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ITALIAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY
Rivista di Chirurgia Vascolare ed Endovascolare
Italian Journal of Vascular and Endovascular Surgery 2005 Dicembre;12(4):135-7
Surgical scleromousse of the great saphenous vein. A new proposal for outpatient and day-hospital treatment of lower limb varicose veins. Preliminary results
Palombi M., Fratto D., Castrucci T., Bartoli S.
Vascular Surgery Unit, C.T.O. Hospital ASL RM C, Rome, Italy
Aim. The aim of this study is to report the preliminary results of our experience with a new, simple, minimally invasive and safe technique, that could represent a valid alternative to traditional surgery for varicose veins.
Methods. During one year, we have treated, in local anesthesia, 120 patients (53 male and 67 female) affected by varicose veins of the lower limbs CEAP class 2 and 3. After sapheno-femoral crossectomy, we injected a 2% lauromacrogol mousse.
Results. All patients tolerated the procedure, and no intra- or postoperative complications were registered. We so decided to merge traditional crossectomy with pharmacological obliteration of the great saphenous vein in order to reduce the possibility of varicose recurrences at the cross.
Conclusion. This method is safe, not expensive and can be practiced in a day-hospital environment or even in outpatients departments.