Treatment of small bleeding varicose veins with injection sclerotherapy. Bleeding blue blebs.

Autor: Tretbar LL; Department of Clinical Surgery, University of Missouri-Kansas City School of Medicine, USA.
Jazyk: angličtina
Zdroj: Dermatologic surgery : official publication for American Society for Dermatologic Surgery [et al.] [Dermatol Surg] 1996 Jan; Vol. 22 (1), pp. 78-80.
DOI: 10.1111/j.1524-4725.1996.tb00575.x
Abstrakt: Background: Bleeding is a well-recognized but seemingly uncommon complication of varicose vein disease. Some deaths have occurred in which bleeding developed from vessels in the base of chronic venous ulcers.
Objective: To elucidate a more common type of venous bleeding that can be identified and treated by an experienced sclerotherapist.
Methods: The records of a group of patients with bleeding superficial phlebectasias, primarily on the feet and ankles, are reviewed. All patients received injection sclerotherapy after the initial bleeding episode. A comparison was made between those patients whose bleeding points were sutured in the emergency department and those who were treated only with compression.
Results: Suture-ligation of the bleeding site delayed healing when compared with simple compression. Concomitant injection sclerotherapy proved to be a successful and permanent method of treating these veins. No recurrent bleeding developed in any of the patients, even in those with previous episodes of bleeding.
Conclusions: Initial treatment of the bleeding blue bleb requires only compression of the tiny open vessel. Later injection sclerotherapy provides a permanent method of obliterating the thin-walled veins and prevents future bleeding. It is essential to treat the entire incompetent venous system as well as the bleeding site itself.
Databáze: MEDLINE
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