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Phlebectomy versus Sclerotherapy in Varicose Vein Patients: A Comparative Study
1Dr SM Parvez Ahmed, Assistant Professor, Department of Vascular Surgery, National Institute of Cardiovascular Disease (NICVD), Dhaka, Bangladesh;
Mymensingh Medical Journal : MMJ
|July 1, 2023
Summary
Phlebectomy is a superior treatment for varicose veins compared to sclerotherapy, offering better outcomes and lower recurrence rates. Both procedures allow a quick return to normal activities with minimal complications.
Area of Science:
- Vascular Surgery
- Dermatology
Background:
- Varicose veins are a common manifestation of chronic venous disease.
- Treatment options include sclerotherapy and phlebectomy.
- Understanding comparative outcomes is crucial for patient care.
Purpose of the Study:
- To compare the efficacy of phlebectomy versus sclerotherapy for treating lower extremity varicose veins.
- To evaluate outcomes such as CEAP improvement, vein occlusion, and recurrence rates.
Main Methods:
- A quasi-experimental study involving 60 patients with lower limb varicose veins.
- Patients were randomly assigned to phlebectomy (30) or sclerotherapy (30).
- Outcomes were assessed using clinical evaluation (CEAP) and duplex ultrasound follow-up.
Main Results:
- Phlebectomy showed a higher CEAP improvement rate (93.3%) compared to sclerotherapy (83.3%).
- Complete occlusion of treated veins was significantly higher with phlebectomy (93.3%) versus sclerotherapy (70.0%).
- Recurrence of varicose veins was lower in the phlebectomy group (6.7%) than the sclerotherapy group (26.7%).
Conclusions:
- Phlebectomy is a more effective treatment for varicose veins than sclerotherapy.
- Phlebectomy offers better long-term results with lower recurrence rates.
- Both procedures are safe and facilitate a rapid return to normal activities.
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