Summary
Background: Sclerotherapy has been carried out since 1516 and is accepted and performed wordwide
according to many references from books and journals. Mexican doctors have participated
in other consensuses in order to obtain various agreements, references, methods and
procedures that are universally accepted for establishing this document, including
the European Consensus of Sclerotherapy 2003 and its last revision in 2006, the Argentine
and Latin American Consensus 2012 and various sources from the literature.
Objective: Based on the worldwide literature and the experience of specialists in phlebosclerosis,
the objective is to develop a document that combines concepts, preferences, differences
and variations on the basis of diagnosis, use, treatment and other related subjects
involving sclerotherapy so that this document will be of value as a reference from
an academic, medical, legal and practical standpoint.
Method: General questions about sclerotherapy were established concerning: indications, contraindications,
types of sclerosant and the concentrations used, positioning, of the patient, methods
of application, method of preparing and preserving sclerosants necessary equipment,
injection volumes, administration variables, compression, and special comments.
To answer these questions the existing literature and the topics in which the reports
showed uniformity were consulted. A panel of experts was constituted who provided
reports of their personal experience, on the basis of which answers were formulated
in the form of clinical guidelines or recommendations expressed in a general way,
including observations on the variability of the concepts embodied, in order to provide
concrete answers to the specific questions and a section of observations where possible
accepted variations on each particular issue are explained. The main text expresses
the 100% consensus on the issue, and thetext accompanied by the blue bar lists the
variations given by the experts. As the listed points are discussed on the basis of
substances that can be purchased in Mexico, some sclerosing agents or equipment are
not covered.
This article is available in Spanish at www.phlebologieonline.de
Keywords
Sclerotherapy - consensus
