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Treatment of sclerotherapy|Complication sclerotherapy


Complication sclerotherapy

What happens after sclerotherapy?

Treatment of sclerotherapy and Immediately after the injections the areas treated are red, bruised, and swollen; this gradually subsides over a 3 week period.  In some cases iron stains from the blood may leave a residual brown color, which may take several weeks or months to disappear

The vein is visible for several days after the injection, the gradually fades away completely.
     
Treatment of sclerotherapy and the Rest, with the legs elevated, is advised for 2 to 3 days after the procedure, and jarring exercises and long periods of standing should be avoided for 1 week. 

In reality many people do not have the time to luxury to take advantage of this advice, yet usually do well regardless.  It is important to protect the legs from sun exposure after the injections: otherwise discoloration is more likely to occur. 

Opaque coverage will camouflage any redness, bruising, and possible hyper-pigmentation.  Bleaching Creams such as Reversa HQ and NeoStrata HQ help to control residual pigmentation, and the earlier they are used, the better.

What complications can sclerotherapy cause? 

The complications which may occur are best described as nuisance complications because they are not serious and are dealt with easily.  They include:

What complications can sclerotherapy cause?
 
The complications which may occur are best described as nuisance complications because they are not serious and are dealt with easily.  They include:

  • Infection at the injection site, which can e treated with topical antibiotics such as Fudicin ointment.
  • Distal angioplasias are very tiny mats or flushes of vessels near the injection site that were not there at the time of the injection.
  • Fortunately, they usually resolve with time.  The potential for these   occurring increases if the sclerosant as been injected under pressure, if large amounts of the sclerosant has been injected under pressure, if large amounts of the    sclerosant was required, or if the compression dressings were put on too tightly.

If the vessels do not disappear they are reinjected with a larger amount or a higher concentrations of the same of a different sclerosant.  In some cases the VPW laser is used.

As with any drug, a local or a generalized allergic reaction may occur, such as a skin rash or breathing difficulty.

Phlebitis and fibrotic nodules (vein inflammation and scarring bumps) are common even in small blood vessels, and are really part of the expected response which is resolved over time.  Fortunately, they are usually mild, superficial and uncomplicated. 

In rare instances, when large veins are sclerosed, a thrombosis may occur.  This is more serious since blood clots might travel to the lungs and cut off the vital supply of oxygen to the body.  This is virtually unheard of when small vessels are treated.

Asthma attacks may occur when Aethoxysklerol is used.  This agent should not be injected into the veins of patients with severe bronchial asthma.

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