Venous insufficiency treatments
There are several treatments options for veins disease, therefore appropriate treatment begins with accurate diagnosis. After the diagnosis, when causes of the disease are clear, treatment can be chosen. Mostly, a combination of conservative and surgical treatments are chosen. Conservative treatment is a treatment with drugs (veins-tonics), which increases the veins wall tone. Compression therapy can also be applied. In this case, legs are bandaged with elastic bandages or a patient is asked to wear special stockings. Both methods of treatment are used to reduce veins stasis in the lower parts of the legs and improve veins blood flow towards the heart. If varices under the skin are small enough, sclerotherapy can be used. In this case, specific drugs are injected into vein and in this way cosmetic defect is corrected.
If above mentioned treatments do not help, surgical treatment is applied. In this case, the disease is caused by vein valve incompetence. Before the surgery required tests are done (blood, urinalysis, blood clotting, blood glucose, electrocardiogram etc.). The surgery is done by scalping or laser. Surgery techniques are both – safe and painless and afterwards patient recovers very quickly.
An alternative for a scalping – laser
Veins diseases can be treated with Endovascular laser therapy, which has been introduced 10 years ago. This treatment is the most modern in the world, based on sophisticated laser technologies and has a minimal invasive form. During the operation, the unique fiber optical laser destroys veins and breaks veins’ walls.
What do you need to know about laser treatment for legs’ veins varicose?
Laser surgery success depends on two things: the specialist who is managing the surgery and equipment used during the operation.
Veins lasers are divided into many kinds and types, there are several types of fiber, and the choice has the main impact on the surgery results and the patient’s well-being after the procedure.
The first generation lasers (their wave length range from 800 to 980nm) were introduced in 2000, however haven’t assured good long-term results, the disease reoccurred after surgery, patients didn’t feel well, general or local anaesthesia was required, there was a higher risk for complications. For these reasons, in 2006 the second generation of lasers have been developed, which have a wavelength of 1470 nm. These lasers are successfully used so far. A new optical ring fiber also was introduced, which minimizes the patient’s post-surgery discomfort. Using this fiber, the patients after the surgery feel ten times better than the patients who had the same surgery with the simple optical fiber.
Many people say, that all the lasers and fiber optics are identical and wavelength is just a commercial trick, but it is not truth – nothing more than a myth. It is clear, that the use of older technologies and costs of surgery are considerably lower. Everyone can choose whatever type of treatment they prefer according to their financial capacity and information they have, but it’s important to note that the quality with latest technologies is much higher. So, is it worth saving money for your health? Some people also say that the laser vein treatment is only suitable for the initial stages of the disease, when the veins are very thin or only the capillaries can be seen, however it is again not true. The treatment with laser is suitable for approximately 95 % of the patients, who have individual capillaries or trophic ulcers.
Why endovascular veins laser treatment is unique?
Endovascular vein laser treatment has the following advantages over standard surgical procedure:
- Good clinical effect (100% of patients didn’t need to repeat the procedure)
- The operation is done using local anaesthesia, therefore the patients can go home immediately after the surgery
- Special patient preparation is not required
- Patient don’t lose working capability, can walk
- Post-surgery period is very easy, patient almost don’t feel any pain, bruising and swelling on the leg is minimal
- Excellent cosmetic effect: no incision, stitches and scars
How the endovascular vein laser treatment is done?
During the surgery the varices or small subcutaneous vein is pumped. A needle is inserted into the disease affected part and through it the laser fiber reaches a vein. With ultrasound help the cooled anesthetic is injected and in this way “anaesthetic bag” is created. It relieves pain and protects the surrounding tissue from side effects. Slowly pulling the fiber, laser destroys the vein and sculpted it over its entire length. Later destroyed vein is absorbed.
Consultation prior to the treatment
Before the treatment a specialist must be familiar with your medical history, inspect your veins to determine their diameters, evaluate the deep veins and veins’ valves. All the patients must have double ultrasound test before their veins are operated. After evaluating the collected data, a specialist will recommend the most appropriate treatment: capillaries correction by laser, intense pulsed light, endovascular treatment for varicose veins, basic surgical treatment or veins sclerotherapy.
For best results, you might need a combination of various treatment methods. For example, the endovascular laser treatment for varicose veins can be successfully combined with veins leg capillaries correction which is done with laser or intense pulsed light or apply sclerotherapy.
Is this method of treatment right for me?
You can find out it in our centre. If you have any questions, please don’t hesitate to contact us. You can book an appointment with one of our specialist by calling +370 5219 5899. After evaluation our specialist will be able to determine whether this method of treatment is suitable for you.
What is the recovery process?
After usual surgery it is extremely important to have a proper rehabilitation as it has a huge impact on results. For the healing process to be as short and smooth as possible, the patient after the surgery is consulted and trained (e.g. exercise).The patient is also advised on other issues of concern: what inserts to use, what crutches to choose, how to drive a car or safely climb the stairs. Also specific rehabilitation program can be created by specialists’ team.
After laser surgery recovery process is much simpler and faster. Since this type of surgery is performed under local anaesthesia, a subcutaneous vein stems are not pulled, surrounding tissues are not damaged, post-surgery pain possibility and bruising is minimal. Patient after surgery, not only can immediately leave the hospital, but even on the same day can do some easy jobs. After surgery patients are given a prescription for 6 days anticoagulants and 2 weeks of compression therapy.