Foam Sclerotherapy of Incompetent Perforators with Compression Versus Compression alone for Treatment of Chronic Venous Leg Ulcers

Zeyada, Mohamed Mohamed; Soliman, Mahmoud; Ibrahem, Islam Mohamed; Tawfeek, Hossam Ahmed

doi:10.21608/zumj.2019.17297.1538

Foam Sclerotherapy of Incompetent Perforators with Compression Versus Compression alone for Treatment of Chronic Venous Leg Ulcers

Document Type : Original Article

Authors

¹ vascular surgery faculty of medicine zagazig university

² Faculty of Medicine, Zagazig University, Department of Vascular Surgery, Sharkia Egypt

³ Faculty of Medicine, Zagazig University, Department of General Surgery, Sharkia Egypt

10.21608/zumj.2019.17297.1538

Abstract

Introduction: Venous Leg Ulcers account for 70% of all leg ulcers and estimates 1% of the populatio
Objective: To compare the efficacy of compression +duplex guided injection sclerotherapy of incompetent perforators versus compression alone in treatment of chronic venous leg ulcers.
Methods: Patients (older than 18 years) attending at outpatient clinic of Vascular Surgery Department, Faculty of Medicine-Zagazig University, were invited to participate in our study.
Results: The study was Randomized Control Trial, conducted on 22 patients with chronic lower limb venous ulcer subdivided in two groups by control randomization, each group 11 patients (11ulcers) : Group A: - (compression only) this group was conservatively managed by four-layer compression bandage after ulcer debridement and irrigation by saline solution for 6 sessions with one weak interval between sessions. Group B: - (compression + foam injection) this group was managed by foam sclerotherapy of incompetent perforators then four-layer compression bandage after ulcer debridement and irrigation by saline solution also for 6 sessions with one-week interval between sessions
Conclusion: The compression therapy is important line in management of venous ulcers. This synergistic approach can improve quality of life . Duplex-guided sclerotherapy is a simple procedure, compared to surgical intervention, no hospitalization, no anaesthesia, can be done in outpatient clinic and the patient can return home after 45 min and no work off period. The relative freedom from serious complications and its evident success, make this the first line treatment for venous ulcer and superior to compression alone.

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