Varicose veins of the legs – is not only a cosmetic problem, but a serious pathology, which is accompanied by dangerous consequences for the health. Treatment of varicose veins with laser is one of the most modern, low-invasive and reliable ways to cope with the disease in an initial phase. Allows to achieve excellent aesthetic effect, you will be minimal risk of complications and shorter rehabilitation period.
Traditional medical therapy combined with physical therapy and the use of correctional clothing also gives good results, but does not refer to the cause of the disease. Radically solve the problem of diseased vessels requires surgical intervention. The classic operation for removal (phlebectomy) is tolerated, because it is very traumatic and involves a significant risk of complications infectious. This method is slowly disappearing. Be replaced by minimally invasive procedures (sclerotherapy, laser), that give good results and allows you to quickly and painlessly get rid of varicose veins.
Laser treatment: the procedure
Varicose vein laser surgery is considered as the most reliable and effective method of treatment. The basis of this method is the use of the thermal effect of the coagulation of the blood vessels. In a nutshell, 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 heats the cells of the blood and the vessel wall. As a result, the blood is squeezed out of the boat, and she Vienna "signati". The blood flow stops completely and the vein out of the surrounding tissue, that are already implemented through other, healthy veins.
Wearing compression garments after treatment of varicose veins with laser reinforces the effect, the creation of additional pressure on the boat and not allow them to recover the flow of blood in a damaged vein. The boat, finally, overgrown connective tissue. Compliance with prevention of varicose veins do not develop the result in other veins, so that the disease can be cured forever.
The advantages of this method in his low-trauma, lack of blood loss and large incisions. And since there is no door of entrance for the infection, and the risk of damage to adjacent tissues and possible complications are minimized.
Treatment of varicose veins with laser minimal invasive procedure, which does not require any special preparation and is performed under local anesthesia. The operation is performed only in a specialized medical institution for the progress of the operation carried out by ultrasonic testing in real-time. That is to say, the surgeon by means of ultrasonic monitors, the promotion of led in Vienna. Before the intervention, the patient must pass the necessary examination, which specifies the location of the affected venous vessel and is the most optimal method of laser coagulation.
When assigned to surgery: indications
The basis for the operation of the treatment of varicose veins with laser is varicose veins saphenous veins (great and small). The laser applies if the mouth of these veins are not dilated more than 1cm, the boats have a smooth motion without sharp bends, and branches of healthy or slightly expanded. That is to say, the laser is only effective in the initial stage of varicose veins, in a low degree of severity of the process and only when applied on the subcutaneous veins. If the illness is by running the affected vessel and expanded more than 1 cm, it is likely that in the future Vienna of the new "evolve" and the treatment will be ineffective.
Medical laser has a therapeutic effect in very little space – this allows you to avoid its negative impact on the surrounding tissue. Therefore, the use of the therapy laser on large areas of damaged blood vessels, as well as to the deep veins, it is inefficient. In these cases, it is necessary to use other methods of surgical treatment, more suitable to this situation (for example, the classic phlebectomy).
Contraindications
Except when the laser will be ineffective, there are situations in which its application may harm the health of the patient. Contraindications for the laser treatment, rather, they can be divided into absolute and relative:
Absolute contraindications
The absolute contraindications to carry out therapeutic manipulation that should not be. The list of these States includes:
- tendency to thrombosis and thrombophlebitis;
- chronic disorders of the blood and lymph circulation in the legs;
- heavy hit the walls of the veins.
In these diseases the laser can damage the blood vessels or cause a massive thrombosis. Also contraindications include the inability to move actively and to use compression tights. Without these events in the postoperative period laser treatment can lose its effectiveness, and also to cause inflammation in the boat.
Contraindications relative
Relative contraindications are those in which the operation should be postponed. This is the inflammation of the skin of the feet, especially around the site of the future incision, worsening of chronic diseases. In this case, it is first necessary treatment of comorbidities, and only after carrying out the operation. If this is not done, it is very high risk of complications in the postoperative period as the parties operated on the veins and disease, became a contraindication for treatment with laser.
The operation has not been performed during pregnancy and lactation, since in this period the immune system is weakened, and the burden of the lower leg, superior to the usual. For the same reason, difficult laser treatment of varicose veins in people who are overweight – which is worse to tolerate anesthesia, and due to the large load on the feet of possible complications in the postoperative period.
The procedure of varicose veins treatment of leg veins laser
Despite the high cost of treatment of varicose veins with laser, this procedure is gaining popularity due to its simplicity and effectiveness. To determine the presence of indications for surgery, before you make a duplex ultrasound exam. Helps to see the veins ' structure, the degree of damage and the disturbance of blood flow. If you're going state of the patient allows to carry out the laser treatment, you schedule the surgery.
The day of the procedure special preparation of the patient is necessary. If necessary, you can take a painkiller. Before the surgery is another duplex angiography, all manipulations take place under the control of us. A small-scale operation allows us to avoid General anesthesia and its complications associated with the laser treatment is done under local anesthesia, which anaesthetises the puncture site.
The operation 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 to enter the optical fiber connected to the laser apparatus. Then, with the help of laser radiation is the coagulation of the damaged vessel, after which the fiber is removed, the puncture site is treated with antiseptic local and a sterile bandage. The operation itself lasts about 15 -30 minutes (for the processing of a leg).
After the forced lying on the operating table to move in a vertical position, it is recommended to slowly and gradually – in the first place to sit and then stand. This will help to prevent the collapse vascular to the abrupt change of the position of the body. In addition there are no restrictions. Some time after the intervention, the patient can go home.
The postoperative period
Before the surgery the patient in advance of the purchase of compression garments – stockings or tights. The degree of compression is negotiated with the doctor in advance.
Then removes the veins with a laser, you must immediately put on the compression a half a leg. During the first two days, you should wear it constantly, day and night. Then, if there are no complications, the doctor will allow us to eliminate medical clothing for the night. The duration of use medical hosiery gradually decreases as it is operated the vessel is completely overgrown connective tissue. Because of the need to wear compression underwear surgery to try to appoint to the cold season, the patient did not experience discomfort with prolonged use of the medium. In addition, the health of patients with diseases of the blood vessels so much better in cold weather than heat.
After the first week of treatment of varicose veins with laser, you should avoid high load on the legs, weight lifting, it is impossible to visit bath, in the sauna or the swimming pool. In the future, you need to gradually increase the degree of physical activity. It is recommended to Hiking, running and Cycling, aerobics, swimming. The patient can play sports, walk long distances, drive a vehicle. The contraction of the musculature striated legs will carry out the function of an additional pump and improve venous outflow from the lower extremities. This is a mechanism the natural that will help you 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. Feasible work at home, you can also perform a few days after the intervention. Walking can and should be in the first minutes after the surgery, with the compression underwear.
Possible complications
Treatment of varicose veins with laser is very popular due to the short recovery period, no pain and minimal risk of complications. However, were not excluded. During the surgery you may experience pain when it is well carried out anesthesia. After the intervention, the pain may occur in the course of surgery for the veins. If the pain does not subside within two days, you need to consult a doctor – that could be a sign of serious complications.
Errors in the realization of the manipulation which can cause burns of the skin and soft tissues, hematoma at the puncture site, infection and inflammatory processes. In some cases, it is possible to thrombosis, such as deep, which leads to a strong deterioration of the patient. You should immediately contact your doctor if:
- in the first two days, the pain along the vein during the 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 focus;
- when walking there is pain in the muscles of the legs, swelling, sensation of heaviness;
- appeared pathological pigmentation in the skin of the feet;
- fever;
- we have other unpleasant sensations in the legs – a violation of sensitivity, paraesthesia.
In order 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 a checkup.
Prevention
Experts recommend to follow some simple preventive measures to prevent possible recurrence of the disease:
- control your weight and avoid the appearance of 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, avoid habits that are harmful (Tobacco, alcohol);
- the shoes you choose are comfortable, natural materials and in a small, stable heel;
- it should leave a sedentary lifestyle, try to move more, to do sport and not to give a moderate physical activity.
The advantages of the therapy laser 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 place patients in a hospital, the procedure is performed in outpatient conditions;
- the operation is performed with local anesthesia, is well tolerated by the patients;
- the procedure allows to achieve an excellent aesthetic effect, as access to the affected Vienna is through a small puncture. Since 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 hematoma;
- during the procedure with laser treatment of two legs, the handling 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;
- to date, laser coagulation of blood vessels is the most effective and safe method for the treatment of varicose veins, which avoids the complications (thrombophlebitis, secondary infections).
Cons of laser treatment
For all its appeal, this method presents several drawbacks, among which are:
- the impossibility of applying the method of laser therapy in cases of severe varicose veins;
- in the cases in which the diameter of the saphenous vein is too large, it must combine the therapy with laser and traditional surgery and avoid cuts to the skin will not be able to;
- another disadvantage is the mandatory use of the compression underwear for 7 days after surgery;
- the main drawback for many patients is "biting" prices for the intervention.
Before deciding on laser therapy, should weigh all "for" and "against", to pass a thorough examination and consult a professional with experience.
The cost of laser treatment of varicose veins
Price of varicose veins laser treatment is one of the main disadvantages of this method. It can vary in large limits, according to the degree of difficulty for each patient, the material used, the status of the clinic and the qualification of the surgeons.