Analysis of methods of treatment in the varicose disease (sclerotherapy and surgery).

Abstract

Introduction: The varicose disease represents 90-95% of chronic venous disease. Varicose veins affect up to 25 percent of women and 15 percent of men. Treatment of varicose veins is one of the most important directions of study due the high frequency, of clinical polymorphism and of subjective symptoms. Studying these theme is too important because currently there are a number of treatments but none of them do not resolve the problem, and recurrent varicose veins is an evidence of that. The purpose of the study is to compare sclerotherapy and surgery as treatment method of varicose veins and to establish the cases where it will give preference to one or the other. Materials and methods: Is a retrospective study and is based on the analysis of the medical records of 589 patients. Patients had been divided into two groups depending on the treatment method applied. 470 of patients were treated through sclerotherapy method in CMF “Galaxia” and 119 surgical in SCM “Arhanghelul Mihail” in the period 2012-2014. Statistical data were obtained through statistical analysis of Microsoft Excel 2010 of Windows 8 operating system. Discussion results: Varicose disease is predominant in women in both study groups (85,16% and 59,66%). The peak incidence of disease in patients is between 30 and 60 years. Patients treated with sclerotherapy more frequently had grade C2 (CEAP), patients treated surgical C2-C3 (CEAP).Sclerotherapy procedure lasts on average 15-20 minutes and does not require hospitalization. Surgery takes 1-1,5 hours and requires an average of 7 days of hospitalization. Conclusion: The current trend of treatment of anghe is selecting a method which solves the subjective symptoms, has a maximum aesthetic result, but also has an index of relapse minimum possible. Selection of the optimal method for the treatment of varicose veins depends on the degree of the disease, presence of complications, but also of patient’s request. However varicose disease is a continually progressive pathology whatever the treatment method applied.