Introduction: Primary varicose veins mainly cover the great saphenous vein (VSM) and the small saphenous vein (VSP) basins of the lower extremities. The treatment procedure for their removal, the so-called radical varicophlebectomy, can be performed by the standard open technique—crossectomy and stripping, by minimally invasive methods—radiofrequency and laser ablation, and by intralumenal application of a sclerosing agent.
Literary Review: This publication details the possibility of obtaining a highly viscous foam, the route of administration into a varicose vein, and the subsequent additional treatment procedures. The rules for treatment with sclerosing of high-viscosity foam, which have been established at the end of 2006 by more than 30 world phlebologists, are described in detail.
Discussion: Foam sclerotherapy of various forms of varicose veins is a uniquely good and inexpensive method for radical treatment of superficial varicose veins. Even if the recurrence rate after penosclerotherapy is slightly higher than in other minimally invasive treatments, foam treatment is an affordable, inexpensive, and highly effective method, as long as it is performed according to accepted rules.
Conclusion: This material summarizes the positive results of foam sclerosing treatment performed according to clearly established rules.
А. Ангелов, Ендолуменна лазерна аблация на стволови разширени вени, монография, Медицински университет – Варна, 2019, 65-70, 84-88, 121-125.
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