Although it is not among the causes of venous insufficiency or varicose veins, it is the summer season when the sun and hot weather are intense; It becomes a nightmare for varicose vein patients. In fact, the problem is not the sun or ultraviolet itself. The problem is due to the dilating effect of extremely hot air caused by the sun on the vein walls. Veins, also known as veins, are capacitance vessels; They have the possibility of contraction and expansion depending on variable factors. In this way, they can ensure the flow of blood within them or act as a blood reservoir. They are also effective in removing or releasing body heat to the environment. If there is venous insufficiency or varicose veins; The expansion of the veins due to heat is also serious and visible on the skin surface. For this reason, most people with venous insufficiency or varicose veins state that their complaints increase in the summer season and that these veins become more prominent.
Varicose veins, which are much more common in women than in men, are the most common vascular disease. Varicose veins increase with age; It causes complaints such as pain, itching, swelling in the ankle, night cramps, superficial thrombophlebitis, venous ankle skin changes and bleeding.
Op. from Medicana Samsun Hospital Cardiovascular Surgery Department. Dr. Murat Küsdül gave information about Modern Methods in Varicose Vein Treatment;
WHAT ARE VARICORES?
Varicose veins are the enlargement, elongation and tortuosity of the veins without any organic cause. It is defined as becoming.
WHICH AGE GROUP IS IT MOST SEEN?
Varicose veins are an important health problem. Although its frequency in adults shows different geographical variations, it gradually increases with age. Leg varicose veins are the most common vascular disease in office practice. It affects 15-20 percent of the adult population. While it is 2-4 times more common in women than in men, the familial transmission rate is more than 50 percent.
WHAT KINDS ARE VARICOSES ARE?
Varicose veins can be primary or secondary. The primary is about varicose veins. The most accepted theory today is hereditary weakness in the vein wall and closed veins. venous insufficiency and venous hypertension. Secondary or acquired varicose veins occur as a result of damage to the venous valves due to reasons such as trauma, deep skin thrombosis or inflammation. In addition to obvious varicose formations that are curved on an extremity, smaller telangiectatic, reticular formations may also be found. These formations appear as blue or red linear color changes that cannot be felt by hand, are located superficially on the skin, and are 1 millimeter or smaller in diameter. They are locally widespread star-shaped or spider web-like linear formations and can cover the entire leg. Although it varies from patient to patient, these formations may be located together or separately in an extremity.
FACTORS THAT FACILITATE THE FORMATION OF VARICORES:
Many factors play a role in the pathophysiology of varicose veins in epidemiological studies. has been suggested. In these studies, family history (heredity), risky lifestyle and smoking were shown as leading risk factors because they were detected at higher rates in patients with venous insufficiency. In patients with a positive family history, the risk of varicose veins is 4.4 times higher. Standing for a long time or doing work sitting for a long time is a risk factor, and it increases the risk of developing high-grade venous insufficiency by 2.7 times in those who stand for more than 4 hours a day.
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Standing for a long time.
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Pregnancy
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Obesity
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Working sitting down
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Inactivity
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Old age
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Medication use (Birth control pills, used during menopause hormone replacement therapies)
VARICOSE DISEASE AND COMMON COMPLAINTS
The most common symptoms of patients are the deterioration of the appearance of their legs and long-term It is leg pain and a feeling of heaviness in the legs that occurs when standing. Symptoms may not be related to the degree of anatomical defect. Sometimes the patient may injure varicose veins. In this case, significant bleeding may occur. A complication of leg varicose veins is superficial thrombophlebitis; It can cause serious pain and limitation of movement. Chronic long-term leg varicose veins Ankle swelling, stasis dermatitis, and leg ulcers may develop. Standing for long periods of time or obesity cause all leg varicose veins to become more symptomatic.
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Pain
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Itching
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Ankle swelling
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Night cramps
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Superficial thrombophlebitis
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Venous ankle skin changes (pigmentation, eczema, lipodermatosclerosis and open wound)
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Bleeding
VARICOSE TREATMENT
The aim of varicose vein treatment is to improve the quality of life. The disease generally has a benign course, most patients do not require surgery, and good results are obtained with conservative treatment methods. Therefore, invasive treatments should be avoided unless the symptoms are very serious. If symptoms seriously affect the patient's quality of life, treatment should be considered. Sometimes, in patients with large varicose veins, if complications such as bleeding or ulceration develop, more aggressive surgical treatment methods may be tried.
Unless the causative causes are eliminated (excess weight, long standing, estrogen use), varicose vein formation will recur after a certain period of time. It should not be forgotten.
Treatment is under two headings.
The first is laser or foam treatment applied externally to visible varicose veins. This treatment is generally for cosmetic purposes and has almost no contribution to deep vascular insufficiency.
The main treatment is the intervention for the deep vessels that cause the insufficiency, as mentioned above. Removing only externally visible varicose veins without treating this will never be a permanent solution and the disease will continue to progress.
CLOSED METHOD IN VARICOSCOPE TREATMENT; EMBOLIZING AGENT TREATMENT
With the embolization method successfully applied in our hospital, the procedure is performed without the need for any anesthesia, that is, narcosis. Without any incision in the leg, a needle is inserted into the deep vein above the kneecap, under ultrasound guidance, and is reached through the vein to the groin area. This method, which is based on the intravenous application of a liquid called embolizing agent, takes 10-15 minutes and the patient is half-way sick after the intervention. He is discharged walking within 1 hour.
WHAT ARE THE ADVANTAGES OF EMBOLIZING AGENT TREATMENT IN VARICOSE VICES?
-It does not require General or Spinal Anesthesia.
-Heat-related skin and nerve damage and It eliminates the risk of numbness
-The patient can return to work and daily life on the same day
-It leaves no scars
-The patient can easily stand up 30 minutes after the procedure
-There will be no permanent stiffness or stretching sensation in the treated vascular area
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