Sclerotherapy for Asymptomatic varicose veins in the contralateral leg

Varicose veins are known to be bilateral. The varicose veins may be more prominent on one side and symptomatic and on the other side they may be asymptomatic. After surgery for the symptomatic varicose veins the patients would be getting rid of the asymptomatic varicose veins on the opposite side. In such cases it may be helpful to consider sclerotherapy to such varicose veins if they are suitable for it. Recently we have treated such patients sclerosants and the results are satisfactory with satisfaction from the patients. The proper dilution of the sclerosant is more important in such patients to get the best results in terms of obliteration of the varicose veins which are 3 to 5 mm in diameter. The veins disappeared immediately after the sclerotherapy and remained so in the follow up of 3 months.

CHIVA strategy for varicose vein surgery

Perforator vein incompetence in the leg can lead to the development of close loop shun ts in the leg and saphenous vein segment connected with that will be dialating in due course of time. If this perforator is ligated and the dialated vein segment may regress in size as the close loop venous shunt has been disconnected. This would require very good observation by the ultrasonoloigst who can mark them well for the surgeons. Ideally it would be better to do the intra operative duplex scan to demonstrate the incompetence of the perforator just before the ligation.