The treatment of varicose veins with a laser is a modern and effective way to get rid of this disease.
Laser therapy uses a focused light radius, which causes damage to veins and growth in its lumen of the connective tissue.The blood flow through the subtle 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 with the aim of the thermal effects on the ship wall.This influence is caused by an irreversible decline, by the replacement of the connective tissue and the disappearance of the expanded ship.
The main mechanism of action is the heating of the minimum quantity of blood with the formation of steam, which damages the vascular wall.A diode laser with different sizes is used and optical fiber structure.
To fill in a varicose veins, an ultrasound doppler study is used.An analgesic substance is introduced in the intervention area.A very thin optical fiber is introduced into the varicose vein, from the tip of which a laser beam comes out.
The energy of the laser is converted into heat.The temperature inside the ship reaches 60-70 degrees.The effect of heat on the vein wall leads to its "gluing".Subsequently, over time, the sclerosa vein is absorbed.
Indications
The laser treatment of varicose veins is performed in two main methods:
- percutaneous;
- intravascular (endovascular).
Bear the therapy laser helps to get rid of vascular stars and small expanded subcutaneous veins.This procedure is performed for a cosmetic purpose.It can be used as a second phase of treatment after eliminating large varicose veins using surgery, sclerotherapy or endovascular therapy.
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;
- Front and additional subcutaneous rear;
- surface subcutaneous;
- Front and rear envelope of the femoral.
Laser therapy is particularly shown to obese patients, since sclerotherapy or phlebectomy in such patients is difficult to technically or can lead to complications.
Indications for endovascular coagulation:
- Operation ineffective of the valves, accompanied by Edema (reflux for pre -popplerography of over 0.5 s);
- Trophical disorders: a change of color and density of the skin, dryness and itching of the skin;
- Hard ulcers, difficult to treat.
The main symptoms in which laser treatment is shown:
- Lomota in the legs;
- gravity and fatigue;
- feeling of pulsation;
- itchy skin;
- convulsions at night;
- Hemorrhages under the skin.
Skin changes:
- vascular stars, eczema, change of color;
- white leather atrophy outbreaks;
- ulcers;
- swelling;
- Inflammation of the surface veins.
Contraindications
Endovascular laser therapy is contraindicated in the following cases:
- pregnancy and breastfeeding in which anesthesia can damage the child;
- Difficulty in blood flow through deep veins, which will prevent normal blood flow after surgery;
- liver insufficiency or allergies to painkillers;
- blood coagulation disorders;
- the impossibility of adequate outpatient treatment and observation after the intervention;
- Casting of blood (reflux) in overlying veins;
- Thrombosis, adhesions or tolerance of the veins.
Advantages of the method
Laser coagulation of the veins is a safe and effective method for the treatment of varicose veins on an outpatient basis under local anesthesia.The procedure takes 1 - 1.5 hours.Most patients are satisfied with the result of the treatment.
The total cost of the intervention is lower than the surgical operation.Its effectiveness in terms of 3 months to 4 years reaches 93 and 100%.
Laser therapy does not lead to the formation of scars and scars.It is well tolerated and allows you to quickly restore normal activity.The side effects of the procedure have very rarely.
Cracking
The laser treatment of varicose veins can be accompanied by the following consequences:
- skin burning;
- change in the color of the skin;
- Damage to the neighboring nerves, accompanied by burning or tingling (the probability of this is much lower than the usual operation);
- Thrombosis of Vienna.
The more the experience of a doctor who performs the removal of vases on the legs with a laser, the better the result of the treatment.
Endoxic coagulation cannot be performed with the coordin of the veins, for the treatment of large varicose nodes, as well as with a diameter of the pot greater than 1 cm.
Recommendations
Treatment of beliefs with a varicose veins laser requires different sessions.They are required at a 6-12 weeks interval.
Endovascular therapy is performed using a thin fiber introduced into the vein under the control of ultrasound.This is a procedure with a short recovery period.It is carried out under local anesthesia.
After the laser removal of the blood vessels, the patient can walk almost immediately and quickly returns to normal life.Within a week from the procedure, it is recommended to wear compression stockings with the degree of compression II (30-40 mm hg) or elastic bandages.
It is recommended to walk for 1-2 hours a day for 2 weeks.At this moment, it is necessary to abandon the hot baths, run, jumps, weight lifting and voltage.
If pain or discomfort appears, an anti -inflammatory drug can be taken.
A repeated inspection and ultrasound examination of the veins is carried out a month after the surgery and then after 1 year.This allows you to evaluate the effectiveness of the completed procedure.
Alternative methods
When the Laser coagulation of the veins are not shown, it is necessary to consider the problem of the use of other methods for the treatment of varicose veins:
- combined drugs with elastic compression;
- Radio -frequency ablation - Destruction and blocking of the ship using radio waves;
- Sclerotherapy - Lume prison with chemicals;
- Flebectomy - Surgical removal of the vein.
The intravascular laser therapy of varicose veins is an excellent method that provides effective eliminating disease for 3-4 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 quick recovery period.