Staged or simultaneous varicose vein treatment after saphenous vein ablation

Chronic venous disease (CVD) is a progressive condition that affects significant percentage of the population. Clinical manifestation CVD differs between patients: from asymptomatic patients with esthetic problems only to very severe stages (including leg ulcer) significantly decrease quality life (Qol). Although varicose vein can be and they decide for treatment cosmetic reasons, many them present symptoms and/or signs CVD, including pain, heaviness, itching, cramps, swelling, trophic changes or ulcerations. Therapeutic management veins includes surgery, minimally invasive procedures (involving saphenous ablation sclerotherapy), compression therapy pharmacological treatment. Traditional surgical has been leading method in VV years. Nonetheless, thrived 21st century overtook open surgery regarding VVS more advanced CVD. Another commonly used foam sclerotherapy. The efficacy EVLA improved by performing adjunctive sclerotherapy (FS) tributaries. combination FS an effective reducing rate reinterventions incompetence. In undergoing ablation, (FS mini phlebectomy) performed within same procedure as delayed argument potential possibility regression (partial complete) after ablation. On other hand, session result fast complete removal without need additional procedures. Nevertheless, there no consensus optimal timing GSV trunk because diversified scientific reports are still different approaches this problem phlebological centres around world. Since associated incompetence topic debate among surgeons, study review compares concomitant staged treatments VV.