A PROSPECTIVE STUDY ON EFFECTIVENESS OF DUPLEX GUIDED FOAM SCLEROTHERAPY IN THE MANAGEMENT OF VARICOSITIES WITH ISOLATED PERFORATOR INCOMPETENCE IN OUR INSTITUTION.

Perforators are those which connect the superficial and deep venous system either directly to main veins or indi- rectly through the muscular and soleal venous plexus. The primary goal of this study is to study the duplex guided foam sclerotherapy in the management of leg varicosities having isolated primary perforator incompetence Via the clinical parameters (return to normal activity, primary symptom relief), duplex param- eters (recurrence in treated veins, complete occlusion of treated veins) Though there are many procedures for treating isolated Perforator IC like ambulatory phlebectomy, EPLS; Foams sclerotherapy is the one with shorter time and low cost and as a day care procedure. It is superior to other in our institutional experience. In conclusion, the interruption of perforators is effective in decreasing the symp- toms of chronic venous insufficiency and for the rapid healing of ulcers. The interruption of the incompetent perforating veins appears to be essential to decrease ambulatory venous hypertension.