Why Now! Are We Revive the Workshop of Sclerotherapy? Compression Sclerotherapy: My Way

Abstract

Recently, we are just wondering about that many residual or recurrent varicose veins are still left, even after the treatment of laser or radiofrequency ablation and glue embolization. The bottom cause of varicose vein is venous hypertension, so the fundamental treatment is compression therapy undoubtedly. I have been treating varicose veins depends on this basic thought and the essential points are described as follows. Compression therapy using suitable elastic stocking is required before sclerotherapy to avoid edema or swelling of the legs. The injection sites and volume of sclerosant could be reduced, as some varices would be diminished due to compression therapy. Preoperative compression could improve the circulation of the tissue, then the skin trouble due to sclerotherapy would be diminished. After the edema is relieved, subcutaneous varices could be seen clearly, as necessary, the vein viewing device are used. Sclerosant are prepared not all-foamed, but half foam with half liquid. The compression therapy after sclerotherapy is to put the urethane compression pads on the injection sites and to apply the elastic bandage. Next morning, the bandage and pads are removed and the elastic stockings should be worn during daytime for 4 weeks to obtain the excellent therapeutic effects.