Polidocanol foam stability in terms of its association with glycerin.

OBJECTIVES Foam sclerotherapy effectiveness mainly depends on the concentration of the sclerosing agent and foam stability. The objective of this study was to determine if the addition of glycerol at different concentrations contributes to the stability of polidocanol foam. MATERIALS AND METHODS CONTROL GROUP 3% polidocanol. Group 1: polidocanol 3% + glycerin 1.66%. Group 2: polidocanol 3% + glycerin 3.3%. Group 3: polidocanol 3% + Glycerin 5%. Tessari standard method. Five recordings were made for each mixture. Early visual liquefaction time and half liquid time decay were recorded in seconds. Microscopic measurement of the foams. Mixtures surface tension measurement (N/m). RESULTS Early visual liquefaction: CONTROL GROUP 27 (±3.11); Group 1: 67.8 (±6.49); Group 2: 48.6 (±8.2); and Group 3: 35.8 (±4.49). Half-liquid time: CONTROL 129.2 (±11.00); Group 1: 260.4 (±18.99); Group 2: 224.6 (±13.03); and Group 3: 189.2 (±8.52). Bubbles/mm(2)-diameter-wall thickness: CONTROL 68-98 μm-7 μm; Group 1: 189-60 μm-9 μm; Group 2: 76-92 μm-12 μm; and Group 3: 49-112 μm-20 μm. Surface tension: CONTROL = 5.54 N/m; Group 1 = 5.45 N/m; Group 2 = 5.35 N/m; and Group 3 = 5.21 N/m. CONCLUSIONS Small amounts of glycerin highly increase the stability and quality of polidocanol foam. This simple chemical method is easily reproducible and applicable.