Varicose veins on the legs – not only a cosmetic problem, but a severe pathology, which is accompanied by dangerous health consequences. Treatment of varicose veins with laser is one of the most modern, low-invasive and reliable ways to cope with the disease in an early stage. This allows to achieve excellent aesthetic effect, you will a minimum risk of complication and a shorter rehabilitation period.
Traditional medical therapy combined with physical therapy and wearing school underwear also gives good results, but does not address the root cause of the disease. A radical solution to the problem of diseased vessels, requiring surgical intervention. The classic operation for removal (phlebectomy) is 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 effective way of treatment. On the basis of this method is the use of thermal effect for coagulation of blood and the blood vessels. Simply put, optical, which was introduced 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 vascular walls. As a result, the blood is squeezed out of the vessel, and she Vienna "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 enhances the effect, that creates additional pressure on the vessel and does not allow to recover the flow of blood in a damaged vein. Vessels at the end of the overgrown connective tissue. Compliance with the prevention of varicose veins will not develop the result in the other vessels, so that the disease will be cured for ever.
The advantages of this method in its low-injury, lack of blood loss and large incisions. And since there is no entrance gate for the infection and the risk of injury to adjacent tissues and possible complications are minimised.
Treatment of varicose veins with laser minimal invasive procedure that requires no special preparation and is performed under local anesthesia. The surgery is performed only in a specialised medical institution for the progress of the operation of ultrasonic testing in real-time. That is, the surgeon with the ultrasonic monitor advertising led in Vienna. Before surgery the patient must undergo the required examination, which determines the location of the affected venous vessel and is the most optimal method of laser coagulation.
When allocated to surgery: indications
The basis for the functioning of the treatment of varicose veins with laser is varicose saphenous veins (great and small). Laser is used, if the mouth of these veins is not spread more than 1 cm, the vessels have a smooth move without sharp bends, and branches of healthy or slightly expanded. That the laser is only effective in the initial stage of varicose veins, a low level of severity of the process and only when applied on the subcutaneous veins. If the disease is running the affected vessel and expanded more than 1 cm, it is likely that in the future Vienna again "develop" and treatment will not be effective.
The medical laser has a therapeutic effect in a very small area – this allows you to avoid the negative impact on the surrounding tissue. Therefore, the use of laser therapy to large areas of damaged blood vessels, as well as for deep veins, it is inefficient. In these cases, it is necessary to use other methods of surgical treatment, more suitable for this position (for example, the classic phlebectomy).
Contraindications
Except, if the laser will be ineffective, there are situations where its use may harm the health of the patient. Contraindications for laser treatment quite a lot, they can be divided into absolute and relative:
Absolute contraindications
The absolute contra-indications for the implementation of therapeutic manipulation that would not. A list of these countries includes:
- tendency to thrombosis and thrombophlebitis;
- chronic disorders of the blood and lymph circulation in the legs;
- hard-hitting walls of blood vessels.
In these diseases the laser, can damage blood vessels or trigger a massive thrombosis. Also contraindications include the inability to move active and wear compression socks. Without these events in the postoperative period of laser treatment can lose its effectiveness, and also to elicit inflammation in the vessel.
Relative contraindications
Relative contraindications are those in which the operation is to be postponed. This is an inflammation of the skin on the legs, 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 perform the operation. If this is not done, it is very high risk for complications in the postoperative period as the parties leads to the blood vessels and disease, became a contraindication for laser treatment.
The operation could not be performed during pregnancy and lactation, because in this period the immune system is weakened, and the load on the lower limb higher than usual. For the same reason, it is difficult to laser treatment of varicose veins in people who are overweight, who are worse tolerate anesthesia, and due to the large load on the feet of possible complications in the postoperative period.
The procedure of varicose vein treatment leg veins laser
Despite the high costs of treatment of varicose veins with laser, this procedure is becoming more and more popular due to its simplicity and efficiency. To determine the presence of indications for surgery, prior to do a duplex ultrasound examination. This helps to see the veins ' structure, degree of injury and disruption of blood flow. If vessel status of the patient allows to carry out the laser treatment, you schedule the surgery.
Day is a special procedure of the preparation of the patient is necessary. If necessary, you can take the sedative. Before surgery is another duplex angiography, all manipulations take place under the supervision of the united states. Small operation allows us to avoid General anesthesia and its associated complications – laser treatment is performed under local anesthesia, which anaesthetises the stitch.
Operation for the treatment of varicose veins with laser is that through a small puncture in the skin of the tibia in the damaged vessels enter the optical fiber connected to the laser devices. Then with the help of laser radiation is the coagulation of the damaged vessel, after which the fibre has been removed, the puncture site is treated with local antiseptic and a sterile bandage. The operation itself takes about 15 -30 minutes (for the processing of one leg).
After that, when forced to, which is lying on the operating table to move in a vertical position, so it is advisable to slowly and gradually – first to sit and then get up. This will help to prevent cardio-circulatory collapse in a sudden change in body position. More there are no limits. Some time after the procedure, the patient can go home.
In the postoperative period
Before the surgery the patient in advance for the purchase of compression garments – stockings or socks. The compression rate is negotiated with the doctor in advance.
By eliminating varicose veins with the laser, you must immediately put on compression stocking on the leg. In the first two days would have to wear it constantly, day and night. Then, if there are no complications, the doctor is allowed to remove the medical underwear for the night. Duration the wearing of medical stockings, gradually reduces, as it is operated the vessel is completely overgrown connective tissue. Since it is necessary to wear compressive underwear surgery try, to appoint for the cold season, the patient did not experience discomfort with prolonged wearing socks. In addition, the health of patients with diseases of the blood vessels a lot better in cold weather than in hot weather.
In the first week after treatment of varicose veins with the laser, you should avoid high load on the legs, lifting the weights, it is impossible to visit bath, sauna or swimming pool. In the future, you will need to gradually increase levels of physical activity. Recommended Hiking, running and Cycling, aerobics, swimming. The patient can play sports, walk long distances, drive a vehicle. On the contraction of the striated muscles of the leg performs the function of the additional pump and improve venous outflow from the lower extremities. This is a natural mechanism that will help to prevent a recurrence of varicose veins after surgery.
Get to work, if it is not connected with a lot of physical exercise or prolonged standing on their feet almost immediately, even on the day of the operation. Practicable, 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
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 may experience pain when properly performed anesthesia. After the procedure, pain may arise in the course of surgical veins. If the pain does not subside in two days, you need to see a doctor – it may be a sign of serious complications.
Errors in the implementation of the manipulation, can cause burns of the skin and soft tissues, hematoma at the site of the puncture, infection, and inflammatory processes. In rare cases, possible thrombosis, including deep, which has led to a marked deterioration of the patient. You must immediately notify your doctor if:
- in the first two days 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 the purulent foci;
- when walking is pain in the muscles of the feet, swelling, a feeling of weight;
- appeared to be a pathological pigmentation on the skin on legs;
- fever;
- have any other unpleasant sensations in the legs – a violation of sensitivity, paresthesia.
To diagnose these complications, it is recommended that on the second day after the surgery to see a doctor – phlebologist and regularly comes in for review.
Prevention
Experts advise to follow a few simple preventive measures to prevent recurrence of the disease:
- monitor your weight and avoid extra pounds;
- avoid prolonged sitting or standing in one position, to get rid of the habit of sitting in the posture "foot to foot";
- it is recommended that proper and adequate nutrition, avoiding harmful habits (Smoking, alcohol);
- shoes must choose comfy, natural materials and on a small, stable heel;
- should abandon a sedentary lifestyle, try to move more, play sports and do not give up moderate physical activity.
The advantages of laser therapy the veins
Laser treatment of varicose veins has many important advantages over other methods of surgical intervention. Here are the main advantages of laser therapy:
- there is no need to put patients in the hospital, the procedure is performed in ambulatory conditions;
- the surgery is performed under local anesthesia, is well tolerated by patients;
- the procedure allows to achieve an excellent cosmetic effect, as access to the influence of Vienna is through a small puncture. Because the slits are absent, the skin will remain scars and other defects;
- the use of modern equipment, which allows to evenly diffuse the laser light in the interior of the vein to achieve a quality finish. As a result, after the intervention, the skin is left hematoma;
- during the laser procedure for the treatment of both legs, manipulation is just a 30 -40 minute;
- short and painless rehabilitation period. After the surgery, the patient returns home and a few days can return to normal life;
- up to now, laser coagulation of blood vessels, which is the most effective and safe method for the treatment of varicose veins, to prevent complications (thrombophlebitis, secondary infections).
Disadvantages of laser treatment
For all the complaints, this method has several disadvantages, among which are:
- the inability of the use of methods of laser therapy in cases of severe varicose veins;
- in cases where the diameter of the saphenous vein is too large, will need to combine laser therapy with traditional surgery and avoid cuts on the skin will not be able to;
- another disadvantage is the compulsory wearing of compression underwear for 7 days after surgery;
- the main drawback for many patients is "biting" the prices for the procedure.
Before opting for laser therapy, should weigh all "for" and "against", complete the full examination and consult an experienced professional.
The cost of laser treatment of varicose veins
The price of varicose vein treatment with laser is one of the main disadvantages of this method. It can vary within wide limits, depending on the degree of complexity of an individual patient, the equipment used, the status of the clinic and the qualifications of the surgeons.