Chapter-07 Sclerotherapy for Varicose Veins

BOOK TITLE: Sclerotherapy in Dermatology

1. S Sacchidanand
2. TS Nagesh
3. Rai Dinker Belle
Publishing Year
Author Affiliations
1. Rajiv Gandhi University of Health Sciences, Bengaluru, Karnataka, India, Bangalore Medical College and Research Institute, Rajiv Gandhi Institute of Health Sciences, Bengaluru, Karnataka, India, Government of Karnataka, Karnataka, India, Bangalore Medical College and Research Institute, Medical Education, Government of Karnataka, Bengaluru, Karnataka, India
2. Sapthagiri Institute of Medical Sciences and Research Center, Bengaluru, Karnataka, India, Sapthagiri Institute of Medical Sciences, Bengaluru, Karnataka, India
3. Interfaith Medical Center, Brooklyn, New York, USA; SUNY Downstate Medical Center, Brooklyn; Rajiv Gandhi University, Bengaluru, Karnataka, India
Chapter keywords
Sclerotherapy, varicose veins, sclerosing solution, sclerosant concentration, patient preparation, Fegan’s technique, Sigg’s technique


Sclerotherapy is the targeted chemical ablation of varicose veins by intravenous injection of a liquid or foamed sclerosing drug. The extent of damage to the blood vessel wall determines the effectiveness of the solution. Sclerotherapy has been extensively used by dermatosurgeons in the management of superficial varicose veins and other venous abnormalities. This chapter covers the history, indications of sclerotherapy in varicose veins, contraindications, sclerosing solutions, pre-procedure assessment, sclerosant concentrations, principles of varicose vein sclerotherapy, patient preparation, and techniques. Indications of sclerotherapy in varicose veins include pain, incompetent saphenous veins, major tributaries of greater and lesser saphenous veins, incompetent perforating veins, lateral venous system varicosities, reticular varicose veins, and residual and recurrent varicose veins after surgery.

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