Management of pediatric primary varicose veins | ||
| The Egyptian Journal of Surgery | ||
| Article 19, Volume 44, Issue 3, July 2025, Pages 951-956 PDF (443.33 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/ejsur.2024.347274.1325 | ||
| Authors | ||
| Mahmoud Ali Abo Ghonim* ; Hassan Abdelaty Hassan; Mohamed Morsy ELwagih; Adel Husseiny Kamhawy | ||
| Department of Vascular and Endovascular Surgery, 1Faculty of Medicine, Tanta University, Tanta, Egypt | ||
| Abstract | ||
| Background: In the past varicose veins managment was practiced with great caution in pediatric patients and there is limited studies for this topic in literatures that make us enthusiastic for this study. Aim: To study management and outcome of primary varicose vein in pediatric age group. Patients and Methods: A This is a prospective clinical single center study including 50 pediatric age group (below 18 years old) having primary varicose veins. Exclusion criteria: Patients older than 18 years old, children with secondary varicose veins and children with congenital vascular Malformations. All patients were evaluated clinically and by venous duplex. Sclerotherapy by foam in Double Syringe System, Accuvein AV400, Polidocanol 0.5,1%, and magnification loop 4×, surgical ablation, conservative, and endovenous laser ablation are the techniques used. Follow-up: patients were assessed for change in venous clinical severity score. Results: Mean age 15.48 years, 24(48%) male and 26(52%) female. The complaints were pain, functional before marriage as cosmetic reason or hindering admission to military faculties, edema, thrombosis and bleeding. Family history was positive in 74%. Clinical presentation according to CEAP classification. Injection sclerotherapy done in 26(52%) patients, stab avulsion and perforators ligation done in 13(26%) patient combined in two cases with sclerotherapy in cases with bleeding VV, stripping done in five (10%) patients, stocking and conservative management in five (10%) patients and one patient operated with endovenous laser ablation. venous clinical severity score pre intervention was 5.70±2.53 improved to 0.32±0.55 after 3 months from intervention. Conclusion: Varicose veins in pediatrics are rare. Pediatrics patients may present by dilated GSV as adult patient so there is no correlation with size of the vein however ostial reflux is less common than adult patients. Injection sclerotherapy is safe in pediatrics and it is the most used intervention in the study. Foam sclerotherapy during surgery as a treatment of acute bleeding reticular varicose veins. | ||
| Keywords | ||
| Pediatrics; Sclerotherapy; Varicose veins | ||
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