A disease in which the veins enlarge, dilate and lose elasticity is known as varicose veins. The result of this disease is not only a noticeable cosmetic defect, but also the formation of boils, which are accompanied by severe pain. Laser treatment of varicose veins on the lower leg is one of the most modern and painless methods to get rid of the disease.
Transcript of procedure
Laser treatment of varicose veins is performed using an ultrasound duplex scanner. In this case, laser energy absorption by erythrocyte hemoglobin occurs.
As a result, in a matter of seconds they are converted into thermal energy, their value reaching 100 degrees. Blood plasma and its boiling elements. This process can be compared to a kind of thermal burning of the venous wall, which provokes the formation of blood clots.
After a short time, the veins dissolve, and it becomes almost invisible. If the disease is in a more advanced form of development, it is necessary to repeat the operation. This can be done no earlier than 30 - 40 days.
The popularity of this method is due to its advantages. Among the most important are the following:
- Surgery is performed on an outpatient basis. Patients only spend a few hours in the clinic.
- This procedure does not require the use of general anesthesia. Enough to anesthetize only where the laser catheter is inserted into the vein. Thanks to this, the recovery period is much shorter.
- No need for postoperative drug therapy.
- Experts monitor operational progress using ultrasound monitoring using color Doppler. This guarantees the accuracy of the process.
- After surgery, there are no sutures, punctures or postoperative cosmetic defects on the patient's skin surface.
- The postoperative period does not require bed rest.
- Surgery is performed using a single instrument aimed at endovascular intervention. Thanks to this, the risk of infection in the body is minimized.
This presence and other advantages confirm the effectiveness and efficiency of the varicose vein removal procedure with laser.
Instructions for laser surgery
Laser treatment of varicose veins is indicated for patients diagnosed with enlargement of large and small saphenous veins. In this case, the size of the vein expansion does not exceed 1 cm, and the vessel is evenly spaced, without the formation of numerous bends.
The use of lasers will be effective only when the disease is in its early stages of development.
For whom this method is prohibited
Laser removal of leg veins is not recommended if the disease is in the second, third or fourth stage of development. The reason is that the veins may grow back.
In addition, it should be noted that the laser affects a small area of the vein, which makes it possible to avoid damage to the surrounding tissue. If a person has a large vein lesion, the use of laser therapy will not give the desired result.
If we discuss the contraindications to the use of lasers, they can be conditionally divided into 2 groups:
- Absolute.These include cases where the use of lasers is strictly prohibited:
- patients are more likely to develop thrombophlebitis;
- chronic blood disease is observed;
- venous wall has severe lesions.
In this case, the use of lasers can provoke massive blood clots.
- Relative.This group includes contraindications forcing to suspend laser surgery for some time:
- the presence of a wound or boil on the patient's skin surface. They must be healed first. Otherwise, the possibility of complications in the postoperative period is not excluded;
- period of pregnancy and lactation. During this time, the female body becomes weak, and there is also a heavy load on the lower limbs;
- overweight.
If the patient has contraindications from the first group, experts recommend that he use different methods to treat varicose veins. If there are relative contraindications, it is necessary to get rid of them before using laser therapy.
Setup
One of the advantages of laser vein treatment is that the patient does not have to go through a long preparation period.
Pre-operation preparation consists of performing a standard check, which includes the following manipulations:
- analysis of blood and urine, in which the presence of sugar levels is determined, blood clotting levels are determined, blood biochemistry is performed, Rh factors and blood groups are determined;
- testing for HIV and the presence of sexually transmitted diseases;
- fluorography;
- with the help of ultrasound, the specialist accurately determines the location of expansion in the leg veins;
- if the patient is very restless, sedatives are given.
After completing this manipulation, you can continue the operation itself.
Which method to choose
In addition to endovasal laser coagulation, several effective methods can be used to treat varicose veins. Some of the most popular are the following:
- Compression therapy.The essence of this method is to use external vein compression, which causes a decrease in its size. After surgery, the chances of the veins getting longer will increase. In most patients, there is a need for compression therapy throughout the rest of their lives. Laser leg vein surgery eliminates this need.
- Phlebectomy.In this case, the vein is surgically severed from the general vein system. In this case, the sore vein is completely removed, which minimizes the recurrence of the disease. The disadvantage of this method is the use of compulsory general anesthesia, which causes an increase in the recovery period to 3 - 4 weeks.
- Sclerotherapy.This is an invasive treatment using special foam. The patient is injected with sclerosant, which causes the vessels to stick together. Possible development of postoperative consequences such as scar tissue, skin surface necrosis, allergies, migraines and others are not excluded.
- Removal of venous radio frequency.Performed through the use of radio waves. The catheter is inserted into the vein. Radio waves cause heat to accumulate and attach to the venous wall. This method is contraindicated in patients with pacemakers or defibrillators.
Of all the above methods, EVLO varicose veins are the most gentle and effective. The final decision to choose a method for treating varicose veins can be made only after a thorough general examination and recommendations from a phlebologist.
Performs operations
Removal of varicose veins with laser is a manipulation of no more than 30 minutes. It is done in several stages:
- In accordance with the previously performed patient vein map, the specialist performs local anesthesia where the puncture will be performed;
- laser-equipped catheters are inserted into the vessel cavity;
- The catheter gradually advances to the crotch area and is then pulled back. In this case, energy is emitted, which causes the sealing of the veins.
In order not to damage the mucous membranes of the eyes, patients must wear protective glasses first.
How long
One of the advantages of the vessel laser freezing method on the foot is that the operation itself is not more than 30 minutes.
After this time, the patient can leave the clinic on their own. The short duration of this method is due to the absence of general anesthesia, as well as surgical resection of the skin surface on the patient's feet.
Postoperative recovery
Laser therapy for varicose veins involves a short postoperative period. In order for it to pass properly, experts recommend that patients adhere to the following rules:
- wear compression garments;
- avoid heavy loads on the feet;
- runs in the realm as much as possible;
- performed an ultrasound scan 10-14 days after surgery. This will give the expert an idea of the condition of the human veins at the site of the intervention.
In 2-3 months, the patient fully recovers and is ready to lead a normal life.
Results and possible consequences
If laser vascular surgery is performed in a timely manner, the chances of the disease recurring are very low. The patient returned to his normal and normal lifestyle after a few months.
Negative postoperative removal of varicose veins on the legs is very rare. As a rule, this can be a bit of skin pigmentation in the places where the puncture is done. It can be eliminated by taking medication.
The average cost of laser treatment
It is safe to say that the cost of laser treatment of varicose veins on the legs is the only drawback of this method. It depends on factors such as the stage of disease development, the equipment used for the operation, the individual characteristics of the patient, and other factors.
Despite its high cost, this method is recognized worldwide as the most effective.