Abstract

Review Article

Foam Sclerotherapy versus surgery in treatment of chronic venous disease

Fatih Islamoglu*

Published: 13 April, 2020 | Volume 4 - Issue 1 | Pages: 005-007

Although the classical surgical treatment methods of chronic venous insufficiency are successful to relieve perfectly the cause (reflux) and result (varicose veins), the new ablation techniques such as endogenous laser ablation therapy (EVLT), radiofrequency (RF) and foam ablation come into currency more and more with their advantage of being performed with only local anesthesia. However, these techniques, still have the potential for residual saphenofemoral reflux due to incomplete ablation of all side branches of the saphenofemoral junction. As an alternative technique ligation + foam sclerotherapy is not only comfortable like EVLT or RF but also safe and effective as much as classic stripping.

Read Full Article HTML DOI: 10.29328/journal.avm.1001011 Cite this Article Read Full Article PDF

Keywords:

Venous; Varicose; Foam; Stripping; Ligation

References

  1. Nicolaides AN, Allegra C, Bergan J, Bradbury A, Cairols M, et al, Management of chronic venous disorders of the lower limbs: guidelines according to scientific evidence. Int Angiol. 2008; 27: 1-59. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/18277340
  2. Eberhardt RT, Raffetto JD. Chronic venous insufficiency. Circulation. 2014; 130: 333-346.
  3. Islamoglu F. Can varicose vein surgery prevent extension of venous reflux with time. Medicographia. 2016; 38: 193-194.
  4. Merchant R, Pichot O. Long term outcomes of endovenous radiofrequency obliteration of saphenous reflux as a treatment for superficial venous insufficiency. J Vasc Surg. 2005; 42: 502-529.
  5. Labropoulos N, Bhatti A, Leon L. Neovascularization after great saphenous vein ablation. Eur J Vasc Endovasc Surg. 2006; 31: 219-222.
  6. Salles-Cunha SX, Comerota AJ, Tzilinis A. Ultrasound findings after radiofrequency ablation of the great saphenous vein. descriptive analysis. J Vasc Surg. 2004; 40: 1166-1173.
  7. Dwerryhouse S, Davies B, Harradine K, Earnshaw JJ. Stripping the long saphenous vein reduces the rate of reoperation for recurrent varicose veins: five-year results of a randomized trial. J Vasc Surg. 1999; 29: 589-592.
  8. Allegra C, Antignani PL, Carlizza A. Recurrent varicose veins following surgical treatment: our experience with five years follow-up. Eur J Vasc Endovasc Surg. 2007; 33: 751-756.
  9. Islamoglu F. An alternative treatment for varicose veins: ligation plus foam sclerotherapy. Dermatol Surg. 2011; 37: 470-479.
  10. Tan VKM, Tan SG. Technique and early results of ultrasound-guided foam sclerotherapy of the long saphenous vein for treatment of varicose veins. Singapore Med J. 2009; 50: 284. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/19352572
  11. Abela R, Liamis A, Prionidis L. 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: 485-490. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/18718769
  12. Islamoglu F. Can foam sclerotherapy with high ligation prevent extension of venous reflux with time. Ann Vasc Med. 2018; 5: 1097.

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