Varicose veins of the feet is not only an aesthetic problem, but also a serious pathology, which is dangerous to the health of the consequences. The treatment of varicose veins, laser is one of the more modern, less traumatic and reliable ways of dealing with the disease in the initial phase. It allows for excellent aesthetic effect, it is different from the minimum risk of complications and short period of physical rehabilitation.
The traditional medical therapy in conjunction with wound care, physical exercise, and the use of correctional clothing also gives good results, but does not eliminate the cause of the disease. Radically resolve the problem of patients vessels required surgical intervention. The classic operation for removal (phlebectomy) difficult tolerated, because it is very traumatic and is accompanied by a high risk of infectious complications. This method is gradually disappearing. Replaced you come minimally invasive procedure (sclerotherapy, laser therapy), which give excellent results and allow you to quickly and painlessly get rid of varicose veins.
Laser treatment: the essence of the procedure
When varicose expansion of veins-laser correction 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 blood vessels. Simply put, a light guide, inserted in impressed with the vessel during operation, emits a flow of energy. This radiation is absorbed by the haemoglobin of the blood, producing heat, which heats up the blood cells and the vessel wall. As a result the blood out of the vessel, and the vienna "signati". The blood flow completely, and the venous, the output of the surrounding tissues have already been implemented through other, healthy, vienna.
Wearing a compression garment after the treatment varicose veins laser consecrates the effect, creating additional pressure on the vessel and not allowing you to recover the blood circulation in the damaged vienna. The vessel, with the time, covered the connective tissue. The fulfillment of measures of prevention of varicose veins will not evolve defeat other veins, so that the disease will be cured forever.
The dignity of a method in its small trauma, the absence of a blood loss and large incisions. And since there is no gate of entry for an infection, and the danger of damaging the adjacent tissues and possible complications reduced to a minimum.
The treatment of varicose veins, disease laser less traumatic the procedure, it does not require special training and is performed under local anesthesia. The surgery is done only in a health institution, for the progress of an ongoing operation control of ultra-sound in real-time. That is, the surgeon with ultra-sound controls the movement of the led of vienna. Before surgery, the patient must pass the examination, during which he detailed the location of the victim of venous thrombosis of the vessel and is chosen as the best way of laser coagulation.
When it is assigned to an operation: reads the
The basis for the realization of the operations of treatment varicose veins laser serves for varicose veins of the extension of the vein (large and small). The laser is applied in the case of the mouth of these veins extended for not more than 1 cm, the own vessels have leveled the course of smooth curves, and its branches are healthy or slightly enlarged. That is, the laser is only effective in the early stage varicose veins, when the small intensity of the process, and only when the application in hypodermic veins. If the disease is running, and struck the vessel expanded more than 1 cm, there is a great likelihood that, in the future, vienna again "evolve" and the treatment prove ineffective.
Medical Laser exerts a corrective action on a very small area – this avoids the negative impact to the surrounding tissues. Therefore, the use of laser therapy in areas of large blood vessels are damaged, as well as in the deep veins, inefficient. In these cases, we have to use other methods of surgical treatment, more suitable to a particular 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 you laser, procedure quite, its can be divided into absolute and relative:
Absolute Contra-indications
When an absolute counter-indications to perform therapeutic manipulation, it is absolutely impossible. The list of such states are:
- the tendency to thrombosis and thrombophlebitis;
- chronic disorders . — and lymph circulation in the legs;
- a heavy defeat of the walls of the veins.
When these diseases laser can damage the walls of the blood vessels or lead to massive thrombosis of the vein. These also applies to inability to move actively and to use meshes of compression. Without these activities, in the perioperative period laser treatment you can lose completely its effectiveness, in addition to causing inflammation in the vessel.
Relative contraindications
Relative contraindications are those in which the operation is required for the delay time. This is the inflammatory processes in the skin of the feet, especially near the site of the future of the puncture, aggravation of chronic diseases. In this case, you must first treated the time, comorbidities, and only then perform the operation. If you do not, it is very large, the risk of complications in the post-operative period – such as the hand-operated veins, and of the disease, which became a contra-indication to laser treatment.
The operation must not be performed during pregnancy and breast-feeding, because in this period the immunity is weakened, and the load on the lower limbs above the normal. For the same reason, it is difficult to performing a laser treatment of the varicose veins in people with excess weight – they are the worst of that move anesthesia, due to the large load on the feet of potential complications in the perioperative period.
The description of the process of treatment for varicose veins in legs laser
Despite the high cost of treatment for varicose veins in legs laser, this procedure is gaining great popularity due to its simplicity and efficiency. To determine the existence of the indication for the operation of pre-duplex ultrasound. It helps to see the structure of the veins, the degree of damage and disturbance of blood circulation. If the state of the vessels of the patient allows to carry out the laser treatment, that prescribe the operation.
On the day of the procedure special preparation of the patient is not necessary. If necessary, you can take a sedative. Before the operation, is carried out still a full-duplex angiography, all manipulations take place under ultra-sound. The small scale of the operation allows to avoid the general anesthesia and related complications – the laser treatment is performed under local anesthesia, which relieve the site of puncture.
The essence of the operation of the treatment of varicose veins laser through a small puncture in the skin of the leg in the vessel, the damaged is introduced into a light guide, connected to the laser unit. Then, using the laser radiation occurs coagulation damaged vessel, after which the tube light is extracted, the site of the puncture is processed the local anti-septic, and it overlaps with sterile bandage. The operation lasts about 15 to 30 minutes (for the treatment of a foot).
After the scroll lying on the operating table to navigate in the vertical position, it is recommended to slowly and gradually, first to sit, and only then stand up. This will prevent the collapse vascular, when a change in the position of the body. There are no limits. After some time after the procedure the patient can go home.
The post-operative period
Before surgery, the patient must purchase in advance of the compression of underwear – stockings or socks-pants. The compression rate is agreed upon with the doctor in advance.
After you produced removal varicose veins laser, you should immediately use half of the compression on the leg. During the first two days of using it constantly, without having to remove. Then, if there are no complications, the doctor can take a therapeutic bed during the night. Duration of use of knitted fabrics decreases gradually as operated vessel finally covered the connective tissue. Due to the need to wear compression operation to try to attribute the cold, so that the patient felt no discomfort during prolonged use of a stocking. In addition, the well-being of patients with diseases of vessels much better when cold most of the time, than in the heat.
In the first week after treatment, varicose veins laser should be avoided significant loads on the foot, weight-lifting, you may not attend the sauna, steam or swimming pool. In the future, you want to gradually increase the degree of physical activity. Are recommended for walking, running and cycling, aerobics, swimming. The patient can play sports, walk long distances, driven the vehicle. The reduction of the striatum of the muscles of the legs will perform the function of a secondary pump, and to contribute to the improvement of venous thrombosis rotation of the lower limbs. It is a natural mechanism that helps prevent the recurrence of varicose veins, the disease after surgery.
Get to work, if it is not associated with a large physical load or long standing in the legs, and almost immediately, even on the day of operation. The work, the house is also possible to carry out a few days after the intervention. Floor and already in the first minutes after the operation, through the use of mesh compression.
Possible complications
The treatment of varicose veins laser extremely popular, thanks to a short rehabilitation period, the absence of pain and minimal risk of complications. However, they are not deleted. During the operation you may experience sensations of pain when properly performed anesthesia. After the painful procedure syndrome can manifest itself in operated movement of vienna. If the pain has not decreased within two days, do not forget to consult your doctor – this can be a symptom of serious complications.
Errors in the realization of manipulation can cause burning of the skin and soft tissue, a hematoma on the puncture site, suppurative and inflammatory processes. In rare cases, it is possible to thrombosis of the vein, including the deeper, which leads to a sharp deterioration of the health status of the patient. You should consult your doctor immediately if:
- in the first two days of pain along the course of vienna and at the site of the puncture is not to weaken or strengthened;
- in the skin near the site of the puncture, appeared signs of inflammation – redness and increased local temperature, the appearance of purulent foci;
- when walking arise pains in the muscles of the legs, swelling, heaviness;
- appeared pathological pigmentation in the skin of the feet;
- the temperature rose;
- emerged other unpleasant sensations in the legs – a violation of sensitivity, paraesthesia.
Time to diagnose these complications, it is recommended on the second day after the operation seem doctor – phlebologist and, in the future, regularly comes to planning and inspection.
Prevention measures
Experts advise to adhere to simple preventive measures, to avoid possible recurrences of the disease:
- it is necessary to keep track of your weight and to avoid the emergence of excess weight;
- you should avoid long periods of sitting or standing in one position, getting rid of the habit of sitting in the position "standing"standing";
- recommended proper and a healthy diet, the rejection of bad habits (smoking, alcohol);
- the footwear need to choose convenient for you, from natural materials, and a short sustainable jump;
- you should leave the inactive lifestyle, try to move more, play sports, and do not abandon the moderate exercise.
Pros therapy laser veins
The laser treatment of varicose veins, the disease, has a lot of advantages over other methods of surgical intervention. We have listed the main advantages of laser therapy:
- there is no need of establishment of a patient in the hospital, the procedure is done on an outpatient basis;
- the surgery is performed under local anesthesia, which is well tolerated by the patients;
- the procedure allows for excellent cosmetic effect as well as the access to the affected of vienna, carried out through a small hole. Because the incisions lack, the skin is not scars, and other defects;
- the use of modern equipment that can uniformly dissipate the laser radiation within the vein and a search for high-quality processing. As a result, after the intervention in the skin is not bruising;
- during the laser, the procedure can deal with both feet, handling occupy only 30 -40 minutes;
- short and painless rehabilitation period. In about an hour after the surgery the patient returns home, and after a few days you can return to your usual activities of life;
- nowadays laser coagulation of the vessels is considered to be the most effective and safe method of treatment of varicose veins, the disease, which prevents complications (thrombophlebitis, secondary infections).
Cons laser treatment
When all its attractiveness, this method has a number of disadvantages, among which:
- impossibility of application of the method of laser therapy when severe varicose veins;
- in cases, when the diameter subcutaneous vienna, very large, has to combine laser therapy with the classic surgery and avoid deep cuts in his skin and not get;
- another drawback is the mandatory use of compression clothing within 7 days after the surgery;
- the main drawback for many patients – "biting" the prices of the procedure.
Before you decide on laser therapy, you should weigh the "pros" and "cons", go through a complete examination and obtain advice from an experienced professional.
The cost of a laser treatment varicose veins
The price of the treatment varicose veins, laser is one of the disadvantages of this method. It can vary a lot, depending on the degree of sophistication, individual characteristics of the patient, type of equipment used, clinical condition, and the qualification of the surgeons.