Recently, cases of varicose veins in young and elderly patients have been increasingly recorded. The disease is characterized by narrowing of the venous walls and slowing of blood flow. At the initial stage of development, conservative treatment is effective. In severe cases, operations are performed to remove veins in the legs.
There are many reasons for the occurrence of varicose veins. The most common include: unhealthy lifestyle, sedentary work, excess weight, excessive load on the lower limb, hormonal imbalances, hereditary predisposition. Phlebectomy is a variant of the classic surgical treatment for varicose veins. Correctly performed surgery increases the likelihood of a complete cure for the disease.
The human circulatory system of veins consists of a deep and superficial venous pool, connected by vessels. The superficial veins are divided into the greater and lesser saphenous veins, and they also branch into thin blood streams. They are connected to the deep system through perforating veins. This structure of the blood flow determines the technique of the operation.
The main goal of treating varicose veins is to eliminate the backflow of blood in the veins of the legs (reflux). Depending on the location of the pathological process, reflux manifests itself in certain areas:
Getting rid of varicose veins is possible only by ligating or completely removing the affected vessel.
Indications and contraindications for surgery
Removal of leg veins is indicated in certain cases:
Contraindications to the operation are:
Removal of varicose veins is prescribed only after a complete examination of the patient’s blood flow system.
The study before surgery is an ultrasound duplex scanning method of veins. Based on the results of the examination, a specific surgical technique is selected: classic phlebectomy or minimally invasive surgery.
The patient's condition is also assessed using standard tests:
Immediately before surgery for varicose veins on the legs, the following procedures are performed:
The attending physician must be informed about any allergic reactions to medications, as well as about the current use of specific medications. If these rules are followed, the normal course of the operation and rapid postoperative recovery will be guaranteed.
Surgeries to remove varicose veins can be performed using various technologies:
Phlebectomy is indicated in the initial stages of varicose veins. The procedure is performed under general anesthesia and lasts about two hours. First, two incisions are made: in the groin (5 cm in length) and near the ankle (2 cm in length). Other incisions are made under large venous nodes. A vein extractor (a thin wire with a round tip) is inserted through the inguinal incision, with the help of which the affected vein is cut out. At the end of the procedure, stitches are placed on the incisions. After 1-2 days the patient can already move independently. For two months after vein removal, wearing stockings or elastic bandages is recommended.
This surgical technique allows you to eliminate the affected vessels on the legs with maximum cosmetic effect. Wounds after surgery heal very quickly, leaving no scars or scars.
Sclerotherapy is a method of painless vein removal. Echosclerotherapy is the effect on varicose veins with special injections. Sclerotant, a substance that destroys the internal walls of blood vessels, is injected into the vein. After this, the middle layers of the veins grow together, causing the swollen vessels to fall off. This is the most gentle and safe method of surgical intervention. But to achieve maximum effect, several procedures and long-term (at least 6 months) rehabilitation are necessary.
When veins of small diameter are affected and in the presence of a large number of spider veins, foam sclerotherapy is prescribed. In this case, a sclerotant with a foaming effect is injected into the vein, which increases the area of interaction of the substance with the affected inner walls of the vessels. Treatment time is also increased, so fewer treatments are required for effective treatment.
Veins in the leg are also removed using modern methods. One of these is laser. The technique is based on intravascular laser coagulation under local anesthesia. Through a compact puncture, the inner surface of the affected vessel is treated with a laser beam. Under the influence of high temperature, the blood boils and seals the vein wall along its entire length. The main advantage of this operation is the minimal risk of developing an infectious inflammatory focus.
Another innovative method of combating varicose veins is seamless technology. The affected areas of the veins will be removed through microscopic punctures. This does not require stitches, but only a sterile elastic bandage on the leg. The patient can move independently after 5-6 hours. These two technologies are absolutely painless and non-traumatic.
For some time after the operation, unpleasant consequences are possible: bruises and hematomas on the legs, pain. To improve blood circulation, it is recommended to sleep with your legs elevated. The main complication after surgery is the reappearance of varicose veins. People with a hereditary predisposition, as well as patients who have not changed their lifestyle, are at greater risk. With heavy loads on the legs, the foot on the operated limb swells. By reducing the load, the swelling disappears.
Thromboembolic complications are the most terrible consequences of surgery. To prevent them, it is necessary to follow preventive measures. It is recommended to wear compression garments, elastic bandages, correctly alternate between exercise and rest, and eliminate stagnation in the blood (by taking medications).
Varicose veins are a recurrent disease. And if you remove the affected vein, but continue to lead an unhealthy lifestyle, then the risk of re-development of the pathology is likely.
If for some reason surgery is contraindicated, then treatment of varicose veins is carried out using conservative methods. Herbal decoctions and tinctures help reduce inflammation of the veins: compresses made from yogurt and wormwood, Kalanchoe and hops. At an early stage of development of varicose veins, treatment with hirudotherapy is possible. Leeches thin the blood and improve microcirculation in the blood vessels. Pharmaceutical ointments and gels, as well as wearing compression garments, also help reduce varicose veins.
After removal of varicose veins on the legs, a course of restorative procedures is prescribed for the patient:
After removal of varicose veins, the following are strictly prohibited: drinking alcohol, hard physical work, taking a hot bath, and driving a car.
To reduce the risk of thrombosis, a course of blood thinning medications is prescribed. To exclude the inflammatory process, antibacterial agents are prescribed. Pain relief is indicated if there is pain after surgery.
During the rehabilitation period, the following restrictions and indications in the patient’s diet are provided:
A balanced and proper diet promotes rapid recovery after surgery.
By following all the recommendations prescribed by the attending physician, the postoperative period is as painless as possible. By adhering to preventive measures, it is possible to reduce the risk of complications. In this case, complete recovery and no recurrence of varicose veins are guaranteed.
Since ancient times, people have been wondering about the treatment of varicose veins. Let's figure out what methods of prevention and treatment of this disease exist.
Have you noticed the appearance of varicose veins? This is the first step towards varicose veins. If you ignore such a signal, then you are directly giving the green light to the disease. It is easy to detect such a defect in the early stages; it begins to appear on the ankles, shins, and thighs.
You won't be able to feel it, but it's easy to see. You need to start treatment quickly. There are special exercises against varicose veins; it is enough to do regular fitness (you need to exclude the exercise bike, jumping aerobics).
Protect yourself from going to the bathhouse, taking hot baths, or hot wraps in spa salons. Start taking medications that thin the blood (aspirin), drink tomato juice (it has blood thinning properties).
In this case, water aerobics and swimming will be useful. It is very important to start eating right so that the veins are more elastic, eat foods that will strengthen your veins, drink about 1.5 liters of water, it has a great effect on metabolic processes and thins the blood.
It is important not only to eat right, but not to forget about the medical approach. Such meshes can be treated with a special sclerosant solution; it is injected into the vein and it ceases to be “needed” for blood and the vein becomes invisible. After this procedure, it is necessary to wear compression garments for two months.
When such mesh appears, this is the first call on the way to varicose veins, do not delay going to the doctor, the later you go, the less chance there will be of getting rid of such an ailment. Unfortunately, varicose veins have irreversible stages; even after extensive surgical intervention, complete recovery is not guaranteed.
If prevention does not help, you will have to resort to treatment. Remember “Do not self-medicate”; only your doctor can prescribe treatment for you! For people with contraindications to surgery and pregnant women, the following are most often recommended: compression garments, various types of medications, and gymnastics.
Using a special needle, a sclerosant drug is injected into the vein; it strengthens the walls of the affected veins and the entire main load in the bloodstream is transferred to healthy veins.
Laser therapy, the most effective way to treat such a disease, achieves the desired result in 98% of cases. The laser does the same thing, only through the skin.
Previously, an operation such as Venectomy was performed much more often, because there was no alternative to this operation; it was performed to remove damaged veins. After which the patient was obliged to wear compression garments for two years.
There is also a simple and painless method of treatment - this is treatment with leeches “Hirudotherapy”, the essence of the procedure is that leech saliva enters the bloodstream, having a beneficial effect on the blood vessels, helping blood clots to dissolve inside the veins.
A modern approach, but a rather expensive way to get rid of the disease. The method of treating such a disease has proven itself well. The most good results are shown by the combined implementation of complementary laser therapy and scleroobliteration.
In real time, laser therapy for varicose veins can be a good candidate for the classical method of surgical “healing” of varicose veins.
Phlebologists consider laser treatment to be the most effective and well-known method of combating varicose veins. Under an ultrasonic scanner, a small puncture is made along the length of the affected area, into the lumen of the vein with a laser light guide. Next, the light guide is carefully removed from the lumen of the vein, controlling the entire internal plane with laser flashes, followed by overgrowth of the varicose area.
The advantages of this method are: reduction of post-operative trauma, reduction in the severity or frequency of complications, as a result of which the duration of treatment and the period of recovery from work are reduced.
This includes benefits such as:
After such an operation, it is recommended to wear compression hosiery on the legs; it compresses the veins, which promotes rapid healing of the vessel walls.
It can also be noted that there are side effects after laser therapy for varicose veins: the skin changes color in the area of the removed vein, there may be burns, a certain burning sensation, slight tingling, and blood clots.
Let's take an anatomical course: we all know that blood moves through our body in a large and small circle. This movement is initiated by the heart: it contracts rhythmically, pushing blood towards the aortas, arteries, and small vessels.
From top to bottom, thanks to gravity, the blood moves enthusiastically to the legs. Having reached her feet, she needs to go back up, and this is problematic. Veins have valves that drive blood in one direction - up, so this action is possible. The heart and leg muscles help the blood move upward.
In order for the muscles to relax and contract, try to provide yourself with regular walks so that the vessels are compressed and relaxed, then the blood will vigorously move up to the valve.
When the vein has expanded, the valves that ensure the normal outflow of blood from the legs stop closing. A blockage appears between them and blood flow slows down. poor circulation - the vein stretches more.
Doctors believe that the main reason for the development of varicose veins is heredity. The international scientific community has identified six stages of varicose veins.
EVLT stage 1 21,000 rub.
Stage 2 27,000 rub.
Stage 3 34,000 rub.
from 4590 rubles - 17 500 rubles.
The average cost of the operation is 20,970 rubles. This method of performing the operation is described above.
This procedure takes into account the cost of a doctor’s appointment (900 rubles), plus the application of leeches (1 leech – 60 rubles). The average cost of such a procedure is from one and a half thousand (1500 rubles).
Reviews about these operations (procedures)
An operation such as sclerotherapy has a lot of good words in favor of this operation.
Without surgical intervention, Instantly eliminates the symptoms and the very cause of the disease, Removes veins and stars that do not look aesthetically pleasing, Good cosmetic effect, Effective, safe, HEALTHY LEGS!
The only downside is that if you have incompetent valves, this operation will not help you.
Duration of the procedure is 30-40 minutes, Painless, Leaves no marks, No postoperative complications, No special preparation required
After the procedure, slight heaviness in the legs (occasionally accompanied by tingling)
Painful sensations are usually not expressed, against the background of the removed vein, small bruises form, scar tissue forms, and whether the scar will be noticeable or not depends on the doctor; over time, they disappear and become invisible.
The effect is felt immediately, there may be an allergic reaction, it increases performance and quality of sleep, normalizes blood pressure, and the legs feel light.
Approximate cost of treatment of varicose veins in cities:
Laser treatment 150 euros, Sclerotherapy from 150 euros, Hirudotherapy from 50 euros, Venectomy from 170 euros Minsk Regional Clinical Hospital,
1 session of sclerotherapy on one leg 6,000 rubles. Venectomy from 35,000 rubles,
Compression sclerotherapy 20,000 rubles, laser treatment from 6,000 rubles, hirudotherapy from 1,500 rubles.
Hirudotherapy from 1,700 rubles, Sclerotherapy - 1 session - 7,500 rubles (up to 29,600)
Laser treatment RUB 3,300-4,800
Venectology depends on the progression of the disease RUB 39,500-49,500.
Venectomy from 6300 rubles, Sclerotherapy from 5000 rubles, Laser treatment from 7000 rubles, Hirudotherapy from 1300 rubles.
Sclerotherapy RUB 9,800
Venectomy RUB 35,000
6. Nizhny Novgorod, Yekaterinburg, Kemerovo, Kaliningrad.
In these cities there is a specialized clinic, the price list is the same.
Sclerotherapy 4,500 rub. Venectomy 30,800 rub., Hirudotherapy 5,000 rub., Laser therapy 7,000 rub.
7. Krasnoyarsk laser treatment for category 1 disease 21,000 rubles, category 2 up to 27,000 rubles, treatment for category 3 from 34,000 rubles.
Sclerotherapy 10,000 rub. Hirudotherapy RUB 9,300 Venectomy RUB 49,000
"Prax Clinic" from 8,000 - 20,000 rubles.
Sclerotherapy 9800 rub. Hirudotherapy 10,000 rub. Venectomy RUB 30,000
“Ideal Face” laser treatment costs up to 22,000 rubles. The institution is budgetary, so the cost is set after consulting a doctor. . Sclerotherapy from 18,000 rub. Venectomy from 27,000 rub. Hirudotherapy from 5,000 rub.
Venectomy from 15,000 rub. Sclerotherapy from 5000 rub. Hirudotherapy from 3000 rub. Laser treatment RUB 9,900.
Kharkiv. Treatment of varicose veins 5000.00 UAH. Venectomy from 5000 UAH. Sclerotherapy from 4,000 UAH. Hirudotherapy from 700 UAH.
Removal of spider veins with laser 400.00 UAH
Almaty. sclerotherapy - 40,000 tenge.
Hirudotherapy - 500 tenge. Laser treatment from 27,000 tenge.
Venectomy from 40,000 tenge.
Tver sclerotherapy from 6000 rub. Venectomy from 15,000 rub. Laser treatment from RUB 7,000. Hirudotherapy from 1,600 rub.
Venectomy RUB 24,000 Sclerotherapy from RUB 17,000. hirudotherapy from 1500 rub. Laser treatment from 5000 rub.
Ukraine (price in UAH) medical center of modern phlebology
laser treatment from 7200-8000 UAH, sclerotherapy 4000-8000 UAH, venectomy 7200-8000 UAH, hirudotherapy 700 UAH.
Donetsk. Laser coagulation-4,250 UAH, sclerotherapy from 5,000 UAH, Venectomy from 7,000 UAH, hirudotherapy from 400 UAH.
Rostov. Sclerotherapy from 7,000 rubles, Venectomy from 25,000 rubles, Laser treatment from 5,000 rubles, Hirudotherapy from 1,500 rubles.
Odessa. Sclerotherapy from 5,000 rubles, Hirudotherapy from 1,000 rubles, Venectomy from 15,000 rubles, Laser treatment from 7,000 rubles.
During laser treatment of varicose veins, a high-energy stream of light is used, under the influence of which the process of photocoagulation occurs. This means that during the operation all layers of the vein are destroyed and they collapse.
Under constant control of the device, the laser beam is precisely directed to the right place, so there is no damage to nearby tissues or traumatization. There are several methods of laser coagulation.
Their main differences lie in the stages of implementation and indications, but the essence remains the same. During a laser flash, the inner layers of the vein coagulate, which contributes to their collapse and the formation of a small tourniquet at the site of the abnormal vessel
The main types of laser used in vascular removal are diode and neodymium. Surgeons use these lasers to remove small capillaries, but they are not suitable for varicose veins.
The mechanism of their action is the absorption of impulses by hemoglobin, while they do not produce any effect on nearby soft tissues.
Today, there are new generation lasers that are used in the treatment of varicose veins. They are available only in medical institutions, and cosmetologists do not practice their use.
Phlebologists often use two main types of laser treatments. Since each of them has its own indications and contraindications, only a doctor can assess the situation and choose the right method.
During this intravascular procedure, coagulation of the vessel occurs, its further collapse and resorption. It is used to detect veins with diameters of less than 10 millimeters that have a smooth course, in the formation of trophic changes in the skin, as well as insufficient functioning of the valves due to varicose veins.
The main characteristic of this method is the effect on the affected veins without direct contact with the patient’s skin.
At the same time, the walls are heated to 70 degrees, and the process of soldering occurs. This type of laser coagulation is effective on vessels whose diameter does not exceed 3 millimeters.
Very often, percutaneous laser coagulation is combined with sclerotherapy of the veins in the legs, which is used in the treatment of abnormal vessels of large diameter.
The indication for this procedure is the appearance of spider veins in varicose veins. After the manipulation, complete disappearance of the skin defect is observed.
There is no need for special preparation before carrying out the manipulation. The surgeon treats the skin at the procedure site with an anesthetic. During the first procedure, almost 80% of all affected vessels are removed.
It is possible to completely get rid of the problem after completing four sessions, which are carried out at certain intervals.
Although the procedure is considered the most minimally traumatic, there are still certain complications after its implementation:
Varicose veins are considered one of the most common vascular diseases. It begins with the appearance of spider veins and enlarged veins. If the patient does not treat the pathology, then night calf cramps, a feeling of heaviness and pain in the lower extremities occur.
To eliminate the manifestations of the disease, doctors recommend conservative treatment methods. If they do not give the desired result, then a decision is made to perform surgery.
Indications for laser coagulation:
There are effective tablets for veins, Normoven - see the price here.
This procedure has been known for quite a long time and has proven itself on the positive side.
The main advantages of manipulation are:
The main negative factors during the procedure are:
Complications after laser coagulation occur extremely rarely, which proves that the procedure is quite effective. After the manipulation, the surgeon recommends an ultrasound examination of the vessels to confirm a successful result.
The patient does not need to specially prepare for the procedure; it is enough to take the following tests and undergo an examination:
Laser coagulation is performed on an outpatient basis and does not require general anesthesia. For pain relief, analgesics are used, which are used to inject the area around the desired veins.
a duplex scan to mark the veins and the boundaries of valve insufficiency . Before inserting the light guide, it is necessary to mark the places where nearby vessels enter.
The surgical field is treated with antiseptics and anesthesia is administered. The surgeon performs a puncture and inserts a light guide.
Doppler ultrasound helps the doctor control the delivery of the laser treatment, the temperature and the location of the procedure itself.
Basic recommendations of surgeons after manipulation:
The following contraindications exist for laser coagulation of veins:
Please note that after the procedure, you must adhere to the following rules:
Be sure to follow the above rules and by doing this you will reduce the possibility of a relapse of the disease.
Artyukhina Elena Gennadievna
Vascular surgeon of the highest category, phlebologist, angiologist, ultrasound specialist for diseases of the arteries and veins.
Candidate of Medical Sciences
Popovtsev Maxim Alexandrovich
Surgeon, phlebologist, oncologist, specialist in ultrasound diagnostics and laser treatment of vein diseases
Researcher, Department of Surgery, MPF, First Moscow State Medical University
Sychev Andrey Vladimirovich
Surgeon, phlebologist, oncologist, ultrasound diagnostic specialist
Doctor of the highest qualification category, Candidate of Medical Sciences, Associate Professor of the Department of Surgery of the Central State Medical Academy of the Administration of the President of the Russian Federation, member of the Russian Society of Surgeons, Russian Association of Phlebologists
MedicCity uses all modern conservative and surgical techniques that are effective in the treatment of varicose veins.
Depending on the indications, our phlebologists perform sclerotherapy, phlebectomy, miniphlebectomy, and endovenous laser coagulation (EVLC).
Today, endovenous laser coagulation is the safest type of surgical treatment for varicose veins. EVLT has made a real revolution in vascular surgery and is now the most popular method in Europe.
Endovenous laser coagulation (EVLC) is a modern method of treating varicose veins, based on the effect of endovenous (intravascular) coagulation of a vein under the influence of laser energy.
The vein is punctured with a needle, and under ultrasound guidance, a laser light guide is inserted into the lumen of the saphenous veins. Under the influence of the laser, the varicose vein ceases to function. After a short time, the coagulated veins are completely sclerosed (glued together). Laser vein removal is quick, effective and virtually painless!
After EVLT, the patient undergoes a control screening color duplex scan, a mandatory examination is prescribed after 3 months, six months and a year, and drug therapy is recommended to strengthen blood vessels.
A lot has been said and written about veins. But still this topic remains very relevant. If your veins hurt, there may be several reasons, for example:
EVLT is easily combined with other surgical techniques, which allows achieving high cosmetic and therapeutic results.
The type of laser coagulation in each specific case is selected by a vein doctor (phlebologist) based on a thorough ultrasound examination of the leg veins.
It happens that EVLT is not possible due to the large diameter of the great saphenous vein. In this case, our clinic uses a technique of combined laser coagulation with elements of phlebectomy (single-incision surgery).
The combined method, compared with classical phlebectomy, has its advantages: a lower percentage of relapse in the future, low trauma and good cosmetic results.
Today, EVLT is a complete alternative to traditional leg vein removal operations. And despite the higher cost, compared to other methods, it is very popular everywhere in the world.
However, despite the high efficiency and safety of the method, EVLT is a high-tech and technically complex procedure. That is why we reserve the right to choose a treatment method in each specific case. Only after a thorough history taking, examination and duplex scanning of the vessels of the lower extremities, our vascular surgeons determine the method of treatment for each individual patient.
We always try to take into account the wishes of our patients, but in some cases, in order to avoid complications, we have to abandon endovasal laser coagulation in favor of minimally invasive combined operations.
If veins (veins in the legs) are visible, this is a very important sign. Veins are no joke! This is not a simple cosmetic defect, but the beginning of serious diseases - such as varicose veins, thrombosis, thrombophlebitis. The veins of the lower extremities need to be given the closest attention.
Patient reviews of vein removal indicate the high effectiveness of this type of treatment in our clinic.
You can find the cost of vein removal surgery here.
You can also use the forms below to ask our specialist a question, make an appointment at the clinic, or request a call back. Ask a question or indicate a problem with which you would like to contact us, and we will contact you as soon as possible to clarify the information.
Varicose veins of the lower extremities are one of the most common vascular pathologies. This disease always progresses and does not go away on its own, and without effective treatment it can lead to complications such as chronic venous insufficiency, trophic ulcers, thrombophlebitis and bleeding from varicose veins. The process can only be stopped by a timely and correctly performed operation to remove varicose veins. The “popularity” of varicose veins is so high that it can be compared to myopia or carious teeth. Statistics confirm that about a third of women and men in industrialized countries suffer from varicose veins, 3-11% have trophic changes in the skin, trophic ulcers in 1-2.7%. It is also noted that varicose veins “get younger.” Already, almost half of the patients are between 30 and 35 years old. Moreover, varicose veins even affect children - 10-15% of high school students are already experiencing the first symptoms of the disease.
Conventional open surgical operations on veins were developed at the beginning of the last century, but unfortunately, they are still used in many clinics in Kazan and Russia. This is due to the lack of modern equipment, a formulaic approach to treating patients; many surgeons do not know ultrasound examination of veins and do not have special training in phlebology, which has been rapidly developing in recent years all over the world. This approach to the surgical treatment of varicose veins is accompanied by obvious disadvantages:
It is these factors that frighten patients and force them to postpone solving the problem, and this leads to the inevitable progression of varicose veins and the development of complications, including disability.
Minimally invasive treatments for varicose veins (varicose veins of the lower extremities) are usually called “procedures” rather than “surgeries.” They imply minimal impact on the patient’s body through a needle prick or a small puncture of the skin, but not a surgical incision with subsequent sutures and scars, which allows us to talk about “treatment of varicose veins without surgery.”
One of the latest advances in the treatment of this vascular pathology is the use of water-absorbing lasers (1470-1560 nm) and radial light guides.
Endovenous laser obliteration or coagulation (EVLO, EVLC) is a method of intravascular laser exposure to varicose saphenous veins, as a result they are completely closed, excluded from the pathological blood flow and completely disappear after 6-12 months. In this case, the intervention is performed under local anesthesia on an outpatient basis without hospitalization in the clinic.
For EVLO, there is no need to make skin incisions and remove the vessel; it is enough to install an ultra-thin light guide connected to a laser device in the vein through a single puncture. All stages of the procedure, from diagnosis to intraoperative navigation, are controlled using ultrasound angioscanning. EVLO has been used in clinical practice for more than 15 years.
EVLO is the procedure of choice in the treatment of varicose veins in the USA and European countries. This means that the doctor must first offer this method of treatment, and not a traditional operation, which no longer meets modern phlebology requirements.
Having familiarized yourself with the advantages of laser treatment of varicose veins listed below, you will not have to wonder how best to treat varicose veins in Kazan - the procedure has many advantages. Endovenous laser obliteration is performed by one of the most experienced specialists in the Russian Federation, Dmitry Aleksandrovich Slavin, who was the first to perform and introduce it into widespread clinical practice in the Republic of Tatarstan and Kazan.
Advantages of the laser method for treating varicose veins:
EVLO can be used as the main method of treatment in most patients with varicose veins, and the effectiveness of the procedure is 99.8%. The overall complication rate does not exceed 1%. Most often, in the first days after the procedure, only slight bruises and moderately painful compaction along the course of the coagulated vein are noted, which go away on their own in the near future.
Endovenous laser obliteration has a number of contraindications for its use:
Dr. Slavin D.A. has undergone specialized training in the most modern EVLO methods (ELVeSRadial Biolitec), uses the latest achievements of world phlebology - radial light guides.
For the last few years, we have been using in our practice only radial light guides (Biolitec, Germany) for endovenous laser obliteration (EVLO) for varicose veins. Hundreds of such procedures have already been performed, immediate and long-term results have been assessed, which are reflected in our scientific works and reports at international congresses.
What are the advantages of radial light guides: with their help you can close veins of any diameter, the effectiveness of the procedure is about 100%, laser surgery becomes virtually painless, more than 94% of our patients do not take any painkillers, you can start office work the very next day, significantly The time required to wear compression hosiery is reduced, up to complete abandonment; there are no side effects of using end light guides such as hematomas, painful seals, thrombophlebitis, burns, pain. In addition, the disadvantages of the end light guide include the risk of puncturing a vein with its sharp tip, which is not covered by anything, and the impossibility, therefore, of installing the light guide into a convoluted vein, which quite often happens with varicose veins. The end light guide shines only forward and all the laser energy is concentrated in a certain small part of the venous wall, which leads to its burning and uneven processing, in addition, the uncovered tip of the light guide gets very hot and always touches the vein wall, also causing its through burning, charring and damage to surrounding tissues .
Thus, we can say with full responsibility that for endovenous laser obliteration it is necessary to use radial light guides. However, unfortunately, in the vast majority of clinics in Kazan and the Republic of Tatarstan, conventional end light guides are used for EVLO, which is associated with the relatively high cost of radial light guides and the clinics lagging behind the modern pace of development of medicine.
We were the first to use this type of light guides in the Republic of Tatarstan and made the EVLO method with a radial light guide available to patients.
Remember: by postponing a visit to the doctor, you risk aggravating the problem and getting dangerous complications!
Dear friends, I welcome you to the site dedicated to the phenomenon of sleep and quality of life. Today we’ll talk about a problem that every third contemporary person faces.
Heaviness and pain in the legs may indicate poor circulation and be the first signs of varicose veins. In this article: varicose veins on the legs, causes, symptoms and prevention.
WHO experts and cardiologists recognized varicose veins as a dangerous disease that “shoots first in the legs and then in the heart.” Complications of varicose veins pose a mortal threat: thrombophlebitis, thromboembolism, trophic ulcers and bleeding.
Women are genetically predisposed to varicose veins and are 3 times more likely to suffer from the disease than men.
Recently, this disease is rapidly becoming “younger”; its signs are found even in schoolchildren.
Varicose veins are the price humans pay for walking upright; no mammal suffers from problems with veins. There are mentions of varicose veins in the Old Testament. In Byzantine manuscripts it is called a disease that “knocks you down.”
A mummy found during the excavation of an ancient burial in Egypt showed traces of varicose veins and treatment for a trophic ulcer on the leg. Scientists and historians have come to the conclusion that this disease has accompanied humanity throughout its history.
The impetus for the development of varicose veins is an imbalance of elastin and collagen in the body, leading to loss of elasticity of the venous walls, their thinning and stretching, as well as disturbances in the functioning of the venous valves. Veins and valves cannot cope with the flow of blood, reverse blood flow and stagnation occur.
1. Hereditary predisposition is the main reason for a third of all patients.
The risk of varicose veins reaches 70 percent if any of the parents, grandmothers, or great-grandmothers suffered from varicose veins.
What is inherited is not the disease itself, but the genetically determined structure of the veins: weak connective tissue of the venous walls, congenital defective vein valves.
That is why varicose veins can be observed in young, healthy and active (regardless of gender) people and even in children.
2. Changes in hormonal balance in the body.
Puberty, pregnancy, childbirth, menopause, and menstruation are natural factors that disrupt hormonal levels in women and explain their greater vulnerability to venous diseases.
The hormonal cause of varicose veins is becoming increasingly common. This is explained by the widespread use of hormonal drugs in the treatment of metabolic disorders, menopause, contraception , etc.
Scientists have proven that progesterone (the female sex hormone), estrogens and their analogues destroy collagen and elastic fibers, which significantly reduces the tone of the vein walls.
3. Inflammatory processes in the pelvic and genital organs (especially in women) affect small veins and lead to hormonal disorders. As a result, the communication between the venous and arterial vessels opens, and blood enters the veins in large volumes and under high pressure. The veins expand and the valves cannot cope with the reverse flow of blood. The result is varicose veins.
The elasticity of the vein walls is regulated by nerve endings. If the nature of their activity changes (during stress, depression, neurosis, etc.), the tone of the veins decreases, and the lumen in the vessels expands.
5. Physical activity : domestic and professional increases pressure in the veins of the legs.
The vertical position of the human body creates a natural increase in venous pressure in the vessels of the legs. If the static load is excessive, then the pressure in a standing position increases many times over. This occurs during heavy lifting, pregnancy and childbirth, excess weight, standing for a long time, etc.
The risk group includes sellers, teachers, hairdressers, couriers, loaders and others.
6. Sedentary nature of work or lifestyle.
Profession and computer addiction are the most common causes of varicose veins, according to doctors.
When sitting for a long time, the veins are pinched and blood circulation is disrupted. Phlebologists have a professional term for this case: “computer varicose veins.”
The muscles of the leg and foot perform the function of a muscle “pump”, pumping blood upward. If we do not move, vascular tone weakens, venous pressure rises and blood stagnates.
In women, vascular diseases are more common due to genetic predisposition. Men are less susceptible to varicose veins, but they tend to treat it more negligently than women and consult a doctor when the disease literally “knocks you off your feet,” that is, in late and life-threatening stages.
9. Prolonged constipation, sneezing and coughing lead to an increase in intra-abdominal pressure and pressure in the veins, disrupting the functioning of the venous valves.
11. Tight shoes, high heels.
12. Body constitution - tall people suffer more than short people.
The first signs of poor circulation:
At the next stage:
Swelling of the legs is a serious warning from the body that varicose veins are progressing and that the deep veins are not performing their main function. At this stage, complications are dangerous: thrombophlebitis, thromboembolism, trophic ulcers and bleeding (can occur from the slightest blow, and is very difficult to stop).
It is not the disease itself that is dangerous, but its complication: thrombophlebitis, which is formed when the internal walls of the veins become inflamed and leads to the formation of blood clots. Blood clots block the lumens of the veins (phlebothrombosis), or, breaking away from the wall of a blood vessel, enter the lungs (thromboembolism).
These complications are life-threatening, especially thromboembolism, which is often fatal.
To avoid a deadly threat, treatment for varicose veins should begin as early as possible: with a visit to a phlebologist and a mandatory blood test for clotting.
Walking is better than standing. Sitting is better than standing. Lying down is better than sitting. This lifestyle stereotype is for those who love themselves and their legs. The leg muscles must be forced to contract or given a horizontal position, preferably elevated. In this case, the knees should be straight.
You are at risk if you are forced to sit or stand for long periods of time. Regular contractions of the muscles and heart are necessary for normal circulation.
Active lifestyle: go swimming, cycling. When hiking, don't just walk, but put moderate stress on your legs by walking briskly.
Physical activity should not be prolonged or excessive.
If you have to stand for a long time, try to shift from foot to foot and move your toes.
If you have to sit for a long time:
Wear compression hosiery during pregnancy, when flying on an airplane, long journeys by transport, exercising on simulators or on a treadmill.
Today, medicine has effective and very effective methods for treating varicose veins. In the early stages, it can be completely cured. Do not start the disease by wasting precious time on dubious experiments, contact a phlebologist.
The purpose of the article about varicose veins of the legs, causes and symptoms:
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Elena Valve for the project Sleepy Cantata.
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