[Varices in pregnant woman. Legs and vulva. Treatment]

Abstract

All pregnancy varices should be treated by the "new" sigvaris elastic stockings, available since C. 1960, degressive, and of calculated compression. However, these elastic stockings are not enough in all cases, and they should in no way replace active therapy. Sclerosant injections enable the practitioner to treat varicose recidivism during the pregnancy of women already treated (by sclerotherapy or by surgery). Surgery may also be performed on the saphenous veins during pregnancy, if it is really necessary. This is rare; it should be used only in carefully-selected cases: E. Gr. saphenous thrombosis, or certain rapid developments on large saphenous vessels. After an account of the three methods, the author gives his reasons for a therapeutic option, and notes his observations, especially concerning 54 operations performed on varices during the course of pregnancy. Contrary to the teachings of many obstetricians, vulval varices may be treated rapidly, successfully, and safely by sclero-therapy. The author hopes that this reminder of certain theories and experiences will encourage younger phlebologists to practice these therapeutic methods.