TITLE:
Sclerotherapy for Varicose Veins of the Lower Limbs
AUTHORS:
Papa Adama Dieng, Magaye Gaye, Ndeye Fatou Sow, Modibo Doumbia, Souleymane Diatta, Momar Sokhna Diop, Papa Amath Diagne, Amadou Gabriel Ciss
KEYWORDS:
Sclerotherapy, Polidocanol, Varicose Vein
JOURNAL NAME:
World Journal of Cardiovascular Surgery,
Vol.10 No.2,
February
13,
2020
ABSTRACT: Summary: The diagnosis of venous insufficiency is increasing. Multiple techniques are available for its treatment. Chemical sclerotherapy has been performed for over 70 years. The technique improves lately. Objective: This study was conducted to assess early results of foam sclerotherapy in Senegal. Patients and Methods: This is a prospective and descriptive study conducted from January 1st, 2012 to December 31st, 2015 at cardiovascular center of Fann University hospital in Dakar, Senegal. Foam sclerotherapy was done in 76 patients. Polidocanol was used in concentration of 2%. Sclerotherapy was done several times in patients, every week, as much as needed to occlude varicose veins. We used venous compression in all patients. Results: Foam sclerotherapy sessions permitted to get globally good results. In fact, tight feeling and painful leg disappear in 97% of patients. Decreases of edema were gotten in 97% of patients. For leg ulcer, 64% of complete healing was obtained. The main ulcer healing time was 47 days (18; 72). Some minor complications occurred. No major events, such as deep venous thrombosis or pulmonary embolism, were observed. Conclusion: Foam sclerotherapy is an efficient technique for the treatment of varicose veins of the limbs. Also, it opens good perspectives for vein care.