Randomised Trial of Bandaging After Sclerotherapy for Varicose Veins

  • A. J. G. Batch
  • S. S. Wickremesinghe
  • M. E. Gannon
  • J. A. Dormandy
Conference paper


The injection treatment of varicose veins has been practised for at least a century. The technique fell into disrepute in the early half of this century with the realisation that significant complications and recurrence could result from spreading thrombophlebitis and damage to adjacent previously unaffected segments of varicose vein (1, 7) and for many Years surgery was the treatment of choice. However, in 1963 Fegan (7) described the principles of successful compression sclerotherapy and his technique has been widely adopted since then. The basis of this technique involves the maintenance of firm uninterrupted compression for a minimum of 6 weeks, thereby preventing the formation and spread of thrombosis. As many patients find this period uncomfortable, some surgeons have modified Fegan’s original principle and shorten the period of bandages, but there have been no controlled studies to evaluate the importance of the period of compression. We therefore conducted a randomised prospective trial to compare the results of compression bandaging for 3 weeks and 6 weeks after sclerotherapy.


Varicose Vein Venous Insufficiency Chronic Venous Insufficiency Early Half Thrombophlebitic Vein 
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  1. 1.
    Agrifoglio G, Edwards EA (1961) Results of surgical treatment of varicose veins. JAMA 178:906–911PubMedCrossRefGoogle Scholar
  2. 2.
    Beresford SAA, Chant ADB, Jones HO, Piachaud D, Weddell. JM (1978) Varicose veins: a comparison of surgery and injection/compression sclerotherapy. Five Year follow-up. Lancet 1:921–924PubMedCrossRefGoogle Scholar
  3. 3.
    De Jode LR (1970) Injection compression treatment of varicose veins. Br J Surg 57:285–286CrossRefGoogle Scholar
  4. 4.
    Dee R, Finkelstein JE (1977) Treatment of varicose veins; sclerotherapy with compression or stripping and multiple ligations. Angiology 28:223–227PubMedCrossRefGoogle Scholar
  5. 5.
    Dodd H, Cockett FB (1979) The pathology and surgery of the veins of the lower limb, 2nd edn. Churchill Livingstone, LondonGoogle Scholar
  6. 6.
    Doran FSA, White M (1975) A clinical trial designed to discover if the primary treatment of varicose veins should be by Fegan’s method or by an operation. Br J Surg 62:72–76PubMedCrossRefGoogle Scholar
  7. 7.
    Fegan WG (1963) Continuous compression technique of injecting varicose veins. Lancet 2:109–112PubMedCrossRefGoogle Scholar
  8. 8.
    Fegan WG (1960) Continuous uninterrupted compression technique of injecting varicose veins. Proc R Soc Med 53:837–840PubMedGoogle Scholar
  9. 9.
    Fentem PH, Goddard M, Gooden BA, Yeung CK (1976) Control of distension of varicose veins achieved by leg bandages, as used after injection sclerotherapy. Br Med J 2:725–727PubMedCrossRefGoogle Scholar
  10. 10.
    Hobbs JT (1974) Surgery and sclerotherapy in the treatment of varicose veins. Arch Surg 109:793–796PubMedCrossRefGoogle Scholar
  11. 11.
    Hobbs JT (1968) A random trial of injection compression sclerotherapy. Br J Surg 55:889–895CrossRefGoogle Scholar
  12. 12.
    Jakobsen BH (1979) The value of different forms of treatment for varicose veins. Br J Surg 66:182–184PubMedCrossRefGoogle Scholar
  13. 13.
    McAdam WAF, Horrocks JC, De Dombal FT (1976) Assessment of the results of surgery for varicose veins. Br J Surg 63:137–140PubMedCrossRefGoogle Scholar
  14. 14.
    Miller SS (1955) Investigation and management of varicose veins. Ann R Coll Surg Engl 55:245–252Google Scholar
  15. 15.
    Reid RG, Rothnie NG (1968) Treatment of varicose veins by compression sclerotherapy. Br J Surg 55:777–780CrossRefGoogle Scholar
  16. 16.
    Stother IG, Bryson A, Alexander S (1974) The treatment of varicose veins by compression sclerotherapy. Br J Surg 61:387–390PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 1981

Authors and Affiliations

  • A. J. G. Batch
    • 1
  • S. S. Wickremesinghe
    • 1
  • M. E. Gannon
    • 1
  • J. A. Dormandy
    • 1
  1. 1.Department of SurgerySt. James’ HospitalLondonGreat Britain

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