Treatment of varicose veins with laser is a modern and effective way to get rid of the disease.
Laser therapy uses a focused light beam, which causes vein damage and growth in the connective tissue lumen.Blood flow through slim veins stops, which results in loss of symptoms of the disease.
Operating principles
If the patient has varicose veins in the legs, laser treatment is performed with the purpose of the thermal effect on the vessel wall.This influence is caused by irreversible decreases, replacement of connective tissue and the loss of expanded vessels.
The main mechanism of action is to heat the minimum amount of blood with steam formation, which damages the vascular wall.Laser diodes with different optic fiber sizes and structures are used.
For varicose veins, ultrasound doppler studies are used.Analgesic materials are introduced into the field of intervention.Very thin optic fibers are introduced into the varicose veins, from the ends where the laser beam comes out.
Laser energy is converted to heat.The temperature in the vessel reaches 60 - 70 degrees.The heat effect on the vein wall leads to "gluing".Next, over time, sclerosed veins are absorbed.
Indication
Laser treatment for varicose veins is performed in two main methods:
- percutieus;
- intravascular (endovascular).
Laser bearing therapy helps eliminate vascular stars and small expanded subcutaneous veins.This procedure is performed for cosmetic purposes.It can be used as the second stage of treatment after eliminating large varicose veins using surgery, sclerotherapy or endovascular therapy.
Endovascular methods are used to eliminate large varicose veins.
If there is varicose veins in the feet, laser treatment allows you to affect the vessel:
- large and small subcutaneous;
- the front and back of the additional subcutaneous;
- shallow subcutaneous;
- The front and back of the femoral cover.
Laser therapy is primarily shown to obese patients, as sclerotherapy or phlebectomy in the patient is difficult to technically or may cause complications.
Indications for endovascular freezing:
- ineffective valve operation, accompanied by edema (reflux for pre -popplerography more than 0.5 s);
- Trophic disorders: changes in color and skin density, dryness and itching -skin;
- Harse ulcer, difficult to treat.
The main symptoms in which laser treatment is indicated:
- Lomota on the feet;
- severity and fatigue;
- feeling of pulse;
- skin itching;
- seizures at night;
- Bleeding under the skin.
Skin changes:
- vascular stars, eczema, color changes;
- Foci white atrophy skin;
- ulcer;
- swelling;
- Inflammation of the surface vein.
Contraindications
Endovascular laser therapy is contraindicated in the following cases:
- pregnancy and breastfeeding where anesthesia can damage children;
- Difficulty of blood flow through the veins, which will prevent normal blood flow after surgery;
- liver failure or allergies to painkillers;
- blood clotting disorders;
- the right of proper outpatient treatment and observation after intervention;
- Blood casting (reflux) in excess veins;
- Thrombosis, adhesion, or vein tolerance.
The advantages of methods
Freezing laser veins are a safe and effective method for treating varicose veins in outpatients under local anesthesia.This procedure takes 1 - 1.5 hours.Most patients are satisfied with the results of the treatment.
The total cost of intervention is lower than the surgery.Its effectiveness in 3 months to 4 years reached 93 - 100%.
Laser therapy does not lead to scarring and scarring.It is well received and allows you to recover normal activities quickly.The side effects of the procedure arise very rarely.
Weakness
Laser treatment for varicose veins can be included with the following consequences:
- burns the skin;
- changes in skin color;
- Damage to nearby nerves, accompanied by burning or tingling (this probability is much lower than during normal operation);
- Vienna thrombosis.
The more experience a doctor who removes the vessel to the foot with the laser, the better the treatment.
Endoxic freezing cannot be done by consuming veins, for the treatment of large varicose nodes, as well as with a vessel diameter of more than 1 cm.
Proposal
Treatment credited with varicose vein laser requires several sessions.They are held at 6 - 12 weeks.
Endovascular therapy is performed using thin fiber introduced into the veins under ultrasound control.This is a procedure with a short recovery period.It is run under local anesthesia.
After removal of the blood vessel laser, the patient can walk immediately and quickly return to normal life.Within a week after the procedure, it is recommended to wear compression stockings with a degree II compression (30 - 40 mm Hg) or elastic bandage.
Walking is recommended for 1 to 2 hours a day for 2 weeks.Currently, it is necessary to leave a hot bath, run, jump, lift weight and tense.
If pain or discomfort arises, anti -inflammatory drugs can be taken.
Repeated examination and ultrasound examination are performed one month after intervention, and then after 1 year.This allows you to evaluate the effectiveness of the complete procedure.
Alternative methods
When freezing laser veins are indicated, it is necessary to consider issues using other methods to treat varicose veins:
- drugs combined with elastic compression;
- Radio frequency ablation - destruction and blockage of vessels using radio waves;
- sclerotherapy - a prison of lumen with chemicals;
- Flebectomy - Vein surgical removal.
Varicose vein intravascular laser therapy is an excellent method that effectively removes the disease for 3 to 4 years in 90% of patients.It is rarely accompanied by serious complications.The advantage of laser is the absence of scars after surgery and a rapid recovery period.