Midterm Efficacy of Sclerosing Foam Combined With Endovenous Laser Treatment for Varicose Veins of the Lower Extremities

IF 1.8 3区医学 Q2 SURGERY

Journal of Surgical Research Pub Date : 2025-03-11 DOI:10.1016/j.jss.2025.02.004

Guili Wang MD, PhD , Donglin Lu MD , Ding Wu MD, Xiaoli Wang MD, Qingyi Meng MD, PhD, Zhaoxuan Liu MD, PhD

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Abstract

Introduction

This study aimed to assess the midterm efficacy and symptoms of sclerosing foam combined with endovenous laser ablation in treating lower-extremity varicose veins.

Methods

This study analyzed 838 patients (985 limbs) with varicose veins in one or both lower extremities, treated at our center from September 2020 to June 2022. All patients underwent sclerosing foam combined with endovenous laser ablation. Closure of the great saphenous vein trunk and branches, as well as postoperative efficacy and symptoms, were monitored. The mean follow-up time was 13.8 mo, with data collected through outpatient visits and telephone follow-ups.

Results

The procedural success rate was 100%. Based on the results of continuous follow-up over 12 mo following surgery, 12, seven, and six of all 985 legs still required repeat foam sclerosis of varicose veins, induration, and venous edema, respectively. At 1 wk and 6 mo postprocedure, incomplete closure of the great saphenous vein trunk (opened, fluxed, and refluxed) occurred in 1.9% (19 limbs) and 2.8% (28 limbs), respectively. Ten patients with local varicose vein recurrence did not seek further treatment.

Conclusions

Midterm follow-up results demonstrated favorable efficacy of sclerosing foam combined with endovenous laser for treating varicose veins. Major postoperative symptoms included the need for additional sclerosing foam injections, venous edema, and pain.

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来源期刊

Journal of Surgical Research 医学-外科

CiteScore

3.90

自引率

4.50%

发文量

627

审稿时长

138 days

期刊介绍： The Journal of Surgical Research: Clinical and Laboratory Investigation publishes original articles concerned with clinical and laboratory investigations relevant to surgical practice and teaching. The journal emphasizes reports of clinical investigations or fundamental research bearing directly on surgical management that will be of general interest to a broad range of surgeons and surgical researchers. The articles presented need not have been the products of surgeons or of surgical laboratories. The Journal of Surgical Research also features review articles and special articles relating to educational, research, or social issues of interest to the academic surgical community.