Treatment of varicose veins with laser is a modern and effective way to get rid of this disease.
Laser therapy uses a focused beam of light that causes damage to the veins and the growth of lumen of connective tissue.Blood flow through the slender vein ceases, leading to the disappearance of the symptoms of the disease.
The principle of surgery
If the patient has varicose veins of the legs, laser treatment is performed for the purpose of thermal effects on the wall of the vessel.This influence is caused by an irreversible decrease, the replacement of connective tissue and the disappearance of the extended vessel.
The main mechanism of action is the heating of the minimum amount of blood with the formation of steam, which damages the vascular wall.A diode laser of different sizes and structure of optical fibers is used.
An ultrasound Doppler examination is used to compile varicose veins.An analgesic substance is introduced into the intervention.A very thin optical fibers are introduced into the varicose vein, a laser beam comes out of the top.
The energy of the laser is converted into heat.The temperature inside the vessel reaches 60 - 70 degrees.The effect of heat on the wall of the vein leads to its "gluing".Subsequently, the sclerosis vein is absorbed over time.
Testification
The laser treatment of varicose veins is performed in two main methods:
- percutaneous;
- Intravascular (endovascular).
Laser therapy helps to get rid of vascular stars and small enlarged subcutaneous veins.This procedure is performed for cosmetic purposes.It can be used as a second stage of treatment after eliminating large varicose veins using surgery, sclerotherapy or endovascular therapy.
The endovascular method is used to eliminate large varicose veins.
If there are varicose veins on your feet, laser treatment allows you to influence such vessels:
- large and small subcutaneous;
- front and rear extra subcutaneous;
- surface subcutaneous;
- Front and rear envelope of the femur.
Laser therapy is especially indicated for patients with obesity because sclerotherapy or phlebectomy in such patients is difficult to technically or may lead to complications.
Endovascular coagulation indications:
- inefficient operation of the valves, accompanied by edema (reflux for pre -poplerography above 0.5 s);
- Trophic disorders: change in color and skin density, dryness and itching of the skin;
- HARSE ulcers, difficult to treat.
The main symptoms in which laser treatment is shown:
- Lomota in the legs;
- weight and fatigue;
- feeling of pulsation;
- itching of the skin;
- Convulsions at night;
- Hemorrhage under the skin.
The skin changes:
- vascular stars, eczema, color change;
- outbreaks of white atrophy of the skin;
- Ulcers;
- swelling;
- Inflammation of the superficial veins.
Contraindications
Endovascular laser therapy is contraindicated in the following cases:
- pregnancy and lactation in which anesthesia can damage the baby;
- Difficulty in blood flow through deep veins, which will prevent normal blood flow after surgery;
- liver failure or allergies to painkillers;
- disorders of blood coagulation;
- the inability to properly outpatient treatment and observation after intervention;
- Blood casting (reflux) in proper veins;
- Thrombosis, adhesions or tolerance of the veins.
The benefits of the method
Laser coagulation of the veins is a safe and effective method of treating varicose veins on an outpatient basis for local anesthesia.The procedure takes 1 - 1.5 hours.Most patients are satisfied with the result of treatment.
The total cost of the intervention is lower than surgery.Its effectiveness from the point of view of 3 months to 4 years reaches 93 - 100%.
Laser therapy does not lead to the formation of scars and scars.It is well tolerated and allows you to quickly restore normal activity.The side effects of the procedure occur very rarely.
Disadvantages
The laser treatment of varicose veins can be accompanied by the following consequences:
- skin burning;
- change in skin color;
- damage to nearby nerves, accompanied by burning or numbness (the likelihood of this is much less than during the usual work);
- Vienna thrombosis.
The more the experience of the doctor who performs the removal of the vessels of the legs with a laser, the better the result of the treatment.
Endoxic coagulation cannot be performed with coastal veins, for the treatment of large varicose nodes, as well as with a diameter of the vessel above 1 cm.
Recommendations
Treatment with loan with varicose veins requires several sessions.They are held at an interval of 6 - 12 weeks.
Endovascular therapy is performed with the help of thin fibers introduced into the vein under the control of ultrasound.This is a procedure with a short recovery period.It is performed under local anesthesia.
After laser removal of the blood vessels, the patient can walk almost immediately and quickly return to ordinary life.Within a week after the procedure, it is recommended to wear compression socks with grade II compression (30 - 40 mm Hg) or elastic bandages.
The walk is recommended for 1 to 2 hours a day for 2 weeks.At this time it is necessary to abandon hot baths, running, jumps, lifting weights and tension.
If pain or discomfort occurs, an anti -inflammatory drug may be taken.
Repeated inspection and ultrasound examination of the veins is performed a month after the intervention, and after 1 year.This allows you to evaluate the effectiveness of the completed procedure.
Alternative methods
When laser vein coagulation is not shown, it is necessary to take into account the question of the use of other methods of treating varicose veins:
- medicines combined with elastic compression;
- Radio frequency ablation - destruction and blocking of the vessel with the help of radio waves;
- Sclerotherapy - lumen prison with chemicals;
- Flbectomy - surgical removal of the vein.
Intravascular laser therapy of varicose veins is an excellent method that ensures that it effectively gets rid of the disease for 3 to 4 years in 90% of patients.It is rarely accompanied by serious complications.The advantage of the laser is the lack of scars after surgery and a quick recovery period.