Related Experiment Video
Updated: Jun 10, 2026

Combination of High Ligation and Intraoperative Embolization Using Polidocanol for Treatment of Varicoceles
Published on: December 22, 2023
Endovenous ablation plus microphlebectomy/sclerotherapy for the treatment of varicose veins: single or two-stage
1Division of Vascular Surgery, Mount Sinai School of Medicine, New York, NY, USA. harryschanzer@hotmail.com
Objective:
The purpose of this study was to establish how often after the performance of endovenous ablation (EA), a second stage is required.
Methods:
Eighty-six consecutive lower extremities in 76 patients treated with laser EA were the cohort of this study. The clinical result after EA at 1 month was classified as excellent (no varicosities), good (major reduction in size), and poor (no change). Need for further intervention (sclerotherapy or microphlebectomy) was determined at the 1-month follow-up.
Results:
Complete resolution of varicosities after EA was found in 36 extremities (41.8%), reduction in size in 48 extremities (55.8%), and no change in 2 extremities (2.3%). Of the 86 extremities studied, 36 (41.8%) were considered in need of a second stage procedure.
Conclusion:
After EA, 58.2% of extremities did not require further treatment. These results add further justification to the performance of EA alone as a first stage.
Related Concept Videos
Varicose Veins II: Diagnostic Studies and Interprofessional Care
Venous Thrombosis III: Interprofessional Care
Esophageal Varices-II: Clinical Features and Management
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol abuse, or...
Venous Thrombosis II: Clinical Manifestations and Diagnostic Studies
Varicose Veins I: Introduction
Venous Thrombosis IV: Nursing Management

