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Varicose Veins Treatment. |
New approach in treatment varicose veins (lower extremities) New approaches have become available in treating varicose veins in lower extremities problem, they are:
Your vascular surgeon inspects and considers the disease conditions in each case and chooses the option best suites for you. Sclerotherapy can be used during the initial stage of varicose veins when the injected chemical solution (sclerosant) causes the vein to close by irritating the blood vessel so that it swells and sticks together. This process causes the veins to fade and eventually they can no longer be seen. Some compression stockings are recommended to be worn for 2 postoperative weeks. The treatment effect lasts for 2 – 5 years with the possibility of secondary injection whenever required. During microphlebectomy tiny cuts are made in the skin, and surgical hooks pull the vein out of the leg. This surgery requires local or regional anesthesia. The vein is usually removed in one treatment. Patients can return to normal activity the day after treatment. And at last, principally new approach called endovenous laser treatment when laser energy is used to damage the vein walls, shrink them and thus close. This is called ablation. Laser ablation inside the vein makes the vein close up. Because of the obvious advantages of this technique it has replaced all surgical treatments as a new standard
35 year old woman with severe varicose veins in both legs A laser fiber is inserted through a small needle hole in the skin into the varicose vein. The laser (diode pulsed or continuous mode laser with wavelength up to 200 nm) is then slowly heated to obliterate it from the inside causing the collagen in the wall to shrink and the vein to close. Once the diseased vein is closed, blood is re-routed to other healthy veins. The collapsed vein soon shrinks and disappears. This technique rapidly treats large varicose veins and takes about one hr to perform. 42 year old woman with severe varicose veins in both legs Special compression stockings should be put on immediately after the operation and worn up to two months (thus autumn, winter and spring are preferable to summer for the operation). Patients can resume all their normal activities soon after the procedure, but should avoid extended standing and strenuous activities for at least one month. | ||||||||||||||||