Varicose veins of the legs is not only a cosmetic problem, but also a serious pathology that is accompanied by a danger to the health consequences. Treatment of varicose veins by laser – one of the more modern, less traumatic and reliable means of coping with the disease at an early stage. It provides a beautiful aesthetic effect, differs little risk of complications and the period of rehabilitation.
Traditional drug therapy in combination with physical therapy and wearing of correctional linens also gives good results, but does not eliminate the main cause of the disease. To solve radically the problem of the diseased vessels that require surgical intervention. The typical operation of removal (phlebectomy) it is difficult tolerated by the patients, because it is very traumatic and is accompanied by a high risk of infectious complications. This method is not anchored in the past. Change him come minimally invasive procedures (sclerotherapy, laser therapy), which give excellent results and allow them to be quickly and without pain to get rid of varicose veins.
The laser treatment: the essence of the procedure
Varicose veins correction laser is considered as the most reliable and effective method of treatment. The basis of this method is the use of the effect of the coagulation of the blood vessels. In other words, skylight, entered in the affected area container during operation, emits a flow of energy. This radiation is absorbed by the hemoglobin of the blood to heat, which heats up the blood cells and the vessel wall. As a result, the blood is pressed from a ship, and himself to vienna "signati". The blood circulation stops completely, and the venous reflux of the surrounding tissue is already carried out by others, the health of the veins.
Wearing a compression garment after the treatment of varicose veins laser spends, creating additional pressure on the pot and not allowing you to recover the blood flow in vienna. The container with the time overrun of the connective tissue. The respect of measures of prevention of varicose veins will not develop the defeat of the other veins, so that the disease will be cured forever.
The dignity of the method in his little travmatichnosti, the absence of blood loss and large incisions. And once the door of entry for an infection, and the risk of damage to adjacent tissues and possible complications is reduced to a minimum.
The treatment of varicose vein disease, laser – less traumatic procedure, it does not require special training and is performed under local anesthesia. The operation is carried out only in a health care facility, the state of progress of ongoing operations with real-time ultrasound. It is the surgeon using ULTRASOUND follows the movement of the led of vienna. Before the operation, the patient has to undergo necessary to the investigation, during which not specify the location of the victim's blood vessel and chosen the best way of laser coagulation.
When the surgery is: the testimony
The basis of an operation of treatment of varicose veins, the laser is used to varicose veins of the saphenous veins (great and small). The laser is applied in the case of the mouth of these veins dilated to no more than 1cm thick, the ships themselves have the same tour, without the bends and branches are in good health or slightly widened. It is the laser is effective in the stage of varicose veins, when the small degree of process and only when the application on the saphenous veins. If the disease is launched and hit the container extended more than 1 cm, the probability is great that in the future vienna to new "evolve" and the treatment proves to be ineffective.
The medical laser has a healing effect on a very small place – this helps prevent its effects on the surrounding tissue. Therefore, the use of laser treatment on the areas of damaged blood vessels, as well as on the deep veins, which is inefficient. In these cases, it is necessary to apply other methods of surgical treatment, more adapted to the situation (for example, the classic phlebectomy).
Contraindications
Except when the laser will be ineffective, there are situations where its use can adversely affect the health of the patient. Contra-indications of laser treatment are numerous enough, they can be divided into absolute and relative:
Absolute contraindications
When the absolute conduct counter-therapeutic indications, the handling is strictly prohibited. The list of states that are similar are:
- tendency for thrombosis, and thrombophlebitis;
- chronic disorders of the circulation of blood and lymph in the legs;
- serious lesions of the wall of the veins.
When these diseases laser can damage the walls of blood vessels or lead to massive venous thrombosis. Also to contra-indications refers to the inability to move actively and to wear compression. Without these events in the postoperative period, the laser treatment can lose its effectiveness, and cause inflammation in the container.
Relative contraindications
Relative contraindications – those in which an operation is necessary to postpone. It is an inflammatory process on the skin of the legs, particularly in the area of the future of the bite, the exacerbation of chronic diseases. In this case, you must first to treat associated pathology, and only then do the operation. If you do not, it is very high risk of postoperative complications, both of the hand-operated veins, and the hand of the disease, which has become a contraindication to the treatment lasers.
The operation should not take place during pregnancy and breastfeeding, because in this period, the immune system is weakened, and the load on the lower limb higher than usual. For the same reason, difficult the holding of laser treatment of varicose veins in overweight persons, worse undergo anesthesia, because of the high load on the feet can have postoperative complications.
Description of the procedure for treatment of varicose veins on legs laser
Despite the high cost of treatment of varicose veins on legs laser, this procedure takes more and more popularity because of its simplicity and its effectiveness. In order to determine the presence of the evidence of the operation of pre-ultrasound. It allows you to see the structure of the veins, their degree of damage and violations of the circulation of the blood. If the vascular status of the patient allows to perform a laser treatment, by surgery.
The day of the procedure special preparation of the patient is not necessary. If necessary, you can take a sedative. Before the operation there is a duplex angiography, all manipulations occur under ultrasound control. The small size of the operation makes it possible to avoid general anesthesia and its complications – the laser treatment is performed under local anesthesia, which relieve the puncture.
The essence of the operation on the treatment of varicose veins laser lies in the fact that by a small prick in the skin of a tibia in a container introduced to the optical fiber connected to a laser device. Then, using a laser radiation for the coagulation occurs in a damaged ship, after which the light is extracted, the place of puncture is treated local antiseptic, and imposed a sterile bandage. The operation itself lasts for about 15 to 30 minutes (on one leg).
After forced to lie on the operating table, pass in a vertical position, it is recommended to slowly and gradually, first to sit, then rise up. This will prevent vascular during the collapse sudden change of body position. No limit. After a certain period of time after the procedure, the patient can go back home.
The postoperative period
Before the operation, the patient has to pre-purchase a compression garment – stockings or tights. The rate of compression is negotiated with your doctor in advance.
After you have completed the removal of varicose veins laser, it is necessary to immediately wear socks to compression of the leg. During the first two days of wearing it, it's a constant, not rising. Then, if no complications, the physician can derive therapeutic on the cloth of night. Wearing time medical knitted fabrics gradually decreases as operated receptacle finally invaded the connective tissue. Because of the need to wear a compression of the lingerie operation to try to appoint to the cold season, in order that the patient has not experienced discomfort in case of prolonged use of the bottom. In addition, the well-being of patients with diseases of vessels is much better in cold weather than the heat.
In the first week after treatment of varicose veins laser to avoid a heavy load on the feet of weight lifting, you can not attend a steam bath, the sauna or the swimming pool. In the future, you need to gradually increase the level of physical activity. Recommended hiking, jogging, and cycling, aerobics, swimming. The patient can do sports, walk great distances, carried by the vehicle. Reduce the striated muscles of the feet to perform the function of the pump, and to contribute to the improvement of the flow of venous of the lower limb. This is a natural mechanism that will help you avoid the recurrence of varicose disease after surgery.
Start to work, if it is not related to a high physical load or of long standing on the feet, you can almost immediately, even on the day of the operation. To the extent possible the work of the house, you can also perform a few days after the procedure. To walk, you can and you should already in the first minutes after the surgery, wearing a compression garment.
The possible complications
Treatment of varicose veins by laser is particularly popular with its rehabilitation period, the absence of pain and a minimum risk of complications. However, they are not excluded. During operation may occur pain at the evil conduct of the anesthesia. After the procedure, the pain syndrome can manifest for the staff of vienna. If the pain has not subsided for two days, it is necessary to consult a doctor – it could be a sign of serious complications.
Errors in the conduct of handling can cause burns of the skin and soft tissue infections, hematoma at the site of the bite, the suppuration, and the inflammatory process. In rare cases, the risk of venous thrombosis, including the depth, which leads to a deterioration of the patient's condition. Contact your doctor immediately if:
- in the first two days of the pain in the course of vienna and the location of the bite does not weaken or worsen;
- on the skin at the site of the bite for signs of inflammation, redness and increased local temperature, the appearance of lesions septic;
- when walking, the pain in the muscles of the legs, swelling, sensation of heaviness;
- appeared abnormal pigmentation of the skin of the feet;
- fever;
- you experience other unpleasant sensations in the legs – unrest of the sensitivity, paresthesia.
For the time to diagnose these complications, it is recommended to the second day after the operation consult a doctor – phlebologist and regularly comes for a routine examination.
Prevention measures
Experts advise to adhere to the simple prevention measures to prevent relapses of the disease:
- you must keep track of your weight and does not admit of the extra pounds;
- it is important to avoid sitting or standing prolonged in the same position, get rid of the habit of sitting in the posture of "legs";
- it is recommended to the good and the nutrition, the refusal of bad habits (smoking, alcohol);
- shoes, you need to choose one made from natural materials and on a small sustainable, high-heeled shoes;
- he agrees to surrender to a sedentary life, try to move more, play sports, and do not give up moderate physical activity.
The benefits of laser therapy varicose veins
Laser treatment of varicose vein disease has many significant advantages compared to other methods of surgical intervention. List a summary of the main advantages of laser treatment:
- it is not necessary to the premise of a patient in a hospital, the procedure is performed in an outpatient setting;
- the operation is performed under local anesthesia, which is well tolerated by the patients;
- the procedure allows you to obtain a wonderful cosmetic effect, as well as access on the vienna is made by a small puncture. Because the cuts are absent, on the skin does not remain scars and other imperfections;
- the use of modern equipment allows regularly dispel a laser inside the vein, in order to obtain its qualitative processing. As a result, after working on the skin does not remain bruises;
- during laser treatments, you can treat both feet, handling occupy only 30 -40 minutes;
- short and painless period of rehabilitation. Already after an hour after the operation, the patient returns home, and in a few days, can return to a normal life;
- to this day, the laser photocoagulation of the vessels is considered to be the most effective, efficient and safe for the treatment of varicose disease, avoiding complications (thrombophlebitis, secondary infections).
The disadvantages of laser treatment
When all of its attractiveness, this method presents some drawbacks, among which:
- the impossibility to apply the method of laser treatment in the extent of varicose veins;
- in the case where the diameter of the saphenous vein is too large, you will need to combine therapy in the typical laser, the surgery and to avoid incisions on the skin fail;
- another drawback is the mandatory wearing of a compression machine in a period of 7 days after the surgery;
- the main minus for many patients – "biting" the price of the procedure.
Before you decide on laser therapy, it is necessary to weigh the "pros" and "cons", go to the full investigation and to get advice from an experienced professional.
Cost of laser treatment varicose veins
The price of the treatment of varicose veins by laser is one of the major drawbacks of this method. It can vary within wide limits, depending on the degree of difficulty, the individual characteristics of the patient, the equipment used, the status of the clinic and the qualification of the surgeons.