Varicose veins of the legs – not just a cosmetic problem, but a serious disease, which is associated with dangerous health effects. Treatment of varicose veins-laser is one of the most modern, minimally invasive and reliable ways to cope with the disease at an early stage. It allows you to achieve excellent aesthetic effect, you can have a low risk of complications and shorter rehabilitation period.
Traditional medical therapy combined with physical therapy and wearing a correctional flax also gives good results, but not deal with the root cause of the disease. Radically solve the problem of the diseased vessels requires surgical intervention. The classic use of removal (phlebectomy) is tolerated, because it is very traumatic, and is associated with significant risk of infectious complications. This method is gradually disappearing. Replaced by minimally invasive procedures (sclerotherapy, laser), which gives excellent results, and you can quickly and painlessly get rid of varicose veins.
Laser treatment: the procedure
Varicose vein laser surgery is considered the most reliable and effective method of treatment. On the basis of this method is the use of thermal effect for coagulation of blood vessels. Simply put, optical fiber, imported from the affected vessel during use, let the flow of energy. This radiation is absorbed by the hemoglobin in the blood heat, which heats the blood cells and the vessel wall. As a result, blood is squeezed out of the vessel, and he Vienna "signat". Blood flow stops completely and the venous outflow to the surrounding tissue has already been implemented in other, healthy veins.
Wearing compression garments after the treatment of varicose veins laser strengthening effect, creating additional pressure to ship and does not allow to restore blood flow to damaged veins. The ship eventually overgrown connective tissue. Compliance with the prevention of varicose veins does not develop result other veins, so that the disease can be cured forever.
The advantages of this method in his low-energy, lack of blood loss and large incisions. And because there is no port infection, and the risk of damage to adjacent tissues and possible complications is minimized.
Treatment of varicose veins laser minimally invasive procedure, it does not require special preparation and is performed under local anesthesia. The operation is performed only in specialized medical institutions the progress of the operation, which is carried out ultrasound examination in real time. That is, that the surgeon uses ultrasound to control the promotion of led in Vienna. Before the operation the patient must pass the necessary examination, which determines the location of the affected venous vessel and is the most best method of laser coagulation.
When prescribed surgery: indications
Based on the action of treatment of varicose veins laser is varicose veins of the saphenous veins (great and small). The Laser is applied, if the mouth of these veins are 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 on the initial stage of varicose veins, low severity of the process and only when applied to the skin under veins. If the disease is running the affected vessel and expanded more than 1 cm, it is likely that in the future Vienna again "evolve" and the treatment is ineffective.
Medical laser has a therapeutic effect on a very small area – this allows you to avoid its negative effects on the surrounding tissue. Therefore, the use of the laser therapy of large areas of damaged blood vessels, as well as the deep veins, is ineffective. In these cases, it is necessary to use other methods of surgical treatment, suitable for this situation (for example, the classic phlebectomy).
Contraindications
Except when the laser is ineffective, there are situations where its application may harm the health of the patient. Contraindications for laser treatment quite a lot, they can be divided into absolute and relative:
Absolute contraindications
Absolute contraindications to perform therapeutic manipulations, you should not. The list of such States includes:
- tendency to thrombosis and thrombophlebitis;
- chronic diseases of the blood and lymph circulation in the legs;
- heavy hitting the walls of the veins.
In these diseases the laser can damage blood vessels or trigger a massive thrombosis. Also contraindications include the inability to move actively and to wear support stockings. Without these events after surgery laser treatment can lose its effectiveness, and also provoke inflammation of the vessel.
Relative contra-indications
Relative contraindications are those in which the action is postponed. This is an inflammation of the skin of the foot, especially around the site of the future incision, worsening of chronic diseases. In this case, it is necessary to first treat the underlying disease, and only then perform the operation. If this is not done, it is a very high risk of complications after surgery, when the parties operate on the veins and disease, contraindications for laser treatment.
The operation can not be performed during pregnancy and breastfeeding, because during this period the immune system is weakened, and the load on the lower extremities higher than usual. For the same reason, difficult the laser treatment of varicose veins in people who are overweight – they are worse to tolerate anesthesia, and because of the large load on the foot possible complications after surgery.
Procedure varicose vein treatment leg veins laser
Despite the high cost of treatment of varicose veins laser, this procedure is gaining popularity because of its simplicity and efficiency. Determine the presence of indications for surgery, pre made duplex ultrasound examination. It helps to see the veins ' structure, the degree of damage and disruption of blood flow. If vessel status of the patient allows to carry out laser treatment, you can schedule the surgery.
The day of the procedure special preparation of the patient is necessary. If necessary, you can take a sedative. Before surgery is another duplex angiography, all the manipulation happens under the control of us. Small-scale operation allows us to avoid general anesthesia and its associated complications – the laser treatment is done under local anesthesia, which anaesthetises the injection site.
The operation for the treatment of varicose veins with laser is that through a small hole in the skin of the tibia of the damaged vessels enter the optical fiber connected to the laser devices. Then with the help of laser radiation is clotting the damaged vessel, after which the fiber is removed, puncture site is treated with local antiseptic and a sterile bandage. The operation itself takes about 15 -30 minutes (the processing of one leg).
After the forced lying on the operating table to move in a vertical position it is advisable to slowly and gradually – at first to sit and then stand up. This will help to avoid vascular collapse at the sudden change in body position. More there are no restrictions. Some time after the procedure, the patient can go home.
After surgery
Before the surgery the patient in advance to buy compression garments – stockings or tights. The degree of compression is to consult with your doctor in advance.
When to remove varicose veins laser, you should immediately put on compression socks. During the first two days you should be using it constantly, day and night. Then, if there are no complications, the doctor let me remove medical linen for the night. Duration the wearing of medical stockings gradually decreases as it is used in the vessel is completely overgrown connective tissue. Because of the need to wear compression underwear surgery to try to appoint in the cold season, the patient does not experience discomfort with prolonged wearing socks. In addition, the patient's health diseases of the blood vessels much better in cool weather than hot weather.
The first week after treatment of varicose veins 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 degree of physical activity. Recommended for Camping, running and Cycling, aerobics, swimming. Patients can play sports, walk long distances, drive a vehicle. Contraction of the striated muscles of the legs perform the function of an additional pump and improve venous outflow in the lower extremities. This is a natural mechanism that helps to avoid recurrence of varicose veins after surgery.
Get a job, if it is not connected to the big physical exercise or prolonged standing on his feet almost immediately, even the day of surgery. Possible to work at home, you can also make a few days after the intervention. Walking can and should be in the first few minutes after surgery, wearing compression underwear.
Possible complications
Treatment of varicose veins laser is very popular, because of the short recovery time, no pain and minimal risk of complications. However, they are not excluded. During surgery may experience pain when properly performed anesthesia. After the procedure, pain may occur during surgical veins. If the pain does not subside inside two days, you need to see a doctor – it can be a sign of serious complications.
Errors in carrying out the manipulation can cause burns, skin and soft tissues, hematoma at the injection site, infection and inflammatory processes. In rare cases it is possible to, thrombosis, including deep, which will lead to a significant deterioration of the patient. You should contact your doctor immediately if:
- the first two days of the pain along the vein during puncture does not increase or decrease;
- the skin around the puncture site showed signs of inflammation – redness and increased local temperature, the appearance of purulent foci;
- when walking is pain in the muscles of the legs, swelling, feeling of heaviness;
- appeared the pathological pigmentation of the skin of the foot;
- fever;
- there are other unpleasant sensations in the legs – a violation of sensitivity, paraesthesia.
In order to diagnose these complications, it is recommended that the second day after surgery doctor – phlebologist and regularly comes in for a checkup.
Prevention
Experts advise to follow a few simple preventive measures to prevent possible recurrence of the disease:
- keep track of your weight and to avoid the appearance of extra pounds;
- avoid prolonged sitting or standing in the same position, get rid of the habit of sitting posture "foot to foot";
- it is recommended that proper and adequate nutrition, avoiding harmful habits (Smoking, alcohol);
- shoes need to choose the comfortable, natural materials, and a small, stable heel;
- should give up a sedentary lifestyle, try to move more, play sports, and not to give up moderate physical activity.
Advantages of laser treatment of 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:
- no need to put patients in the hospital, the procedure is performed in outpatient conditions;
- the operation is performed under local anesthesia, which is well tolerated by patients;
- the procedure allows to achieve an excellent cosmetic effect as access to affected Vienna, through a small hole. Because the cracks are gone, the skin left scars and other defects;
- modern equipment allows to evenly diffuse the laser light inside the vein, in order to achieve a quality finish. As a result, after the procedure, the skin is left hematoma;
- during the laser procedure for the treatment of both legs, the manipulation is only 30 -40 minutes;
- short and painless rehabilitation period. After surgery, the patient returns home and a few days can return to normal life;
- to date, laser coagulation of blood vessels is an effective and safe method for the treatment of varicose veins, which avoids the complications (thrombophlebitis, secondary infections).
Disadvantages of laser treatment
For all its appeal, this method has several disadvantages, among which are:
- the impossibility to use the method of laser therapy in cases of severe varicose veins;
- in cases where the diameter of the saphenous vein is too large, is to combine the laser treatment with traditional surgery, and avoid cuts on the skin can not;
- another disadvantage is the compulsory wearing of compression underwear for 7 days after surgery;
- the biggest drawback for many patients is "biting" the prices for the procedure.
Before you decide on laser therapy, should weigh all "for" and "against", pass the entire research and consult an experienced professional.
The cost of laser treatment of varicose veins
The price for varicose veins treatment with laser is one of the main disadvantages of this method. It can vary within wide limits, depending on the difficulty of the individual patient, the equipment, the status of the clinic and the qualifications of the surgeon.