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Year : 2016  |  Volume : 6  |  Issue : 2  |  Page : 115-120

Ultrasound-Guided foam sclerotherapy versus surgery for the incompetent great saphenous vein based on vein diameter

Department of Surgery, MES Medical College, Palachode, Perintalmanna, Kerala, India

Correspondence Address:
Karat P.A Ali
Department of Surgery, MES Medical College, Palachode, Perintalmanna - 679338, Kerala
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/2278-9596.194978

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Background: Varicosities of lower limb is one of the most common medical condition and a lot of treatment modalities are available for the same. However, none of them is superior to the other. We compare the effectiveness of surgery versus foam sclerotherapy in the treatment of varicose veins based on the diameter of the veins. Patients and Method: One hundred patients with primary great saphenous vein incompetence with treatment over a period of 17 months were included. Depending on the diameter of the vein, they are divided into two groups <5 mm and >5 mm, and then assigned to either ultrasound-guided foam sclerotherapy or surgical stripping with high ligation. Result: Surgery and sclerotherapy in both groups resulted in reduction in both venous disability score and venous clinical severity score. Conclusion: In patients with vein diameter <5 mm, foam therapy is as good as surgery, however, in >5 mm, surgery is more effective than sclerotherapy.

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