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[Sclerosing agents in clinical practice]

P Labas1, V Smolen

  • 1I. chirurgická klinika LF UK, Bratislava.

Casopis Lekaru Ceskych
|December 18, 1996
PubMed
Summary
This summary is machine-generated.

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Sclerotherapy using Sigg's or Fegan's methods effectively treats venous insufficiency, offering a safe alternative to surgery. Both techniques provide comparable results in healing ulcerations, with minimal complications.

Area of Science:

  • Vascular Surgery
  • Phlebology
  • Medical Technology

Background:

  • Sclerotherapy aims to occlude veins and control abnormal blood flow.
  • High surgical relapse rates (up to 65% in 5 years) necessitate evaluating alternative treatments.

Purpose of the Study:

  • To compare the efficacy and safety of Sigg's (Aethoxysclerol) and Fegan's (S.T.D.) sclerotherapy techniques.
  • To evaluate these methods as alternatives to surgical intervention for venous disorders.

Main Methods:

  • Retrospective analysis of 3161 patients treated between 1973 and 1994.
  • Sigg's technique used from 1973-1983 (1325 patients); Fegan's technique used from 1983-1994 (1836 patients).
  • Diagnostic methods included phlebography, duplex sonography, and light reflex rheography.

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Main Results:

  • No statistically significant differences in outcomes between the two techniques.
  • Excellent healing of chronic venous insufficiency ulcerations in 93-92% of patients.
  • S.T.D. showed more complications (necroses, telangiectasias, hyperpigmentations) than Aethoxysclerol (collapses in hypotensive patients).

Conclusions:

  • Both Sigg's and Fegan's sclerotherapy techniques are simple, effective, and safe.
  • They serve as viable ambulatory alternatives to surgical treatment for venous disorders.
  • Advantages include avoiding anesthetic and surgical risks and preserving the saphenous vein.