The treatment of varicose veins with a laser is a modern and effective way to get rid of this disease.
Laser therapy uses a targeted beam of light, which causes damage to the veins and the growth of its light of connective tissue.The blood flow through the thin vein ceases, which leads to the disappearance of the symptoms of the disease.
The principle of the operation
If the patient has varicose veins on the legs, laser treatment is carried out for the purpose of thermal effects on the wall of the ship.This influence is caused by an irreversible decline, the replacement of the connective tissue and the disappearance of the extended ship.
The main action mechanism is the heating of the minimum quantity of blood with the formation of steam, which damages the vascular wall.A diode laser with a different size and structure of the optical fibers is used.
To compile a varicose vein, an ultrasound doppler study is used.An analgesic substance is introduced into the intervention area.A very fine optical fiber is introduced in the varicose vein, from the tip of which a laser beam comes out.
The laser energy is converted into heat.The temperature inside the ship reaches 60 to 70 degrees.The effect of heat on the wall of the vein leads to its "collage".Subsequently, over time, the sclerotic vein is absorbed.
Indications
Varice laser treatment is carried out in two main methods:
- percutaneous;
- intravascular (endovascular).
The portage of the laser helps to get rid of the vascular stars and small extended subcutaneous veins.This procedure is carried out for cosmetic purposes.It can be used as a second step of treatment after eliminating large varicose veins using surgery, sclerotherapy or endovascular treatment.
The endovascular method is used to eliminate large varicose veins.
If there are varicose veins on the legs, laser treatment allows you to influence these vessels:
- Large and small subcutaneous;
- Additional subcutaneous front and rear;
- superficial subcutaneous;
- The front and rear envelope of the femoral.
Laser treatment is particularly demonstrated to obese patients, as sclerotherapy or phleectomy in these patients is difficult to technically or can cause complications.
Indications for endovascular coagulation:
- Ineffective operation of the valves, accompanied by edema (reflux for pre -poppleography of more than 0.5 s);
- Trophic disorders: a change in color and density of skin, drought and itching skin;
- Carabace ulcers, difficult to treat.
The main symptoms in which laser treatment is shown:
- Lomota in the legs;
- severity and fatigue;
- feeling of pulsation;
- Skin itching;
- Convulsions at night;
- Hemorrhages under the skin.
Skin changes:
- Vascular stars, eczema, color change;
- Broves of white skin atrophy;
- ulcers;
- swelling;
- Inflammation of surface veins.
Contraindication
Endovascular laser therapy is contraindicated in the following cases:
- Pregnancy and breastfeeding in which anesthesia can damage the child;
- Difficulty of blood flow through the deep veins, which will prevent the normal flow of blood after surgery;
- hepatic insufficiency or allergies to pain relievers;
- blood coagulation disorders;
- The impossibility of an appropriate and observation ambulatory treatment after the intervention;
- Blood flow (reflux) in the overlying veins;
- Thrombosis, adhesions or tolerance of the veins.
Advantages of the method
Coagulation Laser of the veins is a safe and effective method for treating the varicose veins in ambulatory under local anesthesia.The procedure takes 1 to 1.5 hours.Most patients are satisfied with the result of treatment.
The total cost of the intervention is lower than that of the surgical operation.Its effectiveness in terms of 3 months to 4 years reached 93 to 100%.
Laser therapy does not lead to the formation of scars.It is well tolerated and allows you to quickly restore normal activity.The side effects of the procedure occur very rarely.
Defects
Laser treatment of varicose veins can be accompanied by the following consequences:
- skin burns;
- skin color change;
- damage the nearby nerves, accompanied by burns or tingling (the probability of this is much lower than during the usual operation);
- Thrombosis of Vienna.
The more the experience of a doctor who eliminates ships on the legs with a laser, the better the treatment.
Endoxic coagulation cannot be performed with the veins coast, for the treatment of large nodes of varicose veins, as well as with a diameter of vessel of more than 1 cm.
Recommendations
Credid treatment with a laser of varicose veins requires several sessions.They are held at an interval of 6 to 12 weeks.
Endovascular therapy is performed using a thin fiber introduced into the vein under ultrasound control.This is a procedure with a short recovery period.It is carried out under local anesthesia.
Once the laser removal of the blood vessels has been carried out, the patient can walk almost immediately and quickly return to ordinary life.In a week following the procedure, it is recommended to wear compression stockings with a degree of compression II (30 to 40 mm HG) or elastic bandages.
Walk is recommended for 1 to 2 hours a day for 2 weeks.Currently, it is necessary to abandon hot baths, running, jumps, weight and constraints.
If pain or discomfort appears, an anti-inflammatory drug can be taken.
A repeated inspection and an ultrasound examination of the veins were carried out a month after the intervention, then after 1 year.This allows you to assess the effectiveness of the procedure completed.
Alternative methods
When veins laser coagulation is not shown, it is necessary to consider the question of the use of other methods of treatment of varicose veins:
- drugs combined with elastic compression;
- Radiofrequency removal - Destruction and blocking of the ship using radio waves;
- Sclerotherapy - Light prison with chemicals;
- Flébectomy - Surgical elimination of the vein.
Intravascular laser therapy for varicose veins is an excellent method that allows you to get 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 absence of scars after surgery and a rapid recovery period.