Surgical Results of Thigh Stripping Combined with Trunk Foam Sclerotherapy for the Lower Leg in the Treatment of Varicose Veins: A Clinical Study on the Optimal Concentration of Polidocanol

Atsushi Tabuchi; Hisao Masaki; Yasuhiro Yunoki; Hiroshi Kubo; Yoji Kubo; Hiroki Takiuchi; Kosaku Nishikawa; Kazuo Tanemoto

doi:10.7134/phlebol.24.23

January 1, 2013The Japanese Journal of PhlebologyOpen Access

Surgical Results of Thigh Stripping Combined with Trunk Foam Sclerotherapy for the Lower Leg in the Treatment of Varicose Veins: A Clinical Study on the Optimal Concentration of Polidocanol

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Key Points

To evaluate the efficacy, safety, and optimal polidocanol concentration for lower leg trunk foam sclerotherapy combined with thigh saphenous vein stripping.
Assessed patients treated with thigh stripping and lower leg foam sclerotherapy across three polidocanol concentrations: 1% (Group A: 36 patients, 45 limbs), 0.5% (Group B: 44 patients, 56 limbs), and 0.33% (Group C: 44 patients, 52 limbs).
Measured venous function parameters—venous filling index (VFI), venous volume (VV), and residual volume fraction (RVF)—via air plethysmography preoperatively and at 1, 6, 12, and 24 months postoperatively.
Thrombophlebitis incidence was significantly higher in Group A (18.6%) than in Group B (7.1%) and Group C (3.8%).
Cumulative 12-month recurrence-free rates were 95.4% in Group A, 92.9% in Group B, and 86.5% in Group C, with a statistically significant difference between Group A and Group C.
Venous volume significantly decreased postoperatively at 12 months in all arms (Group A: 116.7±40.6 to 80.7±22.4; Group B: 138.2±47.6 to 90.5±36.6; Group C: 130.5±45 to 94.1±35.2), confirming reduced venous stasis.

Implication

Clinical study reveals that 0.5% polidocanol balances recurrence and thrombophlebitis in varicose vein stripping, indicating it is the optimal concentration.

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Cite This Study

Tabuchi et al. (2013) studied this question.

synapsesocial.com/papers/6a9fea23c2a6bb3d9844b058 https://doi.org/10.7134/phlebol.24.23

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Surgical Results of Thigh Stripping Combined with Trunk Foam Sclerotherapy for the Lower Leg in the Treatment of Varicose Veins: A Clinical Study on the Optimal Concentration of Polidocanol

Key Points

Implication

Abstract

Discussion

Cite This Study

Surgical Results of Thigh Stripping Combined with Trunk Foam Sclerotherapy for the Lower Leg in the Treatment of Varicose Veins: A Clinical Study on the Optimal Concentration of Polidocanol

Key Points

Implication

Abstract

Discussion

Cite This Study

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