The warikosnaja disease of the legs is not only a cosmetic Problem, but a serious illness with dangerous health consequences. Treatment of varicose veins with Laser is one of the most modern, low-traumatic and reliable ways to the disease in an early stage. It allows for a beautiful aesthetic effect, differs a minimal risk of complications and a short rehabilitation time.
The traditional drug therapy in combination with physiotherapy and the wearing of a correctional Laundry also gives good results, but does not eliminate the underlying cause of the disease. In order to solve the Problem of radical patients vascular surgical Intervention is required. The classic Operation for removal (varicose veins surgery) tolerated, because it is very traumatic and is accompanied by a high risk for infectious complications. This method gradually disappear. On change by it-invasive procedures (sclerotherapy, laser therapy), the excellent results of minimally and make it fast and painless to get rid of varicose veins.
Laser treatment: the procedure
In the case of varicose veins laser treatment is considered to be the most reliable and effective method of treatment. The basis of this method is the use of thermal effect for coagulation of the blood vessels. Simply put, light-guide, inserted into the affected vessel during the Operation, radiates the energy flow. This radiation is absorbed in the hemoglobin of the blood with the heat, heats up the cells of the blood and the vessel wall. As a result, the blood is pressed out of the vessel, and even Vienna "signati". To stop the blood flow completely, and the venous return flow from the surrounding tissue is already taking place through other, healthy veins.
The wearing of compression of the Laundry after the treatment of varicose veins by Laser ensures the effect of, creating additional pressure on the vessel and not to allow to have a rest, the blood flow in the damaged Vienna. The vessel, with time, a Testament to the growing connective tissue. Compliance with the measures for the prevention of varicose veins does not allow to develop defeat of other veins, so that the disease is cured forever.
His method in a small Trauma, lack of blood loss and wide cuts. And since there is no entrance gate for infection, and the risk of damage of adjacent tissues and possible complications are reduced to a Minimum.
Treatment of varicose veins with Laser procedure less traumatic, it requires no special training and is performed under local anesthesia. The Operation is only in specialized medical institutions, for the course of the Operation of the ultrasound control in real time. That is to say, the surgeon by means of ultrasound has pursued the promotion of the LED to Vienna. Before the Operation, the Patient has to undergo necessary investigation should, in the course of which the location of the affected venous vessel specified, and the best way to laser coagulation.
If surgery: indication
The basis for the implementation of the Operation for the treatment of varicose veins Laser varicose veins saphenous veins (great and small). The Laser is not used, if the mouth of these veins enlarged than 1cm, the ships themselves have expanded a smooth run with no sharp bends, and their offshoot of healthy or easily. That is, the Laser is only effective in the early stages of varicose veins, and low severity of the process and only when applied to the subcutaneous veins. If the disease is started, and the affected vessel is expanded to more than 1 cm, the probability is great that in the future Vienna "evolve" and the treatment is ineffective.
Medical Laser has a therapeutic effect on a very small area – it avoids its negative effects on the surrounding tissue. Therefore, the use of the laser therapy of large parts of the damaged blood vessels, but also on the deep veins, inefficient. In these cases you have to) other methods of surgical treatment is more than suitable to this Situation (e.g., the classic phlebectomy.
Contraindications
Unless, that is, when the Laser is not effective, there are situations when its use may result in injury to the patient. Contraindications for the Laser procedure very many are, they are usually divided into absolute and relative:
Absolute Contraindications
In the case of absolute contraindications to performing the therapeutic Manipulation is absolutely not. The list of such States are:
- the tendency to thrombosis and Thrombophlebitis;
- chronic diseases of the blood and lymph circulation in the legs;
- a heavy defeat of the walls of the veins.
In these diseases the Laser, the walls of blood can damage blood vessels or to provoke a massive venous thrombosis. To induce contraindications for the inability to be active and wear compression stockings. Without these measures in the post-operative Phase laser treatment may completely lose their effectiveness, and also provoke inflammation in a vessel.
Relative Contraindications
Relative contra-indications – those who move in the case where an Operation is necessary. These inflammatory processes on the skin of the legs, especially in the vicinity of the place of the future puncture, exacerbation of chronic diseases. In this case, you must first treat concomitant pathology, and only then surgery. If you don't do this, then very high risk of post-operative complications – how on the part of the vein surgery, and from the side of the disease, which is a contraindication for Laser treatment.
The Operation should not be used during pregnancy and lactation, as during this time the immune system is weakened and the strain on the lower limbs was higher than normal. For the same reason, the implementation of the laser treatment of varicose veins in people with obesity – the anesthesia to tolerate poor more difficult, because of the heavy load on the legs, and possible complications in the postoperative period.
Description of the procedures for the treatment of varicose veins on legs Laser
In spite of the high costs for the treatment of varicose veins Laser, this procedure is gaining more and more popularity because of its simplicity and efficiency. In order to determine whether the indication for surgery, Pre-and Duplex-Doppler ultrasound. It is the structure of the veins, the degree of their damage and injury to blood flow helps. If the condition of the vessels of the patient allows for a laser treatment that is prescribed for an Operation.
On the day of the procedure special preparation of the patient is not required. If necessary, you can take a sedative. Before the Operation, a Duplex angiography is done, all the manipulations occur under ultrasound control. The small scale of the Operation, avoids General anesthesia and associated complications – Laser-treatment is performed under local anesthesia, which numbs the injection site.
The essence of the Operation for the treatment of varicose veins Laser is that through a small puncture in the skin of the lower leg to the damaged blood vessel is inserted, a light guide, the device with the laser beam. Then with the help of laser radiation for coagulation of the damaged vessel occurs, whereby the light guide is extracted, and the puncture site processed local antiseptic is applied and sterile dressing. The surgery itself takes about 15 -30 minutes (the treatment of a foot).
After the forced to lie on the operating table is automatically recommended in the vertical Position, slowly and gradually – at first to sit down, and then stand up. This circulatory collapse in the event of sudden change in the Position of the body is avoided. There are no more restrictions. After some time after the procedure, the Patient can go home.
Postoperative Period
Before the Operation, the Patient must buy in advance, compression stockings or tights. The degree of compression, the doctor agreed in advance.
After hereby Laser, varicose veins, you should immediately kompressionniy the stocking is put on the leg. In the first two days, you have to wear it constantly, not decreasing. Then, if there are no complications, the doctor can shoot therapeutic underwear for the night. Duration of the medical jerseys gradually decreases to the extent that the operated the ship finally begins to grow connective tissue. Because of the necessity of wearing compression underwear Operation is not to try to appoint to the cold season, in order for the Patient to feel stockings uncomfortable during long wear of compression. In addition, the well-being of patients with diseases of the blood vessels much better in cool weather than in the heat.
In the first week after the Laser treatment of varicose veins, avoid significant stress on the feet, weight-lifting, it is impossible to bath, a Sauna or a swimming pool. Further, it is necessary to gradually increase the level of physical activity. Recommended are walking, Jogging and Cycling, aerobics, swimming. The Patient is exercising, walking long distances, guided vehicle. Contraction of the striated muscles of the legs will promote the function of an additional pump and improve venous return from the lower extremities. This is a natural mechanism, which helps to avoid recurrence of varicose veins after surgery.
Ready to go, if you do not set in conjunction with great physical stress or prolonged on the legs, you can almost immediately, even on the day of surgery. Any work on the house can also be a couple of days after the Intervention. Can go and should already in the first minutes after surgery, wearing compression clothing
Possible Complications
The treatment of varicose veins Laser very popular due to the short rehabilitation time, the absence of pain and minimal risk of complications. However, you can not be completely excluded. Pain during surgery can occur if an incorrectly performed anesthesia. After the procedure, pain syndrome of the treated veins can in the course. If the pain does not subside within two days, you should consult a doctor – this is a Symptom of serious complications.
Errors in the implementation of manipulations can cause burns to the skin and soft tissues, bruising at the site of the puncture, pus and inflammation. In rare cases a thrombosis of the veins, including the deep, leading to a significant deterioration in the condition of the patient You immediately contact your doctor if:
- in the first two days, pain along the vein, and the puncture site is not diminished, or strengthened;
- on the skin next to the site of the puncture, there were signs of inflammation – redness and increase in local temperature, the formation of purulent foci;
- while walking pain occurs in the muscles of the legs, swelling, heaviness;
- appeared pathological pigmentation on the skin of the feet;
- Fever;
- any other unpleasant sensations in the legs – a violation of sensitivity, paresthesia.
To diagnose in a timely manner, these complications, we recommend to go on the second day after the surgery, to the doctor – phlebologist and in the future, regularly comes for the scheduled inspection.
Prevention measures
Experts advise to stick to simple preventive measures, in order to prevent possible recurrence of the disease:
- watch your weight and avoid the emergence of extra pounds;
- avoid long periods of sitting or in the habit of standing in one Position, sitting in the pose of "cross-legged";
- it is recommended that the proper and good nutrition, avoidance of harmful habits (Smoking, alcohol);
- to choose comfortable shoes, natural materials and on a small, stable heel;
- should stop by the sedentary way of life, try to move more, to play Sport and not give up moderate physical activity.
Prior to the laser therapy of veins
Laser treatment of varicose veins has many significant advantages compared to other methods of surgical Intervention. We list the main advantages of laser therapy:
- no need, the rooms of the patients in the hospital, the surgery is performed on an outpatient basis;
- the Operation is under local anesthesia, tolerated the patient well.;
- the method allows to excellent cosmetic effect, because the access to the affected Vienna is via a small puncture. Since the sections are missing, on the skin, no scars, and other defects;
- the use of modern equipment allows you to evenly laser radiation dissipate within Vienna, and keep track of their high-quality workmanship. As a result, after the Intervention on the skin hematoma;
- while Laser treatments can the treatment immediately, both legs, the Manipulation only lasts for 30 -40 minutes;
- short and painless rehabilitation period. Already one hour after the Operation, the Patient will return home, and after a few days can return to normal life;
- today, Laser coagulation of blood vessels is considered to be the most effective and safe method for the treatment of varicose veins, which avoids complications (Thrombophlebitis, secondary infections).
Disadvantages of laser treatment
The whole point of attractiveness, this method has several disadvantages, including:
- the impossibility of the application of the method of laser therapy for severe varicose veins;
- in cases where the diameter of the Vena saphena Magna is too large, need to laser therapy combined with the classical Operation, and to avoid cuts in the skin will not be able to;
- another disadvantage is the compulsory wearing of compression of the Laundry within 7 days after the Operation;
- the biggest drawback for many patients – "biting" the prices for the procedure.
Before laser therapy to decide, you should weigh the "pros" and "cons", a full examination by and consultation with an experienced professional
The cost for Laser treatments of varicose veins
The cost for the treatment of varicose veins, Laser is one of the main disadvantages of this method. It can vary within wide limits, depending on the degree of complexity, the individual characteristics of the patients, the Hardware used, the Status of the clinic and the qualification of the surgeon.