title: [Phlebectomies or foam sclerosis for treatment of the distal venous segment in the 3-S saphenectomy technique].
abstract: BACKGROUND
  The aim of this study was to compare the recurrent rates of varicose veins after treatment with two surgical techniques: 3-S saphenectomy and 3-S saphenectomy with distal sclerosis.
  
  
  METHODS
  105 patients with trunk varicose veins were randomly assigned. The control group consisted of 51 patients who underwent the 3-S saphenectomy technique (the sapheno-femoral junction sclerosis with foam, saphenectomy and distal phlebectomies); test group: 3-S saphenectomy with distal sclerosis technique (the sapheno-femoral junction sclerosis with foam, saphenectomy and distal segment sclerosis).
  
  
  RESULTS
  Overall recurrence: group I 35.3%, group II 57.4% (p < 0.001). Trunk recurrence: group I 17.7%, group II 38.9% (p = 0.028). Collateral recurrence: group I 9.8%, group II 11.1% (p = 1). Perforator vein recurrence: group I 5.9%, group II 5.6% (p = 1). Reticulated recurrence: group I 2%, group II 1.9% (p = 1).
  
  
  CONCLUSIONS
  The substitution of Müller phlebectomy instead of foam sclerosis, is not a better treatment of the distal venous segment, and has a greater recurrence rate. The 3-S saphenectomy technique is the most suitable for the treatment for trunk varicose veins.
authors.affiliation: Servicio de Cirugía General. Hospital Arnau de Vilanova. Valencia. España.
authors.forename: Rafael
authors.initials: R
authors.lastname: Selles Dechent
authors.forename: Javier
authors.initials: J
authors.lastname: Arenas Ricart
authors.forename: Cristina
authors.initials: C
authors.lastname: Ballester Ibáñez
authors.forename: Javier
authors.initials: J
authors.lastname: Pérez Monreal
authors.forename: Severino
authors.initials: S
authors.lastname: González Vila
authors.forename: Juan
authors.initials: J
authors.lastname: Ruiz del Castillo
mesh_terms: D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D000077423:Polidocanol; D011092:Polyethylene Glycols / Q000008:administration & dosage; D012008:Recurrence; D012501:Saphenous Vein / Q000601:surgery*; D012597:Sclerosing Solutions / Q000008:administration & dosage; D015911:Sclerotherapy / Q000295:instrumentation / Q000379:methods*; D014648:Varicose Veins / Q000628:therapy*; D014656:Vascular Surgical Procedures / Q000379:methods
chemical_list: D012597:Sclerosing Solutions; D000077423:Polidocanol; D011092:Polyethylene Glycols