Laser treatment for varicose veins developed in the leg veins has been applied since 1998.
TREATMENT PROCESS
Before the procedure, the vein to be intervened with the imaging method called Doppler ultrasound A kind of mapping is done by evaluating the system.
The procedure is performed under local anesthesia and with ultrasonography. The great superficial vein (great saphenous vein) is visualized by ultrasound from the inside of the knee, and a needle is inserted into the vein. Next; Under the guidance of Doppler ultrasound, the laser catheter is advanced along the leaking large superficial vein and placed 2 cm behind the point where the vein connects to the deep main vein. The location of the catheter is determined precisely by visualizing it under the skin with ultrasound and laser light. At this stage, local (tumescent) anesthesia is applied around the vein in a way that it will surround the vein along the vein in order to avoid nerve and skin damage. The purpose of this application is to prevent damage to the tissues. Because in regions where energy is concentrated, the temperature can reach very high values. The most commonly used wavelength in laser processing is 980 nm. Laser power is usually set between 10-15 watts and the average energy delivered per cm is 65-100 joules. As a result of the heat and contraction created by the laser energy transferred by the catheter in the vessel wall, the vessel narrows and closes. If present, small incisions can be made with the microphlebectomy method on the blistered varicose veins from the skin. At the end of the procedure, complete closure of the vessel should be visualized by Doppler ultrasound. After the procedure, the patient's leg is routinely wrapped with an elastic bandage and the leg remains bandaged for 2 days. WHO IT IS NOT APPLIED
Intravenous laset therapy cannot be applied to pregnant women, those with arterial disease in the legs, those who are bedridden, those with newly developed deep vein occlusion, and those with a disease prone to bleeding or thrombosis.
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