Yan Sun1, Xin Li2, Zhong Chen3, Xianlun Li4, Shiyan Ren5. 1. Department of Vascular Surgery, Beijing Anzhen Hospital, Capital Medical University, Beijing, 100029, China; Department of Vascular Surgery, Provincial Hospital Affiliated to Shandong University, Jinan, 250021, China. 2. Department of Neurology, First Affiliated Hospital of Jiamusi University, Helongjiang, 154002, China. 3. Department of Vascular Surgery, Beijing Anzhen Hospital, Capital Medical University, Beijing, 100029, China. Electronic address: chenzhong8658@vip.sina.com. 4. Cardiovascular Center, China-Japan Friendship Hospital, Beijing, 100019, China. Electronic address: leexianlun@163.com. 5. Vascular Surgery, Aviation General Hospital, Beiijng, 100023, China. Electronic address: rens66@126.com.
Abstract
PURPOSE: To prospectively evaluate the feasibility and safety of foam sclerotherapy and ligation (FSL) for outpatients with varicose veins under local anaesthesia. METHODS: 136 outpatients with varicose veins who were unwilling to be hospitalized underwent FSL. FSL is a technique in which the dilated varicose veins were ligated subcutaneously after foam sclerotherapy with an absorbable suture. Patients were reviewed at 1, 3, 6 and 12 months after FSL. Pain scores were recorded after FSL. The revised venous clinical severity scorer (rVCSS) and clinical, etiological, anatomical, and pathological classification (CEAP) were used to evaluate the improvement at 3 months after treatment. RESULTS: 146 limbs in 136 outpatients with varicose veins were managed with FSL. The pain scores decreased following FSL, CEAP classification score, the rVCSS values improved 3 months postintervention. No significant postoperative complications were observed on follow-up. CONCLUSION: FSL is feasible, safe and easily to perform under local anaesthesia for outpatients with varicose veins.
PURPOSE: To prospectively evaluate the feasibility and safety of foam sclerotherapy and ligation (FSL) for outpatients with varicose veins under local anaesthesia. METHODS: 136 outpatients with varicose veins who were unwilling to be hospitalized underwent FSL. FSL is a technique in which the dilated varicose veins were ligated subcutaneously after foam sclerotherapy with an absorbable suture. Patients were reviewed at 1, 3, 6 and 12 months after FSL. Pain scores were recorded after FSL. The revised venous clinical severity scorer (rVCSS) and clinical, etiological, anatomical, and pathological classification (CEAP) were used to evaluate the improvement at 3 months after treatment. RESULTS: 146 limbs in 136 outpatients with varicose veins were managed with FSL. The pain scores decreased following FSL, CEAP classification score, the rVCSS values improved 3 months postintervention. No significant postoperative complications were observed on follow-up. CONCLUSION: FSL is feasible, safe and easily to perform under local anaesthesia for outpatients with varicose veins.