Surgery Today

, Volume 28, Issue 7, pp 732–735 | Cite as

Treatment of primary varicose veins: An assessment of the combination of high saphenous ligation and sclerotherapy

  • Masahiko Ishikawa
  • Norio Morimoto
  • Tadahiro Sasajima
  • Yoshihiko Kubo
  • Tetsuya Nozaka
Original Articles


This study was conducted to determine the optimal treatment for minimizing the recurrence of varicose veins, and to assess the value of the combined treatment of high saphenous ligation and sclerotherapy. A combined total of 967 limbs in 660 patients with primary varicose veins were treated. The treatments comprised: sclerotherapy alone in 81 limbs, high saphenous ligation alone in 3 limbs, a combination of sclerotherapy and high sephenous ligation in 843 limbs, and a combination of sclerotherapy and ligation of incompetent perforating veins in 10 limbs. Recurrent varicose veins appeared from 3 months after the initial treatment in 61 (6.3%) limbs. Saphenous-type recurrence, being the presence of saphenofemoral incompetence (SFI) and/or saphenopopliteal incompetence (SPI), was found in 20 limbs, and further treatment was given. Segmental-type recurrence, being superficial varices without SFI or SPI, was found in 41 limbs, all of which were treated with further sclerotherapy alone. To minimize the recurrence rate of varicose veins, the presence or absence of SFI, SPI, and incompetent perforating veins must be confirmed prior to the initial treatment. It was concluded that the combination of high saphenous ligation and sclerotherapy is effective for patients with SFI and/or SPI, whereas sclerotherapy alone is better for patients without SFI or SPI.

Key Words

varicose veins saphenous ligation sclerotherapy recurrent varicose veins 


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Copyright information

© Springer-Verlag 1998

Authors and Affiliations

  • Masahiko Ishikawa
    • 1
  • Norio Morimoto
    • 1
  • Tadahiro Sasajima
    • 2
  • Yoshihiko Kubo
    • 2
  • Tetsuya Nozaka
    • 2
  1. 1.Department of SurgeryKitami Central HospitalKitami-shi, HokkaidoJapan
  2. 2.First Department of SurgeryAsahikawa Medical CollegeAsahikawa-shi, HokkaidoJapan

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