Microcautery Evaluation for the Treatment of Leg Spider Veins

Delim, Doaa Mohie; Elsonbati, Mostafa Abdelhafiz; Tohamy, Ahmed Mohamed

doi:10.21608/ejprs.2023.319968

Microcautery Evaluation for the Treatment of Leg Spider Veins

Document Type : Original Article

Authors

The Department of Plastic Surgery, Faculty of Medicine, Assiut University

10.21608/ejprs.2023.319968

Abstract

Background: Spider leg veins represent a significant
cosmetic problem; their prevalence on the lower limbs has
been reported as two-thirds of patients age 25 years, between
30 and 50 years old. Bad cosmetic appearance is the leading
complaint, and reason for requesting consultations. Sclerotherapy
and laser therapy are the two main lines of treatment
now, with the advantages and disadvantages of each line.
Objectives: This study aims to evaluate the effect of lowcurrent
voltage micrometry using the Ellman Radio Frequency
as an alternative to sclerotherapy and laser in treating spider
leg veins.
Patients and Methods: The design was an intervention
study carried out on 20 patients who had leg spider veins
selected based on inclusion and exclusion criteria for treatment
using the Ellman Radio Frequency devise in the outpatient
clinic of the Plastic Surgery Department of Assiut University
Hospitals from September 1st, 2020, to March 31st, 2022. An
online survey was carried out to identify the epidemiological
community aspects of the disease.
Results: Participants characteristics found the mean age
was 36.1 ± SD 9.7 years, and mean BMI 25.4 ± SD 4.2kg/m2.
The online survey findings showed that the disease was
prevalent among 78.1% of the females, where only 27.2% of
the participants requested treatment. After one session of
Microcautery, the clinical results demonstrated complete
disappearance of the spider leg veins in 25%, very good in
45%, and good in 30% of the patients.
Conclusion and Recommendation: Low voltage microcautery
has a high comparable success rate in managing cases
with specific selection criteria, in addition to the technique's
safety, simplicity, and inexpensive COST. The study recommends
planning for future research to compare sclerotherapy
as the gold standard and the low-voltage micro cauterization
technique.

Keywords

Main Subjects

New technologies and products

References

LegActiv. Spider Veins: Causes, Symptoms & Treatment,
Available from: https://my.clevelandclinic.org/
health/diseases/24567-spider-veins, 2022.
2- Mujadzic M., Ritter E.F. and Given K.S.: A Novel Approach
for the Treatment of Spider Veins. Aesthet. Surg.
J., Sep. 35 (7): NP221-9, 2015.
3- Jawien A.: The Influence of Environmental Factors in
Chronic Venous Insufficiency. Angiology, Jul. 54 (1
Suppl): S19-31, 2003.
4- Lacroix P., Aboyans V., Preux P.M., Houlès M.B. and
Laskar M.: Epidemiology of venous insufficiency in an
occupational population. Int. Angiol. J. Int. Union Angiol.,
Jun. 22 (2): 172-6, 2003.
5- Sandean D. and Winters R.: Spider Veinshttps://
www.statpearls.com/ArticleLibrary/viewarticle/29299.
StatPearls [Internet]. 2022 Apr; Available from: https://
www.statpearls.com/ArticleLibrary/viewarticle/29
299, 2022.
6- Hercogova J., Brazzini B., Hautmann G., Ghersetich I.
and Lotti T.: Laser treatment of cutaneous vascular lesions:
Face and leg telangiectases. J. Eur. Acad. Dermatol.
Venereol., Jan. 16 (1): 12-8, 2002.
7- Engel A., Johnson M.L. and Haynes S.G.: Health effects
of sunlight exposure in the United States. Results from
the first National Health and Nutrition Examination
Survey, 1971-1974. Arch. Dermatol., Jan. 124 (1): 72-9,
1988.
8- Bernstein E.F.: Clinical characteristics of 500 consecutive
patients presenting for laser removal of lower extremity
spider veins. Dermatol Surg Off Publ Am. Soc. Dermatol.
Surg., Al. Jan. 27 (1): 31-3, 2001.
9- Schwartz L. and Maxwell H.: Sclerotherapy for lower
limb telangiectasias. In: The Cochrane Collaboration,
editor. Cochrane Database of Systematic Reviews [Internet].
Chichester, UK: John Wiley & Sons, Ltd; [cited
2023 Jun 1]. p. CD008826. Available from: https://
doi.wiley.com/10.1002/14651858.CD008826, 2010.
10- Bertanha M., Sobreira M.L., Pinheiro Lúcio Filho C.E.,
de Oliveira Mariúba J.V., Farres Pimenta R.E., Jaldin
R.G., et al.: Polidocanol versus hypertonic glucose for
sclerotherapy treatment of reticular veins of the lower
limbs: study protocol for a randomized controlled trial.
Trials, Dec. 15 (1): 497, 2014.
11- Guex J. Jérôm: Complications of Sclerotherapy: An
Update. Dermatol. Surg., Jun. 36 (Sup 2): 1056-63, 2010.
12- Mccoppin H.H., Hovenic W.W. and Wheeland R.G.: Laser
Treatment of Superficial Leg Veins: A Review: LASER
TREATMENT OF SUPERFICIAL LEG VEINS. Dermatol
Surg., Jun. 37 (6): 729-41, 2011.
13- Worthington-Kirsch R.L.: Injection Sclerotherapy. Semin
Interv. Radiol., Sep. 22 (03): 209-17, 2005.
14- Zhang H.Q., Yip T.P., Hui I., Lai V. and Wong A.: Efficacy
of moist exposed burn ointment on burns. J. Burn Care
Rehabil., 26 (3): 247-51, 2005.
15- Goldman M.P. and Eckhouse S.: Photothermal sclerosis
of leg veins. ESC Medical Systems, LTD Photoderm VL
Cooperative Study Group. Dermatol. Surg., Apr. 22 (4):
323-30, 1996.