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Chapter-052 Sclerotherapy

BOOK TITLE: ACS(I) Textbook of Cutaneous & Aesthetic Surgery (2 Volumes)

Author
1. Sacchidanand S
2. Nagesh TS
3. Aradhya Sujala S
ISBN
9789352700332
DOI
10.5005/jp/books/14122_54
Edition
2/e
Publishing Year
2018
Pages
10
Author Affiliations
1. Bangalore Medical College and Research Institute, Bengaluru, Karnataka, India, Rajiv Gandhi University of Health Sciences, Bengaluru, India, President, IADVL, sacchi1260@gmail.com, Bangalore Medical College and Research Institute, Bengaluru, India, Rajiv Gandhi University of Health Sciences; Bangalore Medical College and Research Institute, Bengaluru, Karnataka, India, Rajiv Gandhi University of Health Sciences, Bengaluru, Karnataka, India; Bangalore Medical College and Research Institute, BMCRI, Bengaluru, Karnataka, India, Government of Karnataka, Bengaluru, Karnataka, India, Government of Karnataka; Bangalore Medical College and Research Center, Bengaluru, Karnataka, India, Rajiv Gandhi University of Health Sciences, Bengaluru, Karnataka, India, Rajiv Gandhi University of Health Sciences, Bengaluru; Bangalore Medical College and Research Institute, Bengaluru, Karnataka, India, Rajiv Gandhi University of Health Sciences; Bengaluru; Bangalore Medical College and Research Institute, BMCRI, Bengaluru, Karnatak
2. Sapthagiri Institute of Medical Sciences and Research Center, Hesaraghatta Main Road, Bengaluru, Karnataka, India, Sapthagiri Institute of Medical Sciences and Research Center, Bengaluru, Karnataka, India, SIMS and RC, Bangaluru, Karnataka, India
3. Dr BR Ambedkar Medical College, Bengaluru, India, Sujala Polyclinic and Laboratory, Bengaluru, Karnataka, India
Chapter keywords
Sclerotherapy, varicose vein, detergent agent, osmotic agent, chemical irritant, pre-procedure assessment, hand while injecting reticular vein, foam sclerotherapy

Abstract

The aim of this chapter is to introduce sclerotherapy, which includes history, objectives and mechanism of sclerotherapy, pre-procedure assessment, procedure, techniques, post-sclerotherapy compression. Sclerotherapy is a simple and effective procedure for the treatment of varicose veins. With experience, larger veins can also be treated effectively with sclerotherapy. It can prevent the complications of varicose veins if done in the initial stages. Sclerotherapy being an outpatient procedure, when done with adequate precautions is associated with very minimal morbidity, mortality and loss of work time compared to surgery. Sclerotherapy has emerged as a simple, safe and effective treatment modality for management of venous abnormalities, both therapeutically and esthetically. There are many sclerosing solutions available, which are detergent agents, osmotic agents and chemical irritants groups based on their mechanisms of destruction of the endothelium. Side effects and complications of sclerotherapy, foam sclerotherapy, laser treatment of telangiectasia and reticular veins are also discussed in this chapter.

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