Foam sclerotherapy to help young women with dilated capillaries

(Disclaimer: This article is for scientific purposes only, in order to protect the patient’s privacy, the relevant information in the following content has been processed Abstract: This article describes a patient with early varicose veins, manifested as capillary dilatation, because of the inability to wear dresses in the summer, which affects the aesthetics of the patient’s appearance to our department. Color ultrasound clearly saphenous vein trunk is not dilated, the use of foam sclerotherapy injection to deal with the local capillary dilatation, the operation using local anesthesia, no incision, after the operation can go down to the ground, discharged on the same day, the postoperative recovery is good, the follow-up did not see the obvious complaints of discomfort, the results are good. Basic information] Female, 26 years old [Disease type] Capillary dilatation [Hospital] Liaoning Provincial People’s Hospital [Time of consultation] November 2021 [Treatment plan] Surgery (foam sclerotherapy) + physiotherapy (medical compression stockings) [Treatment cycle] Discharged on the day of surgery, and rechecked 3 days after discharge [Results] Capillary dilatation disappeared I. Initial consultation 2021 In November, a 26-year-old female patient came to the department because she had been suffering from dilated capillaries for 5 years. The patient was a saleswoman in a shopping mall. She had capillary dilatation 5 years ago without any obvious cause, and her lower limbs were sore and swollen after sitting and walking for a long time, which was slightly relieved by elevating the affected limbs, and she did not have any itchy, flaky, or melanized skin. When asked about his medical history, the patient was in good health and his father had a history of varicose veins, which had been treated surgically. The patient’s right calf capillary dilatation is obvious, affecting the aesthetic appearance, especially in the summer is more distressed, can not wear skirts and shorts. Physical examination: the right lower limb can be seen localized capillary dilatation, skin color is normal, skin temperature is slightly high, arterial pulsation is palpable, and sensory-motor function is still possible. The patient was admitted to the hospital and the relevant examinations were completed and the condition was evaluated. The color ultrasound of lower limb veins suggested that the right saphenous vein did not show any obvious abnormality. The patient’s current varicose veins are CEAP grade C1, which represents capillary dilatation, and under normal circumstances it is recommended to wear compression stockings and other physical therapy. However, the patient is a young woman with high aesthetic demands, so the patient was recommended to use local sclerotherapy, which requires no incision, is less traumatic, and can be discharged from the hospital on the same day. The patient’s surgical operation went smoothly and she recovered well after the operation. The operation was performed with local anesthesia, and the patient could go down to the floor after the operation, and after 2 hours of observation, he was discharged by appointment, and was reviewed 3 days after discharge to change the compression stockings. Third, the therapeutic effect 3 days after the operation, the patient’s return visit for re-examination, can be seen in the skin temperature and color normal, vascular injection of drugs at the local hardness, give the patient incision change, dismantle the elastic bandage, replacement of medical compression stockings to continue to promote venous reflux. 1 month after the patient’s re-examination, can be seen in the capillary dilatation of the significant disappearance of the skin hardness disappeared, the effect is satisfactory. Fourth, the precautions patients after surgery capillary dilatation disappeared, for patients feel very happy, but also need to pay attention to the following points: 1, foam sclerosing agent injection tends to produce localized hard knots in the blood vessels, which is a normal phenomenon, correctly wearing compression stockings will accelerate the absorption of the hard knots and the condition of the recovery. 2.Patients with capillary dilatation should avoid standing and sitting for a long time, but also can increase the physical exercise to enhance the function of calf muscles, so as to promote venous return. V. Personal perception Capillary dilatation belongs to mild varicose veins, often patients without obvious blood vessels protruding, manifested as spider-like capillaries or reticular capillaries. Simple foam sclerotherapy injection is only suitable for patients with mild varicose veins, with the risk of recurrence. Clinical modalities are often chosen in combination with surgical modalities such as stripping, laser, and radiofrequency to reduce the recurrence rate. Under normal circumstances, patients are advised to avoid sitting and standing for long periods of time, to elevate their legs when resting, and to wear medical compression stockings correctly to slow down further development.