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 beam of light, which causes damage to the veins and the growth in its connective tissue light.The blood flow through the thin vein ceases, which leads to the disappearance of the symptoms of the disease.
The principle of operation
If the patient has varicose veins in the legs, laser treatment is carried out with the objective of the thermal effects on the vessel wall.This influence is caused by an irreversible decrease, the replacement of the connective tissue and the disappearance of the expanded vessel.
The main mechanism of action is the heating of the minimum amount of blood with the formation of steam, which damages the vascular wall.A diode laser with different size and structure of optical fibers is used.
To compile a Doppler ultrasound study, 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 laser energy becomes heat.The temperature inside the container reaches 60-70 degrees.The effect of heat on the vein wall leads to its "stuck."Subsequently, over time, the scaraged vein is absorbed.
Indication
Laser treatment of varicose veins is carried out in two main methods:
- percutaneous;
- Intravascular (endovascular).
Bearing laser therapy helps to get rid of vascular stars and small expanded subcutaneous veins.This procedure is carried out for a cosmetic purpose.It can be used as a second treatment stage 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 such vessels:
- Great and small subcutaneous;
- Front and subsequent additional subcutaneous;
- Superficial subcutaneous;
- On front and rear of the femoral.
Laser therapy is especially shown to obese patients, since sclerotherapy or phlebectomy in such patients is difficult to or can cause complications.
Indications for endovascular coagulation:
- Ineffective operation of valves, accompanied by edema (reflux for preplerography of more than 0.5 s);
- Trophic disorders: a change in color and density of the skin, dryness and itching in the skin;
- Have ulcers, difficult to treat.
The main symptoms shown laser treatment:
- Loin on the legs;
- gravity and fatigue;
- Pulsation feeling;
- itching in the skin;
- seizures at night;
- Hemorrhages under the skin.
Skin changes:
- Vascular stars, eczema, color change;
- white skin atrophy;
- ulcers;
- swelling;
- Inflammation of the superficial 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 avoid the normal exit of the blood after surgery;
- liver failure or analgesics allergies;
- Blood coagulation disorders;
- the impossibility of adequate outpatient treatment and observation after the intervention;
- Blood melting (reflux) in supraying veins;
- Thrombosis, adhesions or tolerance of the veins.
Advantages of the method
Laser coagulation of the veins is a safe and effective method to treat varicose veins in an outpatient way under local anesthesia.The procedure has 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 - 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.
Defects
Laser treatment of varicose veins can be accompanied by the following consequences:
- skin burning;
- change in skin color;
- Damage to nearby nerves, accompanied by burning or tingling (the probability of this is much less than during the usual operation);
- Vienna thrombosis.
The more the experience of a doctor who performs the elimination of vessels in the legs with a laser, the better the result of the treatment will be.
Endoxic coagulation cannot be carried out with the coast of the veins, for the treatment of large varicose nodes, as well as with a diameter of the vessel of more than 1 cm.
Recommendations
Credited treatment with a laser of varicose veins requires several sessions.They are carried out in an interval of 6 to 12 weeks.
Endovascular therapy is performed using a thin fiber introduced in the vein under ultrasound control.This is a procedure with a short recovery period.It is carried out under local anesthesia.
After the laser removal of blood vessels was performed, the patient can walk almost immediately and quickly return to ordinary life.Within a week after the procedure, it is recommended to use compression stockings with II degree of compression (30 - 40 mm Hg) or elastic bandages.
It is recommended to walk for 1 to 2 hours a day for 2 weeks.At this time, it is necessary to leave hot baths, run, jump, lift weights and efforts.
If pain or discomfort appears, an anti -inflammatory medication can be taken.
A repeated inspection and ultrasound examination of the veins is carried out a month after the intervention, 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 is not shown, it is necessary to consider the problem of using other methods to treat varicose veins:
- medications combined with elastic compression;
- Radiofrequency ablation: destruction and lock of the container using radio waves;
- Sclerotherapy: Light prison with chemicals;
- Flebectomy: surgical elimination of the vein.
Intravascular laser therapy of varicose veins is an excellent method that provides effectively eliminating 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 quick recovery period.