2001 Volume 12 Issue 4 Pages 335-340
Varicose vein in 416 limbs of 270 patients underwent surgical treatment or sclerotherapy from July 1998 to March 2000. Regardless of varicose types, incompetent perforators were ligated. For saphenous type (SA), a high ligation of the saphenous vein followed by sclerotherapy was performed except for cases with varicoid saphenous vein or saphenous vein with varices of over 1 cm in the diameter and significant reflux of saphenofemoral junction, which underwent stripping. One hundred ninty-six of 210 limbs in which one year had passed since first treatment, including 6 web type (WE), 34 reticular type (RE), 35 segmental type (SE), 121 saphenous type (SA) could be examined. Recurrences were detected in 7 limbs (4%), 1 (17%) in WE, 4 (12%) in RE including 3 of sclerotherapy only and 1 of sclerotherapy with ligation of the perforator, 1 (3%) of sclerotherapy with ligation of perforator in SE, 1 (1%) of sclerotherapy with high and perforator ligations in SA, which forms 3% of SA of sclerotherapy with high and perforator ligations. These good short-term results suggest that treatment method could be fairly selected depending on the types of varicose veins.
