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    Varicose Veins Treatment.

    New approach in treatment varicose veins (lower extremities)
    Aching and pain in the legs, tiredness, itching and burning along bulging veins, leg fatigue, pain, prominent aesthetic defects – represent a far from complete list of symptoms that suffer those people who have varicose veins in their lower extremities.The problem causes both physical and psychological discomfort for men and women who try all possible ways to disguise their lesions by wearing longer skirts, pants and jeans all year round even during the hot summer seasons. Genetics, being overweight, occupations that requires standing for long periods of time, abrupt temperature contrasts, pregnancy and delivery are the primary reasons for the formation and development of varicose veins. Unfortunately, taking supplements for extended periods and drugs have little effect on the treatment of varicose veins. Treating the problem surgically is out of date and is associated with the high risk of postoperative cosmetic defects. But you should never give up!

    New approaches have become available in treating varicose veins in lower extremities problem, they are:

    • scleratherapy,
    • microphlebectomy,
    • endovenous laser treatment.

    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

    Comparison of Both Methods
    Standard surgery:Endovenous laser treatment:
    General anaesthesiaPossibility to perform under local anesthesia
    More traumatic (large area or invasion)Minimally invasive
    Post-surgical (postoperative) painVirtually pain and bruise free postoperative period
    Long-term recovery periodPatient returns back to work (can resume regular activities) in 2 days.
    Visible Cosmetic defectNone
    Complications may include scarring, hematoma, abscess (purulent infection)Minimal risk of scarring or postoperative infection.

    varikoz1

    35 year old woman with severe varicose veins in both legs
    After Asclrpion Quadrostar endovenous laser treatment

    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.

    varikoz2

    42 year old woman with severe varicose veins in both legs
    Before and after Asclrpion Quadrostar endovenous laser treatment

    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.

    The Ukrainian Institute of Plastic and Cosmetic Surgery VIRTUS provides combinations of the above techniques whenever necessary. Now you can get relief from heaviness in the legs and forget about varicose veins by means of very safe and effective endovenous laser treatment successfully practiced by vascular surgeons (phlebologists) at the Ukrainian Institute of Plastic and Cosmetic Surgery VIRTUS !

     
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