[Phlebectomies or foam sclerosis for treatment of the distal venous segment in the 3-S saphenectomy technique]. / Flebectomías o esclerosis con espuma para el tratamiento del segmento venoso distal en la técnica 3-S safenectomía.

ABSTRACT

INTRODUCTION: The aim of this study was to compare the recurrent rates of varicose veins after treatment with two surgical techniques 3-S saphenectomy and 3-S saphenectomy with distal sclerosis. PATIENTS AND METHOD: 105 patients with trunk varicose veins were randomly assigned. The control group consisted of 51 patients who underwent the 3-S saphenectomy technique (the sapheno-femoral junction sclerosis with foam, saphenectomy and distal phlebectomies); test group 3-S saphenectomy with distal sclerosis technique (the sapheno-femoral junction sclerosis with foam, saphenectomy and distal segment sclerosis). RESULTS: Overall recurrence group I 35.3%, group II 57.4% (p < 0.001). Trunk recurrence group I 17.7%, group II 38.9% (p = 0.028). Collateral recurrence group I 9.8%, group II 11.1% (p = 1). Perforator vein recurrence group I 5.9%, group II 5.6% (p = 1). Reticulated recurrence group I 2%, group II 1.9% (p = 1). CONCLUSIONS: The substitution of Müller phlebectomy instead of foam sclerosis, is not a better treatment of the distal venous segment, and has a greater recurrence rate. The 3-S saphenectomy technique is the most suitable for the treatment for trunk varicose veins.