Surgery and Sclerotherapy in the Treatment of Varicose Veins

Hobbs, J. T.

doi:10.1001/archsurg.1974.01360060063016

Cited by 274 publications

(111 citation statements)

References 2 publications

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“…A more scientific approach (Hobbs 39 ) and US facilities (Fisher 40 ) showed a different and more realistic situation in outcomes that is going to originate a new research movement, still going on today. Hobbs,39 in 1974 by clinical analysis comparing "enthusiastic sclerotherapy with enthusiastic surgery" observed, after one year 82% of unselected patients were cured (no symptoms or signs and no varicose veins ) by injection, but after six years the cure rate was only 7%. At the opposite after surgery, at one year 40% were cured versus 20% at six years.…”

Section: Recurrencesmentioning

confidence: 99%

The sapheno femoral junction involvement in the treatment of varicose veins disease

Ricci¹

2017

Veins and Lymphatics

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Sapheno femoral junction (SFJ) incompetence has been considered the most important cause of chronic venous insufficiency in a high percent of cases since the beginning of history varicose veins treatment. As a consequence SFJ dissection, ligation and section has been practiced all along the last century, generally associated to great saphenous vein stripping, with the porpoise of stopping the effect of hydrostatic pressure considered the origin of varicose veins. Recurrence prevalence at the site of SFJ, even in correctly performed dissection suggests that this attitude may not be the ideal one. Moreover, with the introduction of catheter-based systems of endovenous heating of the great saphenous vein with radiofrequency or endovenous laser ablation, it was shown that venous ablation could be achieved without high ligation of the SFJ. Also foam sclerotherapy demonstrated good results, even if less effective, always leaving the SFJ untouched. Following this trend several methods have been suggested that spare the SFJ, so that this site have lost its strategical importance. In this review history of the SFJ involvement in the varicose vein strategy is analyzed with particular attention to the new generation methods, technology assisted, launched on the market.

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Section: Recurrencesmentioning

confidence: 99%

The sapheno femoral junction involvement in the treatment of varicose veins disease

Ricci¹

2017

Veins and Lymphatics

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“…For decades, the ideal management was surgical removal of the GSV. Research comparing liquid sclerotherapy and surgery for treatment of GSV incompetence showed that surgery was more effective [4,5].…”

Section: Introductionmentioning

confidence: 99%

Duplex Guided Foam Sclerotherapy Versus Surgery in Management of Primary Varicose Veins

Gamal¹,

Mk²,

Mohamed³

2017

Vasc Med Surg

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“…Debate continues over the ideal parameters for producing the most effective foam 8 . It appears that sclerotherapy has the same results as surgery in the first few years following treatment, but it is inferior to surgery in the long term 9 . Long-terms results with foam sclerotherapy are scanty.…”

mentioning

confidence: 95%

Ultrasound-guided foam sclerotherapy for the treatment of primary varicose veins

Bountouroglou¹,

Geroulakos²

2004

Phlebology

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Surgery and Sclerotherapy in the Treatment of Varicose Veins

Cited by 274 publications

References 2 publications

The sapheno femoral junction involvement in the treatment of varicose veins disease

The sapheno femoral junction involvement in the treatment of varicose veins disease

Duplex Guided Foam Sclerotherapy Versus Surgery in Management of Primary Varicose Veins

Ultrasound-guided foam sclerotherapy for the treatment of primary varicose veins

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