Varicose veins of the legs – is not only an aesthetic problem, but also a serious disease, that is accompanied by dangerous health consequences. Treatment of varicose veins laser – one of the more modern, less traumatic and reliable ways to tackle the disease in an early stage. It allows you to achieve a beautiful aesthetic effect, it offers the minimum risk of complications, short rehabilitation period.
Traditional pharmacological therapy in combination with physical therapy and wearing correctional linen also gives good results, but does not eliminate the main cause of the disease. To radically solve the problem of the sick blood requires surgical intervention. Classic removal (flebectomia) difficult to tolerated, because it is very traumatic, accompanied by a high risk of infectious complications. This method is gradually disappearing. In exchange for the are minimally invasive procedures (sclerotherapy, laser therapy), which give a very good result and allow you to quickly and painlessly get rid of varicose veins.
Laser treatment: the essence of the procedure
For varicose veins correction laser is considered to be the most reliable and effective method of treatment. At the base of this method is the use of a heat effect in the coagulation of the blood vessels. In a few words, a light-guide, inserted into the affected vessel during operation, emits a flow of energy. This radiation is absorbed by the hemoglobin of the blood, with the emission of heat, which heats up the blood cells and the vessel wall. As a result, the blood escapes from a container, and that the same vienna "signati". The flow of blood stops and the venous outflow of the tissues surrounding already made through other veins healthy.
Wear compression stockings underwear after the treatment of varicose veins laser emphasizes the effect, creating further pressure on the vessel and not allowing you to recover the blood flow in vienna corrupted. The vase with the time covered with connective tissue. The respect of measures of prevention of varicose veins will not develop shock other veins, so that the disease is matured for always.
The dignity of the method in his little traumatism, the absence of blood loss and large incisions. And if no entrance gate for the infection, and the danger of damaging the surrounding tissues and the possible complications reduced to a minimum.
The treatment of varicose veins laser – less traumatic procedure and requires no special training and is performed under local anesthesia. The operation is carried out only in a health care facility, for the operation ultrasound control in real-time. That is, the surgeon using ULTRASOUND keeps track of the promotion led to vienna. Before surgery, the patient must pass the necessary examination, during which the precise location, the affected venous vessel and is chosen as the best way to laser coagulation.
When it is assigned to the operation: the testimony of
The base to conduct operations for the treatment of varicose veins laser serves varicose veins of the subcutaneous veins (great and small). The laser is applied in the case in which the mouth these dilated veins do not more than 1cm, the same vessels have an operation with no kinks, and their branches are healthy or slightly expanded. That is, the laser is only effective in the early stages of varicose veins, with a small severity of the process and only in the case of applications on subcutaneous veins. If the disease is running and struck by a vessel extended to more than 1 cm, it is likely that in the future vienna, ri "evolving" and the treatment will be ineffective.
Medical laser has a therapeutic effect on a very reduced surface – this allows you to avoid the negative impact on the surrounding tissue. Thus, the use of laser therapy on larger sites damaged blood vessels, and also on the deep veins, inefficient. In these cases, it is necessary to use other methods of surgical treatment, more suitable to the situation (for example, the classic phlebectomy).
Contraindications
But when the laser is ineffective, there are situations in which its application may harm the health of the patient. Contraindications for laser procedures quite a bit, they can be divided into absolute and relative:
Absolute contraindications
When absolute contraindications do drugs manipulation is absolutely impossible. The list of such conditions are:
- the tendency to thrombosis and thrombophlebitis;
- chronic disorders of the blood and lymphatic circulation in the feet;
- the heavy defeat of the walls of the veins.
In these diseases the laser can damage the walls of the blood vessels or cause a massive venous thrombosis. Also contraindications the inability to move actively and to wear compression stockings. Without these activities in the early postoperative period the laser treatment can completely lose its effectiveness, and cause inflammation in a vessel.
Relative contraindications
Relative contraindications – those in which the operation requires some time to postpone. It is of inflammatory processes on the skin of the legs, particularly about the place of the future sting, exacerbation of chronic diseases. In this case, it is first necessary to treat concurrent diseases, and then perform the operation. If you do not, then it is very large, the risk of complications in the post-operative period – such as by operated veins, and part of the disease, which has become a contraindication to laser treatment.
The operation should not be performed during pregnancy and breast-feeding, because in this period the immune system is weakened, and the load on the lower limbs more than usual. For the same reason, prevented the development of laser treatment of varicose veins in people with excess weight are worse than tolerating the anesthesia, due to a large load on the foot to possible complications in the postoperative period.
Description of the procedure for the treatment of varicose veins of the leg veins laser
Despite the high price, the treatment of varicose veins of the leg veins the laser, this procedure is gaining popularity due to its simplicity and effectiveness. To determine the presence of indications for the pre-ultrasound duplex. It helps to see the structure of the veins, the degree of damage and alterations in blood flow. If the condition of the blood vessels of the patient allows to carry out the laser treatment, it is prescribed the operation.
The day of the procedure special preparation of the patient is not necessary. If necessary, you can take a sedative. Before surgery is another duplex angiography, all manipulations are carried out under the control of the united states. Small-scale of operation allows you to avoid the general anesthesia and complications related laser treatment is performed under local anesthesia, that has the puncture site.
The operation for the treatment of varicose veins laser consists in the fact that, through a small puncture in the skin of the tibia in the jar damaged introduces a light guide connected to the laser machine. Then with the help of laser irradiation clotting of the vessel damaged, after which a light guide is removed, the puncture site is processed by an antiseptic local, and on it superimposed over sterile dressing. The operation lasts about 15 -30 minutes (for treatment of a leg).
After the forced lying on the operating table, pass in a vertical position it is recommended to slowly and gradually – before sitting down, and only then stand up. This will help to avoid a collapse of the vascular with an abrupt change of the position of the body. More there are no restrictions. Some time after the procedure, the patient can go home.
The post-operative period
Before surgery, the patient must be in advance to buy a compression garment – stockings or tights. The degree of compression to be agreed with the doctor in advance.
After the removal of varicose veins laser, you should immediately put a compression stocking on the leg. For the first two days of wearing his need to be constantly, not take off. Then, if there are no complications, the doctor will allow you to shoot therapeutic bedding for the night. The duration of wear, the mesh is gradually reduced, while work final pot covered with connective tissue. Because of the need to wear underwear compression operation looking for assign for the cold season, the patient does not feel discomfort in case of prolonged use the sock. In addition, the well-being of patients with vascular diseases much better with cold weather than warm.
In the first week after the laser treatment for varicose veins prevent loads of significant standing, lifting weights, it is not possible to attend the Turkish bath, the sauna or the swimming pool. You need to gradually increase the level of physical activity. Recommended hiking, running, and cycling, aerobics, swimming. The patient can do sports, walk long distances, drive a vehicle. The contraction of striated muscle walk will perform the function of an additional pump, and promote the improvement of the venous outflow of the lower limbs. This is a natural mechanism, the use of which allows you to avoid relapses of varicose disease after surgery.
Get to work, if it is not connected with a great load of physical work or long-term standing on the legs, you can almost immediately, even the day of surgery. Feasible operation in the home can also be done after a couple of days after the surgery. Walking can, and should, already in the first minutes after the surgery, wearing a compression garment.
Possible complications
Treatment of varicose veins of the veins the laser is very popular due to the short period of rehabilitation, the absence of pain and minimal risk of complications. However, they are not excluded. During the surgery, the pain can occur if properly performed anesthesia. After the procedure, the pain can manifest itself in a movement, the work of vienna. If pain does not show any signs of decreasing over the course of two days, you should always consult with a doctor – this may be a sign of serious complications.
The errors in the conduct of handling can cause burns of the skin and soft tissues, bruising at puncture site, suppuration and inflammatory processes. In rare cases it is possible to venous thrombosis, including deep, which leads to a marked worsening of the conditions of the patient. Contact your doctor immediately if:
- in the first two days of pain to the motion of vienna and on the site of the sting does not weaken or amplified;
- on the skin near the puncture site, there are signs of inflammation – redness and increased local temperature, the appearance of the purulent foci;
- when you walk you encounter pain in the muscles of the legs, swelling, heaviness;
- appeared pathological pigmentation on the skin of the legs;
- fever;
- any other unpleasant sensations in the legs – a violation of sensitivity, paraesthesia.
Time to diagnose these complications, it is advisable to on the second day after surgery seem doctor – phlebologist and at regular intervals thereafter, is in control of the procedure.
Prevention measures
Experts advise to follow some simple preventive measures, to avoid possible relapses of the disease:
- it is necessary to monitor their weight and to avoid the appearance of extra pounds;
- avoid long periods of sitting or standing in one position, to free himself from the habit of sitting in the position of the "foot for foot";
- it is recommended that the correct and complete nutrition, give up bad habits (smoking, alcohol);
- shoes should choose comfortable, with natural materials and in small, stable heel;
- should abandon the sedentary life-style, try to move, to do sports and enjoy moderate exercise.
The advantages of laser therapy of veins
The laser treatment of varicose veins has a lot of significant advantages compared to other methods of surgery. List the main advantages of laser therapy:
- there is still the need for a room of a patient in the hospital, the procedure is performed as an outpatient procedure;
- the surgery is performed under local anesthesia, which is well tolerated by the patients;
- the procedure allows you to obtain a nice cosmetic effect as well as access to the affected area vienna takes place through a small puncture. Because the cuts are not present, on the skin does not remain scars and other imperfections;
- the use of modern equipment allows you to disperse evenly the laser radiation inside of the veins and to look for its high-quality workmanship. Accordingly, after the surgery on skin does not remain bruises;
- during the laser procedure it is possible to manage after both legs, the manipulation involved only 30 -40 minutes;
- short and painless and the rehabilitation period. Already one hour after surgery, the patient returns home, and after a couple of days can return to a normal life;
- today, laser coagulation of blood vessels is considered to be the most effective and safe method of treatment of varicose vein disease, which allows you to avoid the complications (thrombophlebitis, secondary infections).
Against laser treatment
During the whole of its attractiveness, this method has several disadvantages, including:
- the impossibility of applying the method of laser therapy in case of serious varicose veins;
- in those cases, when the diameter of the saphenous vein is too large, you must combine the laser therapy with the classic surgery and avoid cuts on the skin can not;
- another disadvantage is mandatory to wear underwear compression at 7 days after surgery;
- the main disadvantage for many patients – "biting" the prices for the procedure.
Before deciding on laser therapy, it is necessary to evaluate the "pros" and "cons", pass a comprehensive examination and obtain an expert opinion.
The cost of the laser treatment of varicose veins
The price of the treatment of varicose veins, laser is one of the main disadvantages of this method. You can vary greatly, depending on the degree of difficulty, the individual characteristics of the patient, the hardware, the status of the clinic and the skill of the surgeons.