Combined endovenous ablation with phlebectomy or foam sclerotherapy versus endovenous ablation alone for lower limb varicose veins: A systematic review and meta-analysis

Yu Xie, Lihong Cui, Caijuan Geng, Wei Zeng, Yao Lin, Lifeng Zhang, Chunshui He, Clinical Medical College, Chengdu University of Traditional Chinese Medicine, First Clinical Medical College, Guangzhou University of Chinese Medicine, Department of Vascular Surgery, Hospital of Chengdu University of Traditional Chinese Medicine

Phlebology: The Journal of Venous Disease

Published online on April 16, 2026

Abstract

Phlebology, Ahead of Print.
BackgroundThe optimal timing of tributary treatment in varicose vein management remains debated. Concomitant endovenous therapy may reduce the need for subsequent procedures and accelerate recovery, whereas a staged approach may spare some patients ...