Historical Review of Techniques Sclerosing treatment for telangiectasias was ignored until the 1930s, when Biegeleisen injected sclerosing agents intradermally or subcutaneously into the general area of capillary enlargement. However, this procedure caused severe necrosis and lacked effect on the telangiectasias.…
Introduction For nearly a century, open surgical treatment has been considered the gold standard to treat uncomplicated varicose veins. Since the early 1990s, however, techniques have shifted toward minimally invasive approaches. Foremost among these techniques are endovenous thermal ablation using…
The opening, timeless quotation from Henry Faxon, Assistant in Surgery at Harvard Medical School in 1933, resulted from a careful analysis of 314 cases from the peripheral circulatory clinic of the Massachusetts General Hospital. Unfortunately, this quotation is timeless in…
General Mechanism for Producing Endothelial Damage Sclerotherapy refers to the introduction of a foreign substance into the lumen of a vessel, aiming to create venous wall damage leading to occlusion of the vessel ( Fig. 7.1 ). This procedure, when…
Before sclerotherapy is performed, the examiner must obtain a focused history and perform a meticulous physical examination, including inspection and palpation (level 1). This combination places the patient into a proper clinical classification, and this, in turn, will dictate therapy.…