Experience with foam scleroobliteration for the healing of the patients with trophic venous ulcers
DOI:
https://doi.org/10.11603/2414-4533.2026.3.16489Keywords:
venous leg ulcer, foam ultrasound guided scleroobliteration, chronic venous insufficiency, ulcer healingAbstract
The aim of the work: to evaluate the clinical efficiency of the foam ultrasound-guided scleroobliteration (UGSO) in the complex treatment of venous leg ulcers.
Materials and Methods. The study included 58 patients who had undergone foam ultrasound-guided scleroobliteration for lower limb ulcers caused by chronic venous insufficiency over the past five years.
Results. In 6 weeks from the start of treatment 12 (20.7 %) patients achieved complete ulcer healing. Another 25 (52.1 %) patients demonstrated marked clinical improvement with no significant residual superficial reflux and did not require further sclerotherapy, yielding an overall healing rate of 72.8 %. The remaining 11 patients continued treatment until the superficial reflux resolved. Complete ulcer healing was observed in 45.8 % of patients within 3 months, in 72.9 % within 6 months, and in 93.8 % within 12 months. In 3 patients, full epithelialization was not achieved within a year, although evident clinical improvement was noted, with ulcers cleared and up to 70 % epithelialization.
Conclusions. Foam ultrasound guided scleroobliteration is an effective adjunct to the treatment of venous leg ulcers, associated with a low risk of complications. When applied appropriately, 94.8 % of ulcers heal within one year. Its efficacy increases in combination with thermal endovenous ablation or open saphenectomy, resulting in shorter healing times and lower recurrence rates.
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