Laser treatment of varicose veins is a modern and effective way to get rid of the disease.
Laser therapy uses a focused beam of light to damage the vein and cause connective tissue to grow in its lumen. The blood flow through the collapsed veins ceases, causing the symptoms of the disease to disappear.
How it works
If the patient has varicose veins on the legs, laser treatment is performed with the goal of applying heat to the blood vessel wall. This effect leads to irreversible collapse, replacement of connective tissue and disappearance of dilated blood vessels.The main mechanism of action of
is to heat a minimum amount of blood by forming steam, thereby damaging the blood vessel wall. Diode lasers using fibers of different sizes and structures.
Doppler ultrasound is used to map varicose veins. Anesthetic is injected into the intervention area. A very thin optical fiber is inserted into the varicose vein, and the laser beam is emitted from the tip.
Laser energy is converted into heat. The temperature in the container reaches 60-70 degrees. The effect of heat on the vein wall causes it to "stick". In the future, over time, the hardened veins will disappear.
There are two main methods for laser treatment of varicose veins:
- Intravascular (intravascular).
Transcutaneous laser therapy helps get rid of spider webs and small saphenous veins. Perform this procedure for cosmetic purposes. After removing large varicose veins through surgery, sclerotherapy or endovascular therapy, it can be used as a second stage of treatment.
The intravascular method is used to eliminate large varicose veins.
If you have varicose veins on your legs, laser treatment can allow you to act on the following blood vessels:
- Large and small subcutaneous;
- Subcutaneous front and rear attachments;
- Superficial subcutaneous;
- The front and back capsule of the femur.
Laser therapy is particularly suitable for obese patients, because sclerotherapy or venectomy for such patients is technically difficult or can cause complications.
Indications for intravascular coagulation:
- Ineffective valve operation, accompanied by edema (Doppler ultrasound reflux over 0. 5 s); Nourishing diseases: skin color and density changes, dryness and itching;
- Leg ulcers are difficult to treat.
The main symptoms that require laser treatment:
- Sore legs;
- Weight and fatigue;
- Itchy skin;
- Cramps at night;
- Bleeding under the skin.
- Spider web, eczema, discoloration;
- Skin atrophy lesions;
- Superficial vein inflammation.
Disable intravascular laser treatment in the following situations:
- Pregnancy and breastfeeding, where anesthesia can harm the baby;
- Block blood flow in deep veins, which will prevent normal blood flow after surgery;
- Liver failure or allergy to analgesics;
- Blood coagulation disorders;
- It is impossible to carry out correct outpatient treatment and follow-up after intervention; Upper venous reflux;
- Thrombosis, adhesions or tortuous veins.
Advantages of the method
Intravenous anesthesia is a safe and effective way to treat varicose veins in the outpatient department under local anesthesia. The process takes 1-1. 5 hours. Most patients are satisfied with the treatment results.
The total cost of intervention is lower than the cost of surgery. In 3 months to 4 years, its effectiveness reaches 93-100%.
Laser therapy will not cause scars or scars. It is well tolerated and allows you to quickly resume normal activities. The side effects of this procedure are very rare.
Laser treatment of varicose veins may have the following consequences:
- skin burns;
- Change of skin color;
- Damage to nearby nerves, accompanied by burning or tingling (this possibility is much lower than traditional surgery);
- Venous thrombosis.
The more experienced the doctor is in laser resection of the leg blood vessels, the better the treatment effect.
Intravenous coagulation should not be performed due to tortuous veins, large varicose veins, and blood vessels greater than 1 cm in diameter.
Percutaneous laser treatment of varicose veins requires several courses. Held every 6 to 12 weeks.
Intravascular treatment using fine fibers inserted into veins under ultrasound guidance. This process has a short recovery period. It is performed under local anesthesia.
After laser resection of blood vessels in the legs, the patient can walk almost immediately and return to normal life quickly. One week after the operation, it is recommended to wear elastic stockings or elastic bandages with a compression degree of II (30-40 mm Hg).
It is recommended that you walk 1-2 hours a day for 2 weeks. At this time, it is necessary to give up hot baths, running, jumping, weightlifting and fatigue.
If you experience pain or discomfort, you can take anti-inflammatory drugs.
One month after the intervention, and then one year later, the veins were reviewed and ultrasonographic. This allows you to evaluate the effectiveness of the process performed.
If laser vein coagulation is not indicated, please consider other treatments for varicose veins:
- Drugs combined with elastic compression;
- Radiofrequency ablation-using radio waves to destroy and block blood vessels;
- Sclerotherapy-using chemicals to clear the lumen;
- Vein extraction-surgical removal of veins.
Endovascular laser treatment of varicose veins is an excellent method that can effectively cure the disease within 3-4 years in 90% of patients. It is rarely accompanied by serious complications. The advantages of laser are no scars after surgery and short recovery period.