History, foam therapy

The development of sclerotherapy, needle therapy or foam therapy, which is one of the methods used in the treatment of varicose veins, took place in the 20th century.

• Tavel (1904) explained for the first time that if thrombosis does not occur despite the ligation of the varicose vein, thrombosis should be achieved by administering a substance.
• Schiassi (1907) performed the first sclerotherapy, with the simultaneous injection of iodine solution with the ligation of the varicose vein. He did all of this with cocaine-based local anesthetic, which was popular at that time.
• After 1925, both ligation and ligation became standard treatment.
• Nobili (1921) suggested that Schiassi’s student should be given a sclerosing agent while connecting the VSM in the groin without the need for further incisions.
• 1927 Unger demonstrates that injection can be made into the distal VSM with the aid of a catheter (the only urinary catheter urinary catheter available at the time?).
• 1927 Moszkowicz proposes dextrose for injection.
• Mariano (1949) suggested ”salicylate” as the substance. Aspirin?
• In the 1940s, “sodium morrhuate” was recommended 5-10%. When this substance was used, painful thrombophlebitis occurred along the vein with a very severe chemical reaction, and although it was such a rapid and severe reaction, it was recanalized in a shorter time. Reopened.
• Today, “Lauromacrogol” is used for sclerotherapy.
• In a short time, the use of urinary catheter was abandoned.
• There is a lesson to be learned from history at this point. With this sclerosing agent injection, the VSM was attached to the groin as well.
• In summary, if there is an underlying venous insufficiency. Without correcting it, the success of the foam treatment will decrease.
• First of all, it would be more appropriate to perform sclerotherapy after the underlying insufficiency ligation and/or endovenous ablation is resolved.
• We should always keep this in mind.

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