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Evaluation of foam sclerotherapy in treatment of lower limbs – primary varicose veins

Objective The aim was to evaluate the efficacy of foam sclerotherapy for treating primary varicose veins. Background Foam sclerotherapy is a standard method of treatment of primary varicose veins. It is a less invasive method, simple, effective, and can be done in outpatient. Materials and methods This is a prospective study on 50 consecutive patients who were diagnosed to have clinical and radiological evidence of primary varicose veins in the Department of Vascular Surgery Unit in Menoufia University hospitals from February 2017 to February 2018. Local ethics committee's approval and a written consent were obtained. The foam was generated by Tessari method. Results Fifty lower limbs of 50 patients were presented with primary varicose veins and competent saphenofemoral junction. There were 35 (70%) females and 15 (30%) males with mean age of 35.4 ± 10.125 years (range: 22–55 years). Fifty limbs included 20 (40%) right limbs and 30 (60%) left limbs. Twenty-five (50%) patients complained of disfigurement, 30 (60%) patients of pain, 30 (60%) patients of heaviness, and 35 (70%) patients of swelling. The complications were pain at injection sites in 32 (64%) patients, itching in four (8%) patients, ecchymosis in 18 (36%) patients, and superficial thrombophelibitis in eight (16%) patients. Conclusion Foam sclerotherapy is safe, effective, and less complicated in treating primary varicose veins.