Treatment of varicose veins with a laser is a modern and effective way to get rid of this disease.
Laser therapy uses a beam of focused light, which causes damage to the vein and growth in connective tissue lumen.Blood flow through the sketch vein ceases, which leads to the disappearance of symptoms of the disease.
The Operation Principle
If the patient has varicose veins in the legs, laser treatment will be performed with the objective of thermal effects on the vessel wall.This influence is caused by an irreversible decline, the replacement of connective tissue and the disappearance of the expanded vessel.
The main mechanism of action is the heating of the minimum amount of blood with steam formation, which damages the vascular wall.A diode laser with size and structure different from optical fibers is used.
To compile the varicose veins, an ultrasound doppler study is used.An analgesic substance is introduced into the intervention area.A very thin optical fiber is introduced into the varicose vein, from the end of which a laser beam comes out.
Laser energy is converted into heat.The temperature inside the vessel reaches 60 to 70 degrees.The effect of heat on the vein wall leads to its "collage".Subsequently, over time, the sclerosing vein is absorbed.
Nominations
Laser treatment of varicose veins is performed in two main methods:
- percutaneous;
- intravascular (endovascular).
Rolling laser therapy helps 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 stage 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 in the legs, laser treatment allows you to influence these ships:
- large and small subcutaneous;
- subcutaneous additional front and rear;
- Superficial subcutaneous;
- Frontal and rear envelope of the femoral.
Laser therapy is especially shown to obese patients, since sclerotherapy or flexibility in these patients is difficult to technically or may lead to complications.
Indications for endovascular coagulation:
- Ineffective operation of valves, accompanied by edema (reflux for pre -popplerography of more than 0.5 s);
- Trophic disorders: a change in skin color and density, dryness and itching on the skin;
- HARSE ulcers, difficult to treat.
The main symptoms in which laser treatment is shown:
- Lomota in the legs;
- gravity and fatigue;
- feeling of pulse;
- itching on the skin;
- seizures at night;
- Bleeding under the skin.
Skin Changes:
- Vascular stars, eczema, color change;
- White skin atrophy outbreaks;
- ulcers;
- swelling;
- Inflammation of the surface veins.
Against -indications
Endovascular laser therapy is against -Indicated 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 output of blood after surgery;
- liver failure or allergies to painkillers;
- Blood coagulation disorders;
- the impossibility of appropriate outpatient treatment and observation after intervention;
- Blood foundry (reflux) in the veins over -disrupting;
- Thrombosis, adhesions or vein tolerance.
Advantages of the method
Laser vein coagulation is a safe and effective method for treating varicose veins in an outpatient base under local anesthesia.The procedure takes 1 to 1.5 hours.Most patients are satisfied with the treatment outcome.
The total cost of intervention is lower than surgical operation.Its effectiveness in terms of 3 months to 4 years reaches 93 - 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 arise very rarely.
Imperfections
Laser treatment of varicose veins can be accompanied by the following consequences:
- Skin burning;
- change in skin color;
- damage to the close nerves, accompanied by burning or tingling (the probability of this is much lower than during the usual operation);
- Vienna thrombosis.
The more the experience of a doctor who removes vessels on the legs with a laser, the better the result of treatment.
Endoxic coagulation cannot be performed with the coast of the veins, for the treatment of large varicose veins, as well as with a pot diameter of more than 1 cm.
Recommendations
CREATED TREATMENT WITH A LASER OF VARICES REVIEW SEVEN SESSIONS.They are kept in a 6-12 week interval.
Endovascular therapy is performed using a thin fiber introduced into the vein under the control of the ultrasound.This is a procedure with a short recovery period.It is performed under local anesthesia.
After removing the laser from blood vessels, the patient can walk almost immediately and quickly returns to ordinary life.Within a week after the procedure, it is recommended to wear compression socks with II degree of compression (30 - 40 mm Hg) or elastic bandages.
Walk is recommended for 1 to 2 hours a day for 2 weeks.At this time, it is necessary to abandon hot baths, running, heels, weight lifting and tension.
If pain or discomfort appears, an anti -inflammatory drug may be taken.
A repeated inspection examination and vein ultrasound is performed one month after intervention and after 1 year.This allows to evaluate the effectiveness of the completed procedure.
Alternative Methods
When vein laser coagulation is not shown, it is necessary to consider the question of using other methods to treat varicose veins:
- medications combined with elastic compression;
- Radiofrequency ablation - destruction and blockage of the vessel using radio waves;
- Sclerotherapy - lumen prison with chemicals;
- Flebectomy - Surgical removal of the vein.
Laser intravascular varicose vein therapy is an excellent method that provides effective, free from the disease for 3 to 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 rapid period of recovery.