What is included in the dermatologic preoperative evaluation and management of sclerotherapy?

Updated: Mar 16, 2020
  • Author: Robert A Schwartz, MD, MPH; Chief Editor: Dirk M Elston, MD  more...
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Answer

Answer

Contraindications to sclerotherapy are a history of deep vein thrombosis, pulmonary embolism, or phlebitis. A history of easy bruising may indicate a clotting problem, and an appropriate laboratory workup should be performed. Ideally, anticoagulation treatment should be discontinued to avoid further bruising. Guidelines for further evaluation, such as Doppler ultrasonography or ultrasonography, are available. Ultrasonographic-guided injections secure more optimal results for large varicose veins and perforators over palpation techniques. The use of support stockings and moderate exercise postoperatively aid in the success of the sclerotherapy procedure. Inform patients that multiple sessions may be required.


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