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Updated: Jul 16, 2026
08:05
Occlusion of the Great and Small Saphenous Vein Using Copolymeric Glue Based on N-Butyl Cyanoacrylate and Methacryloxy Sulfolane
Published on: December 9, 2022
Profuse bleeding in patients with chronic venous insufficiency.
11st Department of Surgery, University Hospital Bratislava, Bratislava, Slovakia. peterlabas@hotmail.com
Summary
Compression sclerotherapy offers faster healing for bleeding varicose veins compared to suturing. This method also significantly reduces the risk of re-bleeding within a 12-month period.
Area of Science:
- Vascular Surgery
- Interventional Radiology
Background:
- Profuse bleeding from varicose veins is a serious emergency condition.
- Traditional treatments include surgical intervention and compression therapies.
Purpose of the Study:
- To compare the efficacy of compression sclerotherapy versus suturing for managing bleeding varicose veins.
- To evaluate healing rates and re-bleeding incidence over a 12-month follow-up period.
Main Methods:
- Retrospective study of 124 patients with bleeding varicose veins.
- Comparison between compression sclerotherapy (n=72) and suture repair (n=52).
- Standardized compression applied for 6 weeks post-procedure.
Main Results:
- Compression sclerotherapy resulted in an average healing time of 7 days, with no re-bleeding.
- Suturing led to an average healing time of 14 days, with a 23% re-bleeding rate.
- Fegan's method with 0.2% sodium tetradecyl sulfate showed superior outcomes.
Conclusions:
- Compression sclerotherapy is an effective and faster treatment for bleeding varicose veins.
- Fegan's technique significantly improves wound healing and reduces re-bleeding.
- This method offers a valuable alternative for emergency management of varicose vein hemorrhage.
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