Navegando por Palavras-chave "escleroterapia"

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    Eficiência do laser diodo 980 nm em comparação à da glicose a 75% na oclusão de veias da orelha de coelhos
    (Sociedade Brasileira de Angiologia e de Cirurgia Vascular (SBACV), 2011-06-01) Lima, Paulo Roberto da Silva [UNIFESP]; Araújo, Marcelo; Pitta, Guilherme Benjamin Brandão; Oliveira, Andressa Feitosa Bezerra de; Pereira, Guilherme Costa Guedes; Baptista-Silva, José Carlos Costa [UNIFESP]; Universidade Estadual de Santa Cruz; Universidade Estadual de Ciências da Saúde de Alagoas; Universidade Federal da Paraíba; Universidade Federal de São Paulo (UNIFESP)
    BACKGROUND: The laser is a new treatment to varicose veins and there is several myths and doubts in relation to its efficacy; then, there is the need to compare it with the most commonly sclerosing solution (hypertonic glucose) used in our specialty. OBJECTIVE: To compare the efficiency of the diode laser 980nm to the glucose 75% in the occlusion of veins from the ear of rabbits. METHODS: Aleatory trial in laboratory animals during 21 days. The sample consisted of ears from male adult rabbits. Group L (laser): 15 ears treated with laser; group G (glucose 75%): 15 ears treated with glucose 75%. Primary variables: sclerotic and/or occluded veins. Complementary variables: volume of the managed substance, complications and weight of rabbit. The sample size was estimated in 30 ears. The statistical analysis was carried out by Fisher''s exact test associated to the Relative Risk (RR), calculating the confidence interval of 95% for the mentioned variables. RESULTS: The incidence of sclerosis or venous occlusion in group G was 53% (8/15; 95%CI: 27-79) and in group L was 20% (3/15; 95% CI: 4-49). Two-tailed p was 0.1281, RR using the approximation of Katz was 2.66; 95%CI: 0.87-8.15. CONCLUSION: The efficiency of the diode laser 980 nm in comparison to glucose 75% in occlusion of veins in this experimental model was equivalent.
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    Síndrome de Klippel-Trenaunay-Weber: associação do tratamento operatório à escleroterapia por espuma
    (Sociedade Brasileira de Angiologia e de Cirurgia Vascular (SBACV), 2011-03-01) Flumignan, Ronald Luiz Gomes [UNIFESP]; Cacione, Daniel Guimarães [UNIFESP]; Lopes, Silvia Iglesias [UNIFESP]; Clezar, Caroline Nicacio Bessa [UNIFESP]; Queiroz, Carolina Dutra [UNIFESP]; Pereira-filho, Aécio Rubens Dias [UNIFESP]; Barros Junior, Newton de [UNIFESP]; Miranda Jr, Fausto [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    The Klippel-Trenaunay-Weber Syndrome is the association of hemangioma, venous ectasia, and hypertrophy of the affected body segment. We report the case of a 39-year-old male followed-up since 1993 due to onset of symptoms in the left lower limb. He was treated only with the use of elastic stockings and general measures. Over the years, he had worsening of venous stasis, of bone hypertrophy, and of skin hyperpigmentation. Color-coded Doppler ultrasonography of the lower limbs showed patency of the deep venous system, venous overflow, segmentar insufficiency of the greater saphenous vein with signs of thrombophlebitis, and insufficient tributary veins. In order to improve venous stasis, ligation of the left sapheno-femoral junction and retrograde foam sclerotherapy (polidocanol 3%) with resection of tributary veins were performed. The patient was discharged in the first postoperative day and has been followed as an outpatient, presenting significant improvement of the symptoms.
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    Tratamento combinado da cirurgia de varizes com a escleroterapia de telangiectasias dos membros inferiores no mesmo ato
    (Sociedade Brasileira de Angiologia e de Cirurgia Vascular (SBACV), 2006-03-01) Gaspar, Ricardo José [UNIFESP]; Medeiros, Charles Angotti Furtado de; Universidade Federal de São Paulo (UNIFESP); Universidade Estadual de Campinas (UNICAMP)
    OBJECTIVES: Chemical sclerotherapy is the most traditional treatment to eliminate telangiectasias. For several decades, it has been carried out in the office, although it has a high index of treatment dropout for being a painful, long and, therefore, little efficient treatment. Most of these patients also present insufficient varicose veins, which require phlebectomy and are candidates for surgery. The aim of this paper is to describe the combined treatment including varicose vein surgery and sclerotherapy for telangiectasias at the same procedure. METHODS: From January 1998 to March 2002, 213 patients (426 lower limbs) with telangiectasias were treated by means of hypertonic glucose infusion during the varicose vein surgery. RESULTS: More than 90% of the patients reported high indices of aesthetic satisfaction. The complementary sclerotherapy was necessary in 165 patients to have full aesthetic satisfaction during follow-up. Any cases of superficial thrombophlebitis or of deep venous thrombosis were reported. There were no serious complications either. In 10% of cases, small drainage of residual microthrombus was necessary. The index of hyperchromic spots did not exceed 3%. Only one patient developed a small ulcer in the back of the foot (0.2%), which spontaneously healed. CONCLUSIONS: Combined treatment including surgery with sclerotherapy for varicose veins and lower extremity telangiectasias is an alternative for patients who desire faster and painless results. Multiple session sclerotherapy with hypertonic glucose is a safe and efficient procedure.