Use of micro-foam made with a magnetic mixer in treatment of reticular varicosis and teleangiektasia
Year: 2020
Type: article
Abstract: SummaryThe method of choice for the treatment of reticular varicose veins andteleangiectasias (TAE) is microsclerotherapy using finely dispersed foam. To improvethe result of sclerotherapy, a special device (magnetic mixer) was proposed to improvethe quality of the working foam.The aim of this work is to analyze the results of sclerotherapy of reticular veins andTAE using micro-foam obtained by magnetic mixer.Materials and methods. The analysis of the use of microsclerotherapy in the Clinicof vascular surgery of the Main Military Clinical Hospital was carried out. The studyinvolved 100 patients aged 18 to 84 years, who underwent sessions of reticular vein andTAE sclerotherapy. There were 81 women and 18 men. The patients were allocated totwo groups.In group 1 (n = 49), sclerotherapy was carried out using a standard technique.Polidocanol 600 (Sclerovein) was introduced in the form of micro-dispersed foam madeby the Tessari method.In group 2 (n = 51), scleroobliteration was performed using foam made with a«Cimaron» magnetic mixer (produced in Ukraine).Control examinations and evaluation of the results were followed up for 7 days, 1month, and 6 months after the procedure on the basis of a clinical examination.Results and discussion. All patients achieved a positive result in the form ofelimination of reticular veins and TAE, however, at follow-up examination after 7 daysand 1 month, the following complications were observed: subcutaneous hematomas in34 (69.4%) patients of group 1 and in 35 (68, 6%) of patients of the 2nd group, phlebitisof tributaries - in 4 (8.1%) patients of the 1st group and 2 (5.8%) patients of the 2ndgroup. These complications did not require the appointment of additional medications.During the follow-up examination after 1 month, hyperpigmentation was observedin 16 (32.6%) patients of the 1st group and 14 (27.5%) patients of the 2nd group, metingafter 1 month - in 6 (12.2%) patients of the 1st group and 4 (7%) patients of the 2ndgroup.A good (excellent and good) aesthetic result, which completely satisfies patients,was achieved in 79 (79%) cases. In other cases, an improvement in appearance and adecrease in disease symptoms were noted.The cosmetic result after surgery was assessed by patients of the first group asfollows: excellent - 18 (36.7%) patients of the 1st group and 22 (43.1%) patients of the2nd group, good - 19 (38.8%) patients 1 group 2 and 20 (39.2%) patients of group 2,satisfactory - 11 (22.4%) patients of group 1 and 9 (17.6%) patients of group 2, therewere no unsatisfactory results.Conclusions. Sclerotherapy of reticular veins and telangiectasias using foam madeby magnetic mixer and a decrease in the concentration of sclerosant made it possible toachieve a positive result in group 2 (excellent and good results prevailed: 37 (75.5%)patients in group 1 and 42 (86.3 %) of patients of the 2nd group (p <0.05)).
Institution: Bogomolets National Medical University
Language: Ukrainian
Subfield: Surgery
Field: Medicine
Domain: Health Sciences
Open Access status: diamond
OpenAlex ID: W3131497069