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document
Ambulatory phlebectomy versus compression sclerotherapy : results of a randomized controlled trial . BACKGROUND Although no randomized controlled trial has assessed the effects of either compression sclerotherapy or ambulatory phlebectomy , both techniques are used to treat varicose veins worldwide . We performed a randomized controlled trial to compare recurrence rates of varicose veins and complications after compression sclerotherapy and ambulatory phlebectomy . METHODS From September 1996 to October 1998 , we randomly allocated 49 legs to compression sclerotherapy and 49 legs to ambulatory phlebectomy . Our primary outcome parameters were as follows : recurrence rates at 1 and 2 years and complications related to therapy . Eighty-two patients were included , of whom 16 were included with both of their legs . The number of treated legs was therefore 98 , but two patients were lost to follow-up . RESULTS One year recurrence amounted to 1 out of 48 for phlebectomy and 12 out of 48 for compression sclerotherapy ( P < 0.001 ) ; at 2 years , six additional recurrences were found , but then solely for compression sclerotherapy ( P < 0.001 ) . Significant differences in complications occurring more in phlebectomy than in compression sclerotherapy therapy were blisters , teleangiectatic matting , scar formation , and bruising from bandaging . CONCLUSION Our results show that ambulatory phlebectomy is an effective therapy for varicose veins of the leg . Recurrence rates are significantly lower than for compression sclerotherapy therapy . If varicose veins persist 4 weeks after compression sclerotherapy , it can be argued that to reduce the risk of future recurrence ambulatory phlebectomy should be considered as the better treatment option .
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Intervention_Surgical
Ambulatory phlebectomy
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Intervention_Physical
compression sclerotherapy
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Intervention_Physical
compression sclerotherapy
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Intervention_Surgical
ambulatory phlebectomy
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Intervention_Physical
compression sclerotherapy
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Intervention_Surgical
ambulatory phlebectomy
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Intervention_Physical
compression sclerotherapy
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Intervention_Surgical
ambulatory phlebectomy
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Intervention_Surgical
phlebectomy
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Intervention_Physical
compression sclerotherapy
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Intervention_Physical
compression sclerotherapy
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Intervention_Physical
compression sclerotherapy
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Intervention_Surgical
ambulatory phlebectomy
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Intervention_Physical
compression sclerotherapy therapy
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Intervention_Physical
compression sclerotherapy
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Intervention_Surgical
ambulatory phlebectomy
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Outcome_Physical
One year recurrence
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Outcome_Physical
recurrences
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Outcome_Adverse-effects
blisters , teleangiectatic matting , scar formation , and bruising from bandaging .
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Participant_Condition
September 1996 to October 1998 , we randomly allocated 49 legs to compression sclerotherapy and 49 legs to ambulatory phlebectomy .
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Participant_Condition
Eighty-two patients were included , of whom 16 were included with both of their legs .