Ultrasound-guided Foam Sclerotherapy Combined with Sapheno-femoral Ligation Compared to Surgical Treatment of Varicose Veins: Early Results of a Randomised Controlled Trial

Bountouroglou, D.; Azzam, M.; Kakkos, Stavros K.; Pathmarajah, Mariasoosai; Young, P. G.; Geroulakos, George

doi:10.1016/j.ejvs.2005.08.024

Cited by 140 publications

(125 citation statements)

References 18 publications

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“…26 Which is quite comparable to our finding. Darvall KL et al found that about 50% of foam sclerotheray patients returned to work within 24 hours where-as surgery patient takes about 4 days to return to work.…”

Section: Return To Normal Worksupporting

confidence: 82%

“…11 Bountouroglou DG et al found a obliteration rate of 89% in surgey and 78% in foam sclerotherapy group after 12 month of frollow up. 26 High obliteration rate found in our study may be explained by very short time of follow up in our study compared to above studies and another reason may be the use of catheter guided foam sclerotherapy in our study which is more efficacious than conventional sclerotheray. 27 We also did not found any case of recanalization of vein with reflux in both groups which we considered as failure of treatment.…”

Section: Follow Op Dopplercontrasting

confidence: 45%

“…The M:F ratio found in our study is in sharp contrast to the ratio mentioned in most of the western literature, where more females were suffering from this disease. 8,11,12,18,21,26 However in the study conducted by Jain et al, 41 of the 42 patients were males; by Masuda et al 42 of the 68 patients were males. 12,13 Majority of our patients were young with a mean age of 35.32 years in both group.…”

Section: Discussionmentioning

confidence: 79%

“…12 After the foam sclerotherapy, almost all the patients were discharged the same day after a short period of observation in most of the studies. 11,18,22,26 We are currently discharging the patients within 2 hour of the procedure.…”

Section: Hospital Staymentioning

confidence: 99%

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Comparing ultrasound guided foam sclerotherapy with surgical treatment in patients of varicose veins

et al. 2016

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Section: Return To Normal Worksupporting

confidence: 82%

Section: Follow Op Dopplercontrasting

confidence: 45%

Section: Discussionmentioning

confidence: 79%

Section: Hospital Staymentioning

confidence: 99%

See 2 more Smart Citations

Comparing ultrasound guided foam sclerotherapy with surgical treatment in patients of varicose veins

et al. 2016

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“…Boudouroglou prospectively compared in a randomized study, ultrasound-guided foam sclerotherapy with crossectomy under local anaesthesia (n ¼ 30), with surgical treatment of varicose veins along the distribution of the GSV system (n ¼ 30). 9 All patients were suitable for day case surgery. Surgical treatment included saphenofemoral ligation, stripping of the long saphenous vein to the knee level and multiple phlebectomies.…”

mentioning

confidence: 99%

Crossectomy and foam: has it got a role in the contemporary management of primary varicose veins?

Geroulakos

Davies

2009

Phlebology

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Endovenous ablation (radiofrequency and laser) and foam sclerotherapy versus conventional surgery for great saphenous vein varices

Nesbitt

Bedenis

Bhattacharya³

et al. 2011

Cochrane Database of Systematic Reviews

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BACKGROUND: Minimally invasive techniques to treat great saphenous varicose veins include ultrasound-guided foam sclerotherapy (USGFS), radiofrequency ablation (RFA) and endovenous laser therapy (EVLT). Compared with conventional surgery (high ligation and stripping (HL/S)), proposed benefits include fewer complications, quicker return to work, improved quality of life (QoL) scores, reduced need for general anaesthesia and equivalent recurrence rates. OBJECTIVE: To review available randomized controlled clinical trials (RCT) data comparing USGFS, RFA, EVLT to HL/S for the treatment of great saphenous varicose veins. METHODS: Search methods: The Cochrane Peripheral Vascular Diseases (PVD) Group searched their Specialized Register (July 2010) and CENTRAL (The Cochrane Library 2010, Issue 3). In addition the authors performed a search of EMBASE (July 2010). Manufacturers of EVLT, RFA and sclerosant equipment were contacted for trial data. Selection criteria: All RCTs of EVLT, RFA, USGFS and HL/S were considered for inclusion. Primary outcomes were recurrent varicosities, recanalization, neovascularization, technical procedure failure or need for reintervention, patient quality of life (QoL) scores and associated complications. Secondary outcomes were type of anaesthetic, procedure duration, hospital stay and cost. Data collection and analysis: CN, RE, VB, PC, HB and GS independently reviewed, assessed and selected trials which met the inclusion criteria. CN and RE extracted data. The Cochrane Collaboration's tool for assessing risk of bias was used. CN contacted trial authors to clarify details. MAIN RESULTS: Thirteen reports from five studies with a combined total of 450 patients were included. Rates of recanalization were higher following EVLT compared with HL/S, both early (within four months) (5/149 versus 0/100; odds ratio (OR) 3.83, 95% confidence interval (CI) 0.45 to 32.64) and late recanalization (after four months) (9/118 versus 1/80; OR 2.97; 95% CI 0.52 to 16.98), although these results were not statistically significant. Technical failure rates favoured EVLT over HL/S (1/149 versus 6/100; OR 0.12, 95% CI 0.02 to 0.75). Recurrence following RFA showed no difference when compared with surgery. Recanalization within four months was observed more frequently following RFA compared with HL/S although not statistically significant (4/105 versus 0/88; OR 7.86, 95% CI 0.41 to 151.28); after four months no difference was observed. Neovascularization was observed more frequently following HL/S compared with RFA, but again this was not statistically significant (3/42 versus 8/51; OR 0.39, 95% CI 0.09 to 1.63). Technical failure was observed less frequently follow

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Ultrasound-guided Foam Sclerotherapy Combined with Sapheno-femoral Ligation Compared to Surgical Treatment of Varicose Veins: Early Results of a Randomised Controlled Trial

Abstract: Ultrasound guided sclerotherapy combined with sapheno-femoral ligation was less expensive, involved a shorter treatment time and resulted in more rapid recovery compared to sapheno-femoral ligation, saphenous stripping and phlebectomies.

Cited by 140 publications

References 18 publications

Comparing ultrasound guided foam sclerotherapy with surgical treatment in patients of varicose veins

Comparing ultrasound guided foam sclerotherapy with surgical treatment in patients of varicose veins

Crossectomy and foam: has it got a role in the contemporary management of primary varicose veins?

Endovenous ablation (radiofrequency and laser) and foam sclerotherapy versus conventional surgery for great saphenous vein varices

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