title: What are the results of high ligation followed by sclerotherapy?
abstract: In the late 1960's, many surgeons in the United Kingdom became enthusiastic sclerotherapists as a result of the work and publications of Professor George Fegan a few years earlier. This resulted in many centres using compression sclerotherapy alone for all types of varicose veins--some centres virtually abandoned the surgical approach even in the presence of sapheno-femoral and/or sapheno-popliteal reflux. Although initial results seemed remarkable, it gradually became clear that after a few years, recurrent varicose veins were prevalent particularly in those patients who had initially demonstrated reflux. The magnitude of the problem only became fully defined with the publication of the 6 year results of the random trial, "Surgery versus Sclerotherapy" from John Hobbs at St. Mary's Hospital, London. (John Hobbs - The treatment of venous disorders. Edinburgh, R. & R. Clark Ltd, 1977).
mesh_terms: D006801:Humans; D008026:Ligation; D011183:Postoperative Complications / Q000209:etiology; D011379:Prognosis; D012597:Sclerosing Solutions / Q000627:therapeutic use*; D013924:Thrombophlebitis / Q000209:etiology; D014648:Varicose Veins / Q000601:surgery*; D014689:Venous Insufficiency / Q000601:surgery
chemical_list: D012597:Sclerosing Solutions