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Varicose Veins
Conservative Treatment. (Exercise & Stockings)
Historically, patients with varicose veins were recommended conservative treatment options. Conservative treatment options refer to a non-invasive form of treatment, where medications and surgery are not used to treat varicose veins. Patients can make lifestyle changes, such as eating less, exercising more and wearing support hoses(stockings). This regimen has proven helpful in reducing leg pain and further deterioration of the venous system. Conservative treatment will not remove existing abnormal veins, but it may be the treatment choice for patients that may not be able to undergo other treatment methods. There's no way to prevent varicose veins. But improving your circulation and muscle tone can reduce the risk of developing varicose veins or getting additional ones.
Ligation & Stripping(Surgery)
Its old tradiotional method of ligation of safenofemoral junction & stripping of great safenous vein. Nowadays, this method is less popular, as it requires long hospital stay, long recovery period with high recurrence rates.
Foam Scleotherapy
Foam Sclerotherapy is commonly used for treating spider veins and small varicose veins. It involves the injection of foam made up from a FDA-approved sclerosing solution, which causes chemical endovenous ablation of the vein, which collapses and diminishes in appearance. Compression hose are highly recommended post-treatment . The advantages are no scarring and smaller veins disappear, while the downside is brownish discolorations, allergic reactions and the rare development skin ulcers.
Saphenous Ablation
This minimally-invasive treatment is an outpatient procedure performed using ultrasound guidance. After applying local anesthetic to the vein, the surgeon inserts a thin catheter into the vein and guides it up the great saphenous vein in the thigh. Then laser or radiofrequency energy is applied to the inside of the vein. This heats the vein and seals the vein closed. Reflux within the great saphenous vein leads to pooling in the visible varicose veins below. By closing the great saphenous vein, the twisted and varicosed branch veins, which are close to the skin, shrink and improve in appearance. Once the diseased vein is closed, other healthy veins take over to carry blood from the leg, re-establishing normal flow. Saphenous ablation is done by two methods
1) Principle The EVLT™ Procedure deals with the incompetence of the greater saphenous veins. Unlike surgical stripping, EVLT permanently closes off the vein while leaving it in place. It uses the energy from an 1480 nm diode laser delivered by a fine fiber-optic probe. As it is only the probe and a slim sheath which need to enter the vein the whole procedure is performed via a tiny skin nick, so there will be no post operative scarring. The probe is guided into place using ultrasound and the procedure is performed under strictly local anesthetic of a similar type used by dentist to numb the treatment area.
Benefits of EVLT:
  • A simple procedure
  • Performed under local anesthetic
  • Minimally invasive, so minimal risk of scarring and postoperative infection
  • Less than one hour examination and treatment time
  • Rapid recovery with reduced postoperative pain
  • Normal activities can be resumed immediately Indication: Treatment for the greater saphenous vein insufficiency
  • Excellent clinical and aesthetic results
2) Endovenous Radiofrequency Closure
Principle: Local or regional anesthesia is used to numb the treatment area. A thin catheter is then inserted into the vein through a small opening. The catheter delivers radiofrequency (RF) energy to the vein wall, causing it to heat, collapse, and seal shut. Once the diseased vein is closed, other healthy veins take over and empty blood from your legs. Your symptoms should also improve noticeably following the procedure. After the catheter is removed, a bandage is placed over the insertion site and your leg may be wrapped for a day to aid healing. It should be followed by compression stockings and to refrain from long periods of standing for a few weeks which help in speedy recovery. Most patients can resume normal activity immediately.
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