Phlebologie 2014; 43(01): 37-41
DOI: 10.12687/phleb2161-1-2014
Mexican Sclerotherapy Consensus
Schattauer GmbH

1st Mexican Sclerotherapy Consensus

Article in several languages: deutsch | English
F. Vega
1   Mexican Academy of Phlebology and Lymphology
,
C. Ramírez
1   Mexican Academy of Phlebology and Lymphology
,
C. Lemoine
1   Mexican Academy of Phlebology and Lymphology
,
H. Cázares
1   Mexican Academy of Phlebology and Lymphology
,
A. Ramírez
1   Mexican Academy of Phlebology and Lymphology
,
E. Jiménez
1   Mexican Academy of Phlebology and Lymphology
,
F. Rendón
1   Mexican Academy of Phlebology and Lymphology
,
R. Castañeda
1   Mexican Academy of Phlebology and Lymphology
,
L. Arias
1   Mexican Academy of Phlebology and Lymphology
› Author Affiliations
Further Information

Publication History

Received: 01 August 2013

Accepted: 05 August 2013

Publication Date:
04 January 2018 (online)

Zusammenfassung

Hintergrund: Sklerotherapie existiert seit 1516 und ist eine anerkannte Therapie, die weltweit zum Einsatz kommt. Mexikanische Ärzte nahmen an vielen Konsensen teil, um mannigfaltige Absprachen, Referenzen, Methoden und Verfahren zusammenzutragen, die zur Erstel-lung eines solchen Dokuments universelle Akzeptanz finden, u.a. den European Consensus of Sclerotherapy 2003 und dessen letzte Auflage aus dem Jahre 2006, den argentinischen und lateinamerikanischen Konsensus 2012 sowie verschiedene Quellen der Fachliteratur.

Zielsetzung: Unter Berücksichtigung der weltweit anerkannten Fachliteratur und der Erfahrungen von Sklerose-Experten wurde ein Dokument entwickelt, das Konzepte, Prioritäten, Unterschiede und Variationen im Hinblick auf Diagnose, Einsatz, Therapie und andere Themen im Zusammenhang mit Sklerotherapie vereint. Damit soll eine unter akademischen, medizinischen, rechtlichen und praktischen Gesichtspunkten wertvolle Informationsquelle geschaffen werden.

Methode: Folgende Punkte wurden berücksichtigt: Indikationen, Kontraindikationen, Arten von Sklerosierungsmitteln und verwendete Konzentrationen, Lage des Patienten, Verabreichungsweg, Vorbereitung und Konservierung von Sklerosierungsmitteln, erforderliche Instrumente, Injektionsvolumina, Verabreichungsparameter, Kompression und besondere Hinweise.

Die vorhandene Literatur wurde konsultiert hinsichtlich der abgehandelten Themen. Es wurde ein Expertengremium zusammengestellt, das eigene Erfahrungsberichte zur Verfügung stellte. Vor diesem Hintergrund wurden Antworten in Form klinischer Richtlinien formuliert oder allgemeine Empfehlungen abgegeben und Betrachtungen zur Variabilität der Konzepte zum Ausdruck gebracht, um konkrete Antworten auf die spezifischen Fragen zu bieten. Außerdem wird ein Abschnitt mit Betrachtungen integriert, in dem mögliche anerkannte Varianten zu jeder einzelnen Fragestellung erklärt werden. Im Haupttext wird der 100%ige Konsens bezüglich einer Thematik dargestellt, während die blauem Balken von Experten vorgeschlagene Varian-ten aufzeigen. Da die aufgeführten Punkte vor dem Hintergrund von in Mexiko verfügbaren Substanzen diskutiert werden, werden nicht alle Sklerosierungsmittel oder Instrumente besprochen.

 
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