Sclerotherapy of varicose veins: my method (HCS).

AIM

The aim of my study has been to evaluate the efficacy of a new method of compression sclerotherapy of great saphenous vein (GSV) and small saphenous vein (SSV).

METHODS

Two hundred fifty-five lower extremities with primary varicose veins, with a long reflux of the GSV (C2-6, Ep, As2 ± p, Pr), have been submitted to sclerotherapy applying the following method: injection of the trunk of the GSV, according to Sigg's technique; echoguided compression of sapheno-femoral junction (done by an inflatable balloon called Safeguard®); immediate eccentric positive compression on the trunk of the GSV; and short elastic bandage.

RESULTS

The results have shown that applying this method of sclerotherapy the failure rate decreases.

CONCLUSION

The use of Safeguard® interrupts reflux to the lower veins, and these can so be well sclerosed and compressed with short elastic bandage.