Shrinking of the varicose blood vessels by the injection of medicine
Sclerotherapy
ICD-9-CM
39.92
MeSH
D015911
[edit on Wikidata]
Sclerotherapy
Sclerotherapy (the word reflects the Greek skleros, meaning hard)[1]
is a procedure used to treat blood vessel malformations (vascular malformations) and also malformations of the lymphatic system. A medication is injected into the vessels, which makes them shrink. It is used for children and young adults with vascular or lymphatic malformations. In adults, sclerotherapy is often used to treat spider veins, smaller varicose veins, hemorrhoids,[2] and hydroceles.[3]
Sclerotherapy is one method for the treatment of spider veins, varicose veins (which are also often treated with surgery, radiofrequency, and laser ablation), and venous malformations. In ultrasound-guided sclerotherapy, ultrasound is used to visualize the underlying vein so the physician can deliver and monitor the injection. Sclerotherapy often[quantify] takes place under ultrasound guidance after venous abnormalities have been diagnosed with duplex ultrasound. Sclerotherapy under ultrasound guidance and using microfoam sclerosants has been shown[by whom?] to be effective in controlling reflux from the sapheno-femoral and sapheno-popliteal junctions.[4][5] However, some authors[which?] believe that sclerotherapy is not suitable for veins with reflux from the greater or lesser saphenous junction, or for veins with axial reflux.[2] This is due to the emergence of more effective technologies, including laser ablation and radiofrequency, which have demonstrated superior efficacy to sclerotherapy for treatment of these veins.[6]
^ abFinkelmeier R (2005). "Sclerotherapy, Ch. 12". In Souba WW (ed.). ACS Surgery: Principles & Practice. United Kingdom: WebMD.
^Beiko DT, Kim D, Morales A (April 2003). "Aspiration and sclerotherapy versus hydrocelectomy for treatment of hydroceles". Urology. 61 (4): 708–712. doi:10.1016/s0090-4295(02)02430-5. PMID 12670550.
^Kanter A, Thibault P (July 1996). "Saphenofemoral incompetence treated by ultrasound-guided sclerotherapy". Dermatologic Surgery. 22 (7): 648–652. doi:10.1016/1076-0512(96)00173-2. PMID 8680788.
^Padbury A, Benveniste GL (December 2004). "Foam echosclerotherapy of the small saphenous vein". Australian and New Zealand Journal of Phlebology. 8 (1).
^Novak CJ, Khimani N, Kaye AD, Jason Yong R, Urman RD (March 2019). "Current Therapeutic Interventions in Lower Extremity Venous Insufficiency: a Comprehensive Review". Current Pain and Headache Reports. 23 (3): 16. doi:10.1007/s11916-019-0759-z. PMID 30830460. S2CID 73513411.
Sclerotherapy (the word reflects the Greek skleros, meaning hard) is a procedure used to treat blood vessel malformations (vascular malformations) and...
elevating the legs, and weight loss. Possible medical procedures include sclerotherapy, laser surgery, and vein stripping. Reoccurrence is common following...
the safety of sclerotherapy for telangiectasias. In some cases stroke and transient ischemic attacks have occurred after sclerotherapy. Varicose veins...
Star P, Connor DE, Parsi K (April 2018). "Novel developments in foam sclerotherapy: Focus on Varithena (polidocanol endovenous microfoam) in the management...
(Cryo-Laser and Cryo-Sclerotherapy) is a treatment for leg vein lesions by combining transdermal laser effect and injection sclerotherapy, all under skin cooling...
office or clinic and is less invasive, but recurrence rates are high. Sclerotherapy, the injection of a solution following aspiration of the hydrocele fluid...
mucopolysaccharides. Ramelet AA (24 November 2016). "Venoactive Drugs". Sclerotherapy: treatment of varicose and telangiectatic leg veins (6th ed.). Elsevier...
be prescribed. Severe damage to lymph channels may require surgery. Sclerotherapy with instillation of 1% of silver nitrate or povidone iodine (2ml of...
prostatic congestion include mechanical treatments such as varicocele sclerotherapy, minimally invasive treatments, and alternative treatments such as massaging...
(eds.), "5 - Noninvasive Examination of the Patient Before Sclerotherapy", Sclerotherapy (Sixth Edition), Elsevier, pp. 100–136, doi:10.1016/b978-0-323-37726-3...
acute variceal bleeding. This is in addition to endoscopic banding or sclerotherapy for the varices. If this is sufficient then beta blockers and nitrates...
Streptococcus pneumoniae: 0.06–32 μg/mL Doxycycline is also used for sclerotherapy in slow-flow vascular malformations, namely venous and lymphatic malformations...
produce new cells in rapid succession. Although the erroneous term "sclerotherapy" was utilized by some in the past to describe this treatment, it is...
two main therapeutic approaches are variceal ligation (banding) and sclerotherapy.[citation needed] In cases of refractory bleeding, balloon tamponade...
complications. An alternative and less invasive treatment is ultrasound-guided sclerotherapy. Cutaneous columnar cyst Cystic hygroma Gingival cyst Mucocele Ranula...
younger patients, operation is usually preferred.[citation needed] Sclerotherapy is an alternative; after aspiration, 6% aqueous phenol (10–20 ml) together...
improved fertility among males treated for varicocele. Evidence for sclerotherapy is unclear as of 2015. Around 15% to 20% of all adult males, up to 35%...
technique in the mid-1950s because he was unsatisfied with the results of sclerotherapy. Moreover, he wanted an alternative for the large eyecatching scars...
endoscopic debridement can help remove the capsule. Sclerodesis or sclerotherapy is also an option to close the space by causing fibrotic scarring or...
treated either with endovenous laser ablation or by ultrasound guided sclerotherapy. Lower limbs venous ultrasonography Kupinski, Ann Marie (July 2019)...
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