Sklerosierungstherapie der Varikose

Abstract

Sclerotherapy is a standard treatment for intradermal varicose veins and branch varicosities. In the treatment of insufficient saphenous veins, crossectomy and stripping used to be the methods of choice. In the last few years good results have also been reported for endovenous methods such as endovenous laser and radio frequency treatment. Sclerotherapy is more effective and even appropriate for larger saphenous veins when the sclerosing liquid is replaced by a foam agent. This cost-effective approach can be done on an outpatient basis without additional anesthesia. Prospective randomized studies are need to confirm the effectiveness.

Ethics of esthetic procedures in pregnancy

“…Varicose, reticular, and spider veins that develop during pregnancy may improve postpartum, and most authors suggest that one should wait at least 6 to 12 months after pregnancy prior to treating the veins (Kroumpouzos, 2017). According to the German Society of Phlebology, sclerotherapy is absolutely contraindicated during the first trimester of pregnancy and after the 36 th week of gestation, the latter being a period during which the hypercoagulable status of gestation is most pronounced (Pannier and Rabe, 2006, Rabe et al, 2004). However, a study that compared 45 patients treated with sclerotherapy using sodium tetradecyl sulfate and 56 patients treated conservatively did not show any differences in pregnancy outcomes between the two groups (Abramowitz, 1973).…”

Aktuelle Aspekte der Diagnostik und Therapie der Varikose und des Ulcus cruris venosum

“…Hyperpigmentierungen werden in 3 ± 10 % beschrieben und bil− den sich meistens langsam wieder zurück [23]. Unter den selte− nen schweren Komplikationen können eine allergische Reaktion vom Soforttyp oder eine versehentliche intraarterielle Injektion zu Notfallsituationen führen [24].…”