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Ann Med Res. 2016; 23(4): 420-424

Actual approach to varicosities; our sclerotherapy technique at out-patient clinic with office-based settings, in operating room or instead of operation

Koksal Donmez, Sahin Iscan.

Objective: Varicosities are important problems for young and elder patients. Most common complaint for young female patients is aesthetic. This complaint increases with age of female patients. We aimed to report our sclerotherapy technique and sclerotherapy experiences.
Materials and Methods: Patients who admitted to our outpatient clinic between 2013 January and 2016 June were investigated retrospectively. Age, gender, treatment method (liquid or foam sclerotherapy), the number of procedure performed per patient and additional surgical intervention to the sclerotherapy procedure were noted.
Results: 2231 patients were treated with 9836 sessions of sclerotherapy at out-patient clinic (1996 female, 89%). Mean ages were 44.3 for female patients and 46.7 years for male patients. Female patients were between CEAP 1 and 3 (n: 1885, 94.44%). Male patients were between CEAP 2 and 4 (n: 208, 88.51%). We performed combined surgical treatment to 212 patients. We performed sclerotherapy to 21 patients for recurrent varicose vein. The most common complication was hyperpigmentation (n=154, %7). Skin necrosis was evident in 24 patients (%1). Thrombosis of treated veins occurred in 137 (%6) patients. Two patients had transient blurring attack in their vision. Migraine attacks were triggered at 33 (%1.4) patients after injections.
Conclusion: Sclerotherapy is a treatment technique that can be performed in outpatient clinic. Today aesthetic fears increased the use of this technique and growing experience decreased the complication risks. Sclerotherapy is very efficient method for treating small telangiectasias, reticular veins and some of greater varicose veins. It has high aesthetic benefits when combined with surgical modalities.

Key words: Varicose Vein; Reticular Vein; Telangiectasia; Sclerotherapy.

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