagination stripping of the GSV. Outcomes were assessed post-operatively and at 2-weeks follow-up. Peri-operative blood loss (24 hrs), analgesic requirement, bruising and residual varicosities were assessed. Bruising was assessed by both patients and independent assessors using questionnaires. RESULTS: SFJ ligation plus reverse foam sclerotherapy of the GSV was associated with significantly less blood loss, bruising and post-op discomfort than either of the stripping techniques. (p<0.001, Mann-Whitney) CONCLUSION: Standard stripping of the GSV and invagination stripping are not associated with major discomfort and problems in the early post-operative period. SFJ ligation and GSV reverse foam sclerotherapy yielded greater patient satisfaction with less post-op bruising and discomfort and reduced analgesic requirements. SN - 1532-2165 UR - https://www.unboundmedicine.com/medline/citation/18718769/Reverse_foam_sclerotherapy_of_the_great_saphenous_vein_with_sapheno_femoral_ligation_compared_to_standard_and_invagination_stripping:_a_prospective_clinical_series_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1078-5884(08)00367-5 DB - PRIME DP - Unbound Medicine ER -