How is the treatment of varicose veins by laser?

Varicose veins of the legs. – is not only a cosmetic problem, but a serious pathology, which is accompanied by dangerous health consequences. The treatment of varicose veins with laser is one of the most modern, low-invasive and reliable way to cope with the disease at an early stage. It allows to achieve excellent aesthetic effect, will be reduced to a minimum risk of complication and a shorter rehabilitation period.

laser

Traditional medical therapy combined with physical therapy and wearing of correctional linen, also gives good results, but not address the root of the disease. Radically solve the problem of diseased vessels requires surgical intervention. The classic operation for removal (phlebectomy) are tolerated, because it is very traumatic and involves a significant risk of infectious complications. This method is gradually disappearing. Is replaced by the minimally invasive procedures (sclerotherapy, laser), which give excellent results and allow you to quickly and painlessly get rid of varicose veins.

Laser treatment: the procedure

Varicose vein laser surgery is considered the most reliable and efficient way of treatment. The basis of this method is the use of thermal effect for coagulation of blood vessels. Simply put, optical fiber, introduced into the affected vessel during operation, emits a flow of energy. This radiation is absorbed by the hemoglobin of the blood heat, which warms the blood cells and the vessel wall. As a result, the blood is squeezed out of the united states, and it Vienna the "signati". Blood flow stops completely and the venous outflow from the surrounding tissue is already being implemented through other, healthy veins.

Wearing compression garments after the treatment of varicose veins laser amplifies the effect, creating additional pressure on the blood vessel and not to allow them to restore the flow of blood in a damaged vein. The united states at the end overgrown connective tissue. Accordance with the prevention of varicose veins will not develop the result in other veins, so that the disease will be cured forever.

The advantages of this method in his low trauma, lack of blood loss and large incisions. And since there is no entrance gate for the infection, and the risk of damage to the surrounding tissues and possible complications are minimized.

The treatment of varicose veins with laser minimal invasive procedure, it does not require special preparation and is performed under local anesthesia. The work is carried out only in specialized medical institution for the progress of the operation carried out ultrasonic testing in real-time. That is, the surgeon's use of ultrasound follows the promotion of led in Vienna. Before the operation the patient must pass the necessary trials, which determines the location of the affected venous vessel and is the most optimal method of laser coagulation.

When assigned to surgery: indications

surgery

The basis for the work of the treatment of varicose veins with laser is varicose saphenous veins (large and small). The laser is to be applied if with the mouth of these veins are not dilated more than 1cm, the vessels have a smooth move without sharp bends, and branches of healthy or slightly expanded. That is, the laser is only effective in the initial stage of varicose veins, with a low degree of severity of the process and only when it is applied to the subcutaneous veins. If the disease is running the affected vessel and to extend to more than 1 cm, it is likely that in the future Vienna again "evolve" and the treatment will be ineffective.

Medical laser has a therapeutic effect in a very small area – this allows you to avoid its negative impact on the surrounding tissue. Therefore, the use of the laser therapy of large areas of damaged blood vessels, as well as for deep veins, is inefficient. In these cases it is necessary to use other methods of surgical treatment, more suitable for this situation (for example, the classic phlebectomy).

Contraindications

Except when the laser will be ineffective, there are situations where its application may harm the health of the patient. Contraindications for laser treatment quite, they can be divided into absolute and relative:

Absolute contraindications

In absolute contraindications for the performance of therapeutic manipulation should not. The list of such States includes:

  • a tendency for thrombosis and thrombophlebitis;
  • chronic diseases of the blood and lymph circulation in the legs;
  • heavy pressing of the walls of the veins.

In these diseases the laser can damage the blood vessels or cause a thrombosis. Also contraindications include the inability to move actively and to wear compression stockings. Without these events in the postoperative period laser treatment can lose its effectiveness, and also to cause inflammation in the united states.

Relative contraindications
contraindications

Relative contraindications are those in which the work must be postponed. This is an inflammation of the skin of the feet, especially around the site of the future incision, worsening of chronic diseases. In this case, it is necessary first to treat the comorbidities, and only then carry out the work. If this is not done, it is a very high risk of complications in the postoperative period as the parties operated on the veins and disease, became a contraindication for laser treatment.

Surgery should not be performed during pregnancy and breast-feeding, because in this period the immune system is weakened, and the load on the lower limb higher than usual. For the same reason, difficult the laser treatment of varicose veins in people who are overweight – they are worse tolerate anesthesia, and due to the great load on the feet of possible complications in the postoperative period.

The procedure of varicose vein treatment leg veins laser

Despite the high cost of treatment of varicose veins with laser, this procedure is gaining popularity due to its simplicity and efficiency. To determine the presence of indications for surgery, prior to make a duplex ultrasound examination. It helps to see the veins ' structure, the degree of damage and disruption of the flow of blood. If vessel status of the patient allows to carry out the laser treatment, you will schedule the surgery.

The day of the procedure special preparation of the patient is necessary. If necessary, you can take a sedative. Before the operation, is still one duplex angiography, all manipulations are carried out under the control of the united states. Small scale work enables us to avoid General anesthesia and its related complications – the laser treatment is performed under local anesthesia, which anaesthetises the puncture site.

Surgery for the treatment of varicose veins with laser is that through a small puncture in the skin of the tibia in the damaged blood vessels enter the optical fiber connected with the laser apparatus. Then with the help of laser radiation is the coagulation of the damaged vessel, after which the fiber is removed, puncture site is treated with local antiseptic and sterile bandage. The surgery itself takes about 15 -30 minutes (for the processing of one leg).

After the forced lying on the working table to move in the vertical position, it is advisable to slowly and gradually – first to sit and then to stand. This will help to avoid vascular collapse of the major changes of body position. There are no restrictions. Some time after the completion of the procedure, the patient can go home.

The postoperative period
after the surgery

Before the surgery the patient in advance to purchase compression garments – stockings or tights. The degree of compression is negotiated with the doctor in advance.

After removes the veins with a laser, you should immediately put on compression stocking on the leg. During the first two days you will need to wear it constantly, day and night. Then, if there are no complications, the doctor allow to remove medical linen in the course of the night. The duration of wearing medical hosiery gradually decreases as it is operated from the united states is completely overgrown connective tissue. Due to the need to wear compressive underwear surgery try to appoint for the cold season, the patient does not experience discomfort with prolonged wearing of socks. In addition, the health of patients with diseases of the blood vessels much better in cold weather than in warm weather.

In the first week after treatment of varicose veins with the laser, you should avoid high load on the legs, weight lifting, it is impossible to visit bath, sauna or swimming pool. In the future, you need to gradually increase the level of physical activity. Recommended Walking, running and riding a Bike, aerobics, swimming. The patient can play sports, walk long distances, drive a vehicle. The reduction of the striated muscles of the legs will perform the function of the additional pump and improve venous outflow from the lower limbs. This is a natural mechanism that will help to avoid the recurrence of varicose veins after surgery.

Get to work, if it is not connected with the big physical exercise or prolonged standing on his feet almost immediately, even on the day of the surgery. A viable work at home, you can also perform a few days after the intervention. Walking can and should be in the first few minutes after surgery, wearing compression underwear.

Possible complications

The treatment of varicose veins with a laser is very popular because of the short recovery period, no pain and minimal risk of complications. However, they were not excluded. During the surgery you may experience pain when properly conducted anesthesia. After the completion of the procedure, the pain may occur in the course of surgical veins. If the pain does not subside within two days, you need to go to the doctor – it could be a sign of serious complications.

Errors in the execution of the manipulation may cause burns of the skin and soft tissues, hematoma at the puncture site, infection, and inflammatory processes. In rare cases, possible thrombosis, including deep, leading to a marked deterioration of the condition of the patient. You should immediately call your doctor if:

  • in the first two days the pain along the vein during the puncture does not decrease or increase;
  • the skin around the puncture site showed signs of inflammation – redness and increased local temperature, the appearance of a purulent focus;
  • when walking there is pain in the muscles of the legs, swelling, a feeling of weight;
  • appear the pathological pigmentation of the skin of the feet;
  • fever;
  • have any other unpleasant sensations in the legs – a violation of sensitivity, paresthesia.

In order to diagnose these complications, it is recommended that on the second day after surgery to go to the doctor – phlebologist and regularly comes in for review.

Prevention

prevention

Experts advise to follow a few simple preventive measures for prevention of possible recurrence of the disease:

  • monitor your weight and to avoid the appearance of extra pounds;
  • avoid prolonged sitting or standing in one position, to get rid of the habit of sitting in a posture "foot to foot";
  • it is recommended that proper and adequate nutrition, avoiding harmful habits (Smoking, alcohol);
  • shoes should choose a convenient, natural materials and the small, stable heel;
  • you need to give up the sedentary way of life, try to move more, play sports, and do not give to moderate physical activity.

The advantages of laser therapy of varicose veins

Laser treatment of varicose veins has many significant advantages compared to other methods of surgical intervention. Here are the main advantages of laser therapy:

  • there is no need to put the patients in the hospital, the procedure is performed in outpatient conditions;
  • the surgery is performed under local anesthesia, which is well tolerated by the patients;
  • the procedure allows to achieve an excellent cosmetic effect as well as access to the affected Vienna is through a small puncture. Because the slits are absent, the skin is left with scars and other defects;
  • the use of modern equipment allows to uniformly diffuse the laser light inside the vein to achieve a quality finish. As a result, after the intervention, the skin is left hematoma;
  • during the laser procedure, the treatment and both feet, manipulation is just a 30 -40 minute;
  • short and painless rehabilitation period. After surgery, patients returned home and a few days can return to normal life;
  • to date, laser coagulation of blood vessels is the most effective and safe method for the treatment of varicose veins, while avoiding the appearance of complications (thrombophlebitis, secondary infections).
Cons of laser treatment

For all its appeal, this method has several disadvantages, among which are:

disadvantages
  • the impossibility of applying the method of laser therapy in cases of severe varicose veins;
  • in the cases when the diameter of the saphenous vein is too large, you will need to combine laser therapy with conventional surgery and to avoid cuts on the skin will not be able;
  • another drawback is the mandatory wearing of compression underwear for 7 days after surgery;
  • the main drawback of these systems for many patients is "biting" prices for the procedure.

Before you decide on laser therapy, you need to weigh all "for" and "against", to pass the complete examination and consult with an experienced professional.

The cost of laser treatment of varicose veins

The cost of varicose vein treatment with laser is one of the main disadvantages of this method. It can vary in broad limits, depending on the degree of difficulty of the individual patient, the equipment used, the status of the clinic and the qualifications of the surgeons.