الفهرس 
IntroductionOnly 14 pages are availabe for public view
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Abstract
Varicose veins are a very common problem all over the world. Surgery has been the gold standard treatment for many years, but now there are less invasive options are available and sometimes more efficient as foam sclerotherapy.
Foam sclerotherapy is the application of a sclerosing agent in the form of foam into a varicose vein, leading on to reduction or occlusion of the vessel diameter.
Duplex scanning is the gold standerd in diagnosis of varicose veins as it non invasive, repeatable, reliable and objective during follow up.
The aim of this study was to evaluate the efficacy of foam sclerotherapy for treating primary varicose veins of lower limbs.
In this study, 50 patients presenting vascular surgery unit in Menoufia university hospital with primary varicosities (minor or recurrent varicosities) were treated by foam sclerotherapy on outpatient basis. Foam was generated by the Tessari method using policonadol 2% as sclerosent material.
At the first two week of follow up, patients were re-examined clinically and to check for the desired occlusion of the veins. Ultrasound examination revealed no signs of DVT. After one month of the procedure, patients were examined for thrombophlebitis and Occlusion of the treated vessel was also evaluated. All (100%) patients reported improvement during the first 3 months of follow-up during which compression stockings were used regularly, all varicosities treated with this method had disappeared.
No major complications were detected in this study however 36%of patients had some ecchymosis, 16% superficial thrombophelibitis and 64% pain at sites of injection. No incidences of DVT or skin ulcers were detected in this study. At the end of 6 months and 1 year, no complications or recurrences were found.
This study achieved high patient satisfaction with the improvement of the quality of life of patients and a high rate of closure of the visible varicosities with the foam.
Conclusion: Foam sclerotherapy is simple, safe, effective and more satisfactory procedure for treating of small, residual and recurrent varicose veins of lower limbs.