Treating varicose veins with a laser is a modern and effective way to get rid of this disease.
Laser therapy uses a focused beam of light that causes venous damage and growth in its lumen of the connective tissue.The blood flow through the slim vein stops, which leads to the disappearance of the symptoms of the disease.
The principle of operation
If the patient has varicose veins on the legs, the laser treatment is carried out with the aim of the thermal effects on the wall of the container.This influence is caused by an irreversible decline, replacement of the connective tissue and the disappearance of the extended ship.
The main mechanism of activity is the heating of the minimal amount of blood with the formation of steam that damages the vessel wall.A diode laser with different size and structure of optical fibers is used.
To put together a varicose vein, an ultrasound double study is used.An analgesic substance is introduced into the area of intervention.A very thin optical fiber is inserted into the varicose veins, from the tip of which a laser beam comes out.
The energy of the laser is converted into heat.The temperature in the container reaches 60 - 70 degrees.The effect of the heat on the vein wall leads to its "gluing".The sclerated vein is then absorbed over time.
Indications
The laser treatment of varicose veins is carried out in two main methods:
- percutan;
- intravascular (endovascular).
Storage therapy with laser therapy helps to get rid of vascular stars and small extended subcutaneous veins.This procedure is carried out for a cosmetic purpose.It can be used as the second stage of treatment after large varicose veins were eliminated using operations, sclerotherapy or endovascular therapy.
The endovascular method is used to eliminate large varicose veins.
If there are varicose veins on the legs, laser treatment enables you to influence such vessels:
- Large and small subcutaneous;
- Preliminary and back of additional subcutaneous;
- superficial subcutaneous;
- The front and rear envelope curve of the thighs.
Laser therapy is shown particularly obese patients, since sclerotherapy or phlebectomy is technically difficult or can lead to complications in such patients.
Indications for endovascular coagulation:
- ineffective operation of valves, accompanied by edema (reflux for the pre -publerography of more than 0.5 s);
- Trophic disorders: a change in color and skin density, dryness and skin itching;
- Harse ulcer, difficult to treat.
The main symptoms in which laser treatment is shown:
- Lomota in the legs;
- Severe and fatigue;
- Pulsation feeling;
- Skin itches;
- Cramps at night;
- Bleeding under the skin.
Skin changes:
- Vascular stars, eczema, color change;
- Focus of the white atrophy of the skin;
- Ulcers;
- Swelling;
- Inflammation of the surface veins.
Contraindications
In the following cases, endovascular laser therapy is contraindicated:
- Pregnancy and breastfeeding where anesthesia can damage the child;
- Difficulties in blood flow through deep veins that prevent normal blood drainage after operation;
- Liver failure or allergies against painkillers;
- Blood regulations;
- the impossibility of proper outpatient treatment and observation after intervention;
- Blood guest (reflux) in veins above;
- Thrombosis, adhesions or tolerance of veins.
Advantages of the method
Laser coagulation of veins is a safe and effective method for outpatient base of varicose veins under local anesthesia.The procedure takes 1 - 1.5 hours.Most patients are satisfied with the result of treatment.
The total costs of the intervention are lower than surgical operation.The effectiveness of 3 months to 4 years achieves 93 - 100%.
Laser therapy does not lead to the formation of scars and scars.It is well tolerated and enables you to quickly restore normal activity.Side effects of the procedure rarely occur.
Defects
The laser treatment of varicose veins can be accompanied by the following episodes:
- Skin fire;
- Change of skin color;
- Damage to the nearby nerves, accompanied by burning or tingling (the probability is much lower than during the usual operation);
- Viennese thrombosis.
The more the experience of a doctor who carries out the removal of vessels on the legs with a laser, the better the result of the treatment.
The endoxic coagulation cannot be carried out with the spurness of the veins for the treatment of large varicose nodes and with a vascular diameter of more than 1 cm.
Recommendations
The crudid treatment with a laser of varicose veins requires several sessions.They are held at a distance of 6 to 12 weeks.
The endovascular therapy is carried out using a thin fiber that is inserted into the vein under the control of ultrasound.This is a procedure with a short recovery phase.It is carried out under local anesthesia.
After the laser removal of blood vessels was carried out, the patient can go almost immediately and quickly return to normal life.Within a week after the procedure, it is recommended to wear compression stockings with II compression degree (30 - 40 mm Hg) or elastic bandages.
Walking is recommended for 2 weeks for 1 to 2 hours a day.At this point it is necessary to give up hot baths, running, jumps, lifting weight and effort.
If pain or symptoms occur, an anti -inflammatory medication can be taken.
A repeated inspection and an ultrasound examination of the veins are carried out one month after the intervention and then after 1 year.In this way you can evaluate the effectiveness of the completed procedure.
Alternative methods
If no laser coagulation of veins is displayed, it is necessary to take into account the use of other methods for the treatment of varicose veins:
- Medicines in combination with elastic compression;
- Radio frequency ablation - destruction and blocking of the ship using radio waves;
- Sclerotherapy - Lumen prison with chemicals;
- Flebectomy - surgical removal of the veins.
The intravascular laser therapy of varicose veins is an excellent method that effectively eliminates in 90% of patients for 3 to 4 years.Serious complications are rarely accompanied.The advantage of the laser is the lack of scars after the operation and a quick recovery phase.