Varicose veins on your legs – it's not just a cosmetic problem but a serious pathology, which is accompanied by dangerous health consequences. The varicose veins treatment laser is one of the modern, low-invasive, reliable ways to cope with the disease at an early stage. This allows to achieve excellent aesthetic effect, then it will be minimal, the risk of complications, and shorter rehabilitation period.
The traditional medical therapy combined with physical therapy on the penalty-implementing canvas also gives good results, but it does not address the underlying cause of the disease. To radically solve the problem, the patient's blood vessels requires surgical intervention. The classic surgery removal (phlebectomy) tolerated, because it is very depressing, in which a significant risk of infectious complications. This method is gradually disappearing. To be replaced by the minimally invasive procedures (sclerotherapy, laser), which are excellent results and allows you to quickly, painlessly get rid of your varicose veins.
Laser treatment: the procedure
Varicose vein laser surgery is considered the reliable, effective method of treatment. The basis of this method is the use of thermal effect for coagulation of blood vessels. Simply put, optical, into the affected vessel during operation emits a flow of energy. This radiation is absorbed by the hemoglobin in the blood heat, which warms the blood cells and the vessel wall. As a result, the blood squeezed out of the ship, and his Vienna "signa you can". Blood circulation stops completely, the venous outflow to the surrounding tissue is already being implemented in other, healthy veins.
Wearing compression garments after treatment of varicose veins laser strengthens the effect that further pressure on the vessel and does not allow to recover the blood flow in the damaged veins. The ship is eventually overgrown with connective tissue. Compliance with the prevention of varicose veins does not develop, the result of other veins that the disease can be cured forever.
The advantage of this method is the low-trauma, lack of blood loss, a large incision. But since there is no entrance gate of the infection, the risk of damage to adjacent tissue, possible complications to a minimum.
The varicose veins treatment, laser minimal invasive procedure, requires no special preparation, under local anesthesia. The operation is carried out only in a specialized medical institution, the progress of the operation performed ultrasonic examination in real time. This is the surgeon using ultrasound to listen to the promotion of led in Vienna. Before the surgery the patient must be given the necessary tests, which determine the location of the affected venous vessel, the most optimal method of laser coagulation.
When assigned to surgery: indications
Based on the operation of the treatment of varicose veins laser varicose saphenous veins (great, small). Laser apply, if the mouth of these veins are not dilated more than 1 cm, the vessels have a smooth motion without sharp bends, and branches of healthy or slightly expanded. This laser is effective only in the initial stages of varicose veins, the low degree of severity of the process, and only then, when applied to the skin under veins. If the disease is run to the affected vessel and expanded more than 1 cm, it is likely that in the future Vienna again "evolve" the treatment is ineffective.
Medical laser therapeutic effect in a very small area – this allows you to avoid the negative impact on the surrounding tissue. Therefore, the laser treatment of large areas of damaged veins, and deep veins, are not effective. In these cases, it is necessary that other methods of using the surgical treatment, more suitable for this situation (for example, the classic phlebectomy).
Contraindications
Except if the laser will be ineffective, there are situations when the application could be harmful to the health of the patient. Contraindications the laser treatment a lot of, it can be divided into absolute and relative:
Absolute contraindications
The absolute contraindications to carry out therapeutic manipulation, that shouldn't be. The list of such member states include:
- tendency to thrombosis, thrombophlebitis;
- the chronic diseases of the blood, the lymph circulation of the feet;
- it's hard hitting the walls of the veins.
These diseases the laser can cause damage to the blood vessels, or a strong thrombosis. Also contraindications include the inability to actively move, to wear compression stockings. Without these events in the postoperative period laser treatment loses its effectiveness, and also to provoke inflammation of the vessel.
Relative contraindications
Relative contraindications are those in which the operation should be postponed. This is the inflammation of the skin of the feet, especially the site of the future incision, worsening of chronic diseases. In this case, you first need to treat the comorbidities, but only then perform the operation. If this does not happen, it is very high risk of complications in the postoperative period as the parties operated, the veins, disease was a contraindication for laser treatment.
The operation can not be performed, pregnancy, breast-feeding, because in this period the immune system weakens, the load on the lower limb higher than usual. For the same reason, difficult the laser treatment, varicose veins, people who are overweight – they are worse tolerate anesthesia due to the load on the foot, and possible complications in the postoperative period.
The procedure of varicose veins treatment of leg veins laser
Despite the high cost of varicose veins treatment laser, this procedure is becoming increasingly popular due to its simplicity and efficiency. To determine the presence of indications for surgery before a duplex ultrasound examination. This helps to get the blood vessels structure, the degree of damage and disturbance to the blood flow. If the vessel status of the patient allows to carry out the laser treatment, you schedule the surgery.
The day of the special procedure preparation of patient is required. If necessary, a sedative. Before the surgery, another duplex angiography, all manipulations line under the control of us. Small-sized operation allows us to avoid general anesthesia and its related complications laser treatment under local anesthesia, which anaesthetises the puncture site.
The operation of the treatment of varicose veins of the laser to a small puncture in the skin, the tibia of the damaged vessels enter the optical fiber connected to the laser device. Then, using the laser radiation for the coagulation of the damaged vessel, after which the thread is removed, the puncture site should be treated with local antiseptic and sterile bandage. The operation itself takes approximately 15-30 minutes (the processing of one of the legs).
After the forced lying on the operating table to move it in a vertical position it is advisable to slowly and gradually – at first to sit, then stand up. This will help to avoid the circulatory collapse is the sudden change of the body position. Still, there are no restrictions. Some time after the procedure, the patient can go home.
The post-operative period
Before surgery the patient pre-sale compression-clothing – tights or stockings. The degree of compression is negotiated on the doctor in advance.
After removing the varicose veins, the laser, now you have to put the compression stockings on his legs. The first two days have to wear it constantly, day and night. Then, if there are no complications, the doctor allows you to remove the medical canvas for the night. The duration of wearing medical stockings gradually decreases as it worked, that the vessel is completely overgrown with connective tissue. Because of the need to wear compression underwear surgery try to the cold season, the patient does not experience discomfort with prolonged wearing stockings. In addition, the health of patients with diseases of blood vessels much better in cool weather than in hot weather.
The first week after treatment of varicose veins with the laser, avoiding the heavy load, the legs, the weight lifting, it is impossible to visit the spa, the sauna or the pool. In the future, you need to gradually increase the degree of physical activity. Recommended Hiking, running, Cycling, aerobics, swimming. The patient can play sports, walk long distances, motor vehicle. The contraction of the skeletal muscles of the legs performing the function of an additional pump, as well as improve the venous outflow of the lower limbs. This is a natural mechanism that helps to avoid the recurrence of varicose veins after surgery.
Work if not connected to the large physical exercise or prolonged standing on his feet, almost immediately, even on the day of surgery. It is feasible to work at home can be done a few days after the procedure. The walk, which is why the first few minutes after surgery, wearing compression underwear.
Possible complications
Treatment of varicose veins of the laser it is very popular, because of the short dormancy period, no pain, and minimal risk of complications. However, they were not excluded. During the surgery you may experience pain if properly performed anesthesia. After the procedure, pain may occur in the surgical veins. If the pain is not relieved within two days, a doctor should be – this could be a sign of serious complications.
Errors in carrying out the manipulation can cause burns of the skin and soft tissues, hematoma at the puncture site, infection, inflammatory processes. In rare cases, possible thrombosis, including deep, which is a significant deterioration of the patient. Call your doctor if:
- the first two days the pain along the vein during the puncture does not reduce or increase;
- the skin around the puncture site showed signs of the inflammation, – the redness and increased local temperature, the appearance of the purulent foci;
- when walking there is pain, the muscles of the legs, the swelling, the feeling of the difficulty;
- appeared abnormal pigmentation of the skin on the foot;
- fever;
- any other unpleasant sensations in the legs – a violation of the sensitivity of paresthesia.
In order to diagnose these complications, it is recommended that the second day after the surgery to see a doctor – phlebologist, regularly comes for a check.
Prevention
Experts advise to follow a few simple preventive measures to prevent possible recurrence of the disease:
- monitor your weight, and to avoid the appearance of, the excess;
- avoid prolonged sitting or standing situation to get rid of the habit of sitting posture, "foot, leg";
- it is recommended that you have the correct and proper nutrition, avoiding harmful habits (Smoking, alcohol);
- shoes to choose comfort, natural materials, and a small, stable heel;
- we have to give the sedentary lifestyle, move more, play sports, don't give up the moderate physical activity.
The advantage of the laser treatment of veins
The laser treatment, varicose veins have many significant advantages over other methods of surgical intervention. Here are the main advantages of laser treatment:
- you don't need to put the patients at the hospital, the procedure is performed in outpatient conditions;
- the surgery under local anesthesia, which is well tolerated by the patients;
- the procedure allows to achieve an excellent cosmetic effect as the access is concerned, Vienna, through a small puncture. Since the holes are present and the skin left scars, and other defects;
- the modern equipment allows to evenly diffuse the laser light to the vein to achieve a quality finish. As a result, after the procedure, the skin is left hematoma;
- during the laser procedure treating both feet, the manipulation is only 30 -40 minutes;
- a short, painless rehabilitation period. After the surgery, the patient returned home, and then a few days you can return to your normal life;
- date, laser coagulation of blood vessels is the most effective, safe method for the treatment of varicose veins, which avoids the complications (thrombophlebitis, secondary infections).
Disadvantages of the laser treatment
The appeal, this method has several disadvantages, among which are:
- the impossibility of the method of applying the laser treatment in the case of severe varicose veins;
- in those cases where the diameter of the vein the saphenous too will be great to combine the laser therapy with conventional surgery to avoid cutting the skin will not be able;
- another disadvantage is that the compulsory wearing of compression underwear for 7 days after surgery;
- the main disadvantage is that many patients "bite" on the rates of the procedure.
Before you choose laser treatment, you should weigh all "for" and "against", to deliver the full scan, consult an experienced professional.
The cost of laser treatment, varicose veins
Price varicose veins treatment with laser is one of the major drawbacks of this method. This may vary within wide limits, depending on the degree of difficulty of the individual patient, the equipment used, the status, the clinic, the qualifications of the surgeons.