Comparative study of ambulatory phlebectomy and foam sclerotherapy in the treatment of primary non-axial varicose veins | ||||
| Minia Journal of Medical Research | ||||
| Volume 30, Issue 1, March 2019, Page 101-107 PDF (271.51 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/mjmr.2022.222805 | ||||
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| Authors | ||||
| Amer Y. Mohammed; Mohamed A. Alhewy; Ahmed A. Neaz Tawfiek | ||||
| Department of Vascular surgery, Faculty of medicine, Al-Azhar University | ||||
| Abstract | ||||
| Perforators are those which connect the superficial and deep venous system either directly to main veins or indirectl through the muscular and soleal venous plexus. The emergence of minimally invasive techniques like ambulator phlebectomy (AP) and foam sclerotherapy (FS) has led to increasing interest about the appropriate therapy for the treatment of isolated perforator incompetence. There have been no studies which have compared the effectiveness of these in-office procedures in isolated perforator incompetence due to the low prevalence of cases. Aim of the work is to compare the clinical parameters (return to normal activity, primary symptomrelief), functional parameters (procedure time, change in disease severity, course of venous ulcer), and duplex parameters (recurrence in treated veins, complete occlusion of treated veins) in the management of leg varicosities having isolated primary perforator incompetence by ambulatory phlebectomy and duplex guided foam sclerotherapy. Though the procedure time was shorter with FS than AP, the other parameters of primary symptom relief such as change in disease severity, faster healing of venous ulcer, complete occlusion of treated veins in follow-up duplex examination, and lower recurrence of treated veins are better with AP than FS. Conclusion, the interruption of perforators is effective in decreasing the symptoms of chronic venous insufficiency and for the rapid healing of ulcers.The interruption of the incompetent perforating veins appears to be essential to decrease ambulatory venous hypertension.It is apparent from this study that ambulatory phlebectomy stands distinct with enormous benefits and serves as a superior alternative to foam sclerotherapy in treating patients with isolated perforator incompetence. | ||||
| Keywords | ||||
| Isolated perforator incompetence.Ambulatory phlebotomy. Foam sclerotherapy. ; Compression therapy | ||||
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