Tumescent Enhanced Sclerotherapy

Tumescent Enhanced Sclerotherapy is a newly developed, office based technique that takes traditional sclerotherapy a step further by applying tumescent anesthetic solution with a pressure pump designed for the procedure.

The TES approach provides immediate compression around the vein thereby helping to maintain the sclerosing agent in the portion of the vein in which it was injected. In addition, the tumescent solution decreases itching and any pain to the patient, reduces the inflammation of surrounding tissues caused by the sclerosing agent and helps dilute any of the sclerosing solution that may inadvertently leak out of the vein. The tumescent solution also decreases the chance of infection while increasing hemostasis. Due to the immediate increased compression the patient need only be wrapped in compression stockings or bandages for approximately 48 hours.

After Care

Patients are to wear compression stockings for 48 hours. The patient may remove the stockings to shower but put them back as soon as possible after the shower. There are no real physical restrictions on exercise or walking or running as long as the compression is worn. The physician should have follow up with patients 2 weeks post procedure or during the next sclerotherapy session.

Complications

Complications are rare and mostly limited to allergies and minor skin reactions. Allergies are treated accordingly. Skin reactions could result in ulceration which can be treated with topical antibiotics and rarely oral antibiotics while they are healing. Post Inflammatory hyperpigmentation can be treated with a variety of agents and usually resolves.