Varicose Veins Treatments

In patients with varicose veins or Chronic Venous Insufficiency, a part of the leaky varicose vein is closed on the laptop with the techniques that use laser, radiofrequency and adhesive, which is called "non-surgical treatment". I present the points and short answers of our patients about the question "Which technique?" and other issues. Do not forget, "There is no disease, there is a patient."

This article was not written to highlight a technique. Your doctor who sees you, examines you and sees your tests will guide you better.

1. What does non-surgical varicose treatment mean?

2. Which vein is closed in the treatment of varicose veins?

3. Is there any harm in closing the vein?

4. How is the vein closed in the treatment of varicose veins?

5.How is anesthesia done?

6. Can normal life be resumed after closure?

7. What are the results of these operations?

8. How to decide which technique to apply?

1.What is varicose vein treatment without surgery?

This issue is unique to our country. This type of definition is not seen in foreign countries. Such procedures are performed in the operating room. There is a more promotional effort in the form of "non-surgical treatment" because it has fewer incisions than conventional surgery and the procedure is performed under ultrasound.

2. Which vein is closed in the treatment of varicose veins? Varicose veins are most commonly seen in the Great Saphenous Vein, then the small saphenous vein, and finally in the veins associated with them. The veins that are closed are these veins. I call these veins large and small varicose veins. These vessels, their diameters and the degree of leakage are examined by ultrasound.

3.Is there any harm in closing the vessel?

No, there is no harm. In the old classical surgery, all of these vessels were removed. New techniques have been developed due to poor results and recurrence of varicose veins. When the leakage from the closed part of the vein is eliminated and the downward load is eliminated, the main problem of varicose veins is solved. The closed vein will not cause you any inconvenience, there will be many checkers to replace it. r exists.

4. How is the vein closed in the treatment of varicose veins? Varicose vein closure is done with radiofrequency, laser, adhesive (cyanoacrylate) and foam (polidocanol). It is often known as an energy shutdown or incineration process. Under ultrasound, a wire is inserted into the varicose vein by means of a needle. Vein closure/burning is performed with laser or radiofrequency waves from the area at the end of this wire. These waves are in a size that will not harm the human body. In addition, it is protected in the surrounding tissues with special anesthetic solutions. In recent years, in addition to laser and radiofrequency, closure is also performed using adhesive chemicals or a drug used in the treatment of capillary varicose veins, using "foam". While the chemical substance is used in our country and Europe, it is not used in the USA because it has not been approved yet.

5.How is anesthesia done?

 These procedures are performed under local anesthesia. The patient is conscious and speaks clearly. Local anesthesia is applied to the operation areas. In addition, cold special anesthetic solution is given around the vein closed for laser and radiofrequency for pain and protection purposes. This is known as "tumor" anesthesia in the form of regional anesthesia. When adhesive and foam are used, only local anesthesia is performed.

6. Can normal life be resumed after closure?

The advantage of these techniques is that you can return to normal activity immediately. They can stand up and walk immediately after the procedure. Generally, day trading is done. After the blood tests are done to the patient who comes to the hospital in the morning, it is processed at noon. He is discharged in the evening. There are bandages on the leg made with the patient after the surgery.

7. How to decide which technique to apply?

In the treatment of varicose veins, the patient's complaints, examination findings and the information obtained in ultrasound mapping help the decision. In which vein there is leakage, its location, degree, diameter of the vein and other vascular connections are important. The decision is made according to the characteristics of each patient. All advantages and disadvantages are shared with the patient and the final decision is made. Stay well.

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