The treatment of varicose veins with laser is a modern and efficient way to address these diseases.
Laser therapy uses a focused beam of light, causing vein damage and growth in its lumen connective tissue.The blood flow through slender veins ceases, leading to disappearance of the symptom of the disease.
Operation principle
If the patient has varicose veins on their feet, laser treatment is done with the aim of thermal effects on the wall of the vessel.This impact causes an irreversible decline, binding tissue replacement and the disappearance of the extended vessel.
The main mechanism of action is to warm up the minimum amount of blood with the formation of money, which damage the vascular wall.Diode laser with different sizes and optical fiber structures is used.
The ultrasonic Doppler study is used to compile varicose veins.An analgesic substance is introduced in the area of intervention.A very thin optical fibers were introduced in the varicose vein, from the top that exits a laser beam.
Laser energy has been converted into heat.The temperature inside the container reaches 60 - 70 degrees.The effect of heat on the wall of the vein leads to her "gluing".After that, the sclerosed vein is absorbed over time.
Indications
The laser treatment of varicose veins is performed in two main methods:
- Perkutano;
- Intravascular (endovascular).
The nose laser therapy helps to get rid of vascular stars and small extended subcutaneous veins.This procedure is performed for cosmetic purpose.It can be used as a second phase of treatment after eliminating large varicose veins using surgery, sclerotherapy or endovascular therapy.
Endovascular method is used to remove large varicose veins.
If there are varicose veins on their feet, laser treatment allows you to influence such boats:
- large and small subcutaneous;
- front and backward subcutaneously;
- superficially subcutaneously;
- Front and last envelope thigh.
Laser therapy is especially shown by gojal patients, because sclerotherapy or phlebectomy in such patients are difficult technically or can lead to complications.
Indications for endovascular coagulation:
- Inefficient valve operation, accompanied by edema (reflux for pre -pplerography more than 0.5 s);
- Trophic disorders: Change of color and skin density, dryness and skin itch;
- Harse ulcers, hard to treat.
The main symptoms in which laser treatment is displayed:
- Legs of lodge;
- Seriousness and fatigue;
- a sense of pulsation;
- itchy skin;
- Council at night;
- Bleeds under the skin.
Skin changes:
- Vascular stars, eczema, color change;
- Whites of white skin atrophy;
- Ulcers;
- swelling;
- Inflammation of surface veins.
Contraindications
Endovascular laser therapy is contraindicated in the following cases:
- Pregnancy and breastfeeding in which anesthesia may damage the child;
- Difficulties in blood flow through deep veins, which will prevent the normal drain of blood after surgery;
- Liver failure or allergies to painkillers;
- Blood coagulation disorders;
- Inability to properly outpatient treatment and observation after the intervention;
- Blood casting (reflux) in overweight;
- Thrombosis, adhesion or vein tolerance.
Advantages of the method
Laser coagulation Vena is a safe and efficient method for the treatment of varicose veins on an outpatient basis under local anesthesia.The procedure lasts 1 - 1.5 hours.Most patients are satisfied with the treatment with the treatment.
The total cost of the intervention is lower than surgical operation.Its efficiency in terms 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 arise very rarely.
Disadvantages
Laser treatment of varicose veins can be accompanied by the following consequences:
- burning leather;
- Leather color change;
- Damage to nearby nerves, accompanied by a burning or tingling (probability of this is much lower than during the usual operation);
- Vienna thrombosis.
The more the experience of the doctor who performs the removal of the vessel on his feet with laser, which is a better treatment result.
Endoxic coagulation cannot be performed with the coast of veins, for the treatment of large varicose nodes, as well as with a diameter of the vessel of more than 1 cm.
Recommendations
Treatment with laser with laser varicose veins requires several sessions.They are held in an interval of 6 - 12 weeks.
Endovascular therapy is performed using a thin fiber that is introduced into a vein under ultrasound control.This is a procedure with a brief recovery period.It is performed under local anesthesia.
Once the laser removal of blood vessels is performed, the patient can walk almost immediately and returns quickly to ordinary life.Within a week after the proceedings, it is recommended to wear compression socks with II compression (30 - 40 mm HG) or elastic bandages.
Walking is recommended for 1 to 2 hours a day 2 weeks.At this point, it is necessary to leave hot baths, running, jumps, lifting and straining weight.
If pain or discomfort occurs, an anti-inflammatory drug can be taken.
Repeated inspection and ultrasonic vein examination is done for a month after the intervention, and then after 1 year.This allows you to assess the effectiveness of completed procedure.
Alternative methods
When the laser coagulation of the vein is not displayed, the question of the use of other methods of treatment of varicose veins is needed:
- medications in combination with elastic compression;
- Radio frequency ablation - destruction and blockade of vessel using radio waves;
- sclerotherapy - Lumen's prison with chemicals;
- Flebectomy - surgical removal of veins.
Intravascular laser varicose veins therapy is an excellent method that enables effective diseases of 3 to 4 years in 90% of patients.Rarely monitors serious complications.The advantage of lasers is the absence of scars after surgery and a quick recovery period.