I attended this in my role as Treasurer and UK Representative on the executive committee of the International Society for Vascular Surgery but it also enabled me to attend a large number of presentations regarding the latest techniques for treating venous disorders.
One of the most exciting new techniques has been the use of surgical glue (a specialist form of superglue) to seal off varicose veins. This has been investigated for a number of years now and initial results were very encouraging, but longer-term complications are now starting to be reported.
In my view, one of the main disadvantages of the technique is that unlike existing techniques such as laser, VNUS and ClariVein, the glue technique leaves a line of glue in the subcutaneous tissues for the rest of the patient’s life.
In New York there were some reports of this glue causing chronic inflammation and in one case having to be surgically removed.
As doctors have found treating other conditions, leaving foreign material within a patient’s body can result in problems years later, so I have decided that I will need to see longer-term follow-up results before I recommend this technique to my patients.
At present, the results I achieve from treating varicose veins with the endovenous laser and Clarivein techniques are truly excellent, with minimal pain and excellent functional and cosmetic results and the long-term follow-up results are very good and these techniques represent the gold standard methods at the moment.
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