[Phlebectomies or foam sclerosis for treatment of the distal venous segment in the 3-S saphenectomy technique].
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.
Selles Dechent
Rafael
R
Servicio de Cirugía General. Hospital Arnau de Vilanova. Valencia. España.
Arenas Ricart
Javier
J
Ballester Ibáñez
Cristina
C
Pérez Monreal
Javier
J
González Vila
Severino
S
Ruiz del Castillo
Juan
J
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
D012597:Sclerosing Solutions; D000077423:Polidocanol; D011092:Polyethylene Glycols