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
R AbelaY Panayiotopoulos

Abstract

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. Prospective clinical series. 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. 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) 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...Continue Reading

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Citations

Apr 13, 2011·Dermatologic Surgery : Official Publication for American Society for Dermatologic Surgery [et Al.]·Fatih Islamoglu
Apr 25, 2014·Advances in Wound Care·Anna PolakJakub Taradaj
Jul 27, 2010·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·B ThakurA H Davies
Jun 19, 2012·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·B SiribumrungwongA Thakkinstian
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Jul 31, 2014·The Cochrane Database of Systematic Reviews·Craig NesbittGerard Stansby
Aug 15, 2015·Khirurgiia·A N KosenkovA V Avakyan
Mar 28, 2020·International Angiology : a Journal of the International Union of Angiology·Andrew NicolaidesMichel Perrin
Apr 2, 2021·The British Journal of Surgery·B SiribumrungwongA Thakkinstian

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