Modern methods of treatment of varicose veins of the legs

The treatment of varicose veins of the feet is a real challenge, both for the doctor-phlebologist and the patient. This is due to the different forms and stages of the disease, requiring very different treatment activities. Plays an important role, and the principle of minimal injury and faster rehabilitation of the patient. Effective and respectful care are of high technology and require modern medical equipment and qualified professionals-phlebologist.

Varicose veins

The means of treatment of varicose veins:

  • The curator of the event
  • Sclerotherapy
  • The surgical methods

Almost always the means of treatment are used in conjunction, combines with success and complement each other.

The conservative treatment of varicose disease.

This is a set of measures to reduce the risk of complications of varicosity and improve the quality of life of the patient. This method does not eliminate the varicose veins and, therefore, requires a continuous application.

  • Correction of a mode of life – activities aimed at the formation of the so-called disorders musculo-venous pump. Disorders musculo-venous pump is a kind of pump, allowing the flow of venous blood in the lower limbs. The operation of this pump is possible thanks to the collaboration of the muscles and veins of the legs. When muscle reducing compression of the veins, passing between and within the muscles, therefore, the blood travels to the heart. The training includes dynamic exercises athletic. Very useful is swimming, of course on the bike, nordic walking, cross-country skiing. You need to exclude long static load on the feet. For the improvement of the flow of venous useful also called pastoral drainage during the day, it is the adoption of the posture in which the feet are in an elevated position, which contributes to venous reflux. For example, the likeness of "the posture of a cow - boy, when you're sitting on a chair, the man puts his feet on the table. Useful breathing exercises, in fact, good deep breathing stimulates the circulation of the blood. It is recommended to exclude the overheating of the body, since this considerably reduces the tonicity of the veins. Resulting venous stasis is a factor harmful to the vein wall.
  • The diet is an important component of the therapy. The food should contain a sufficient amount of vitamins and trace elements. A good diet contributes to the regular physiological functions of the latter. In the absence of constipation and the frequent use of the distension of the abdomen is saved normal flow of venous blood in the lower extremities, and reduces the risk of varicose veins in the defeat of the vein.
  • Compression therapy includes the use of bandages, bandages, tank tops, mechanical devices. On the surface of the feet there is a pressure, which is transmitted deeply located fabric and has curative or preventive action.

The fundamental value of the compressive treatment currently medical compression. Legs elastic bandage is now used is much more rare. The advantages of compression shirts before bandages are obvious: simplicity and ease of donning preserving the necessary and fiziologichno dosed pressure. Bandage of the foot is used in specific cases: in one particular form of the feet, in the case of complex flow venous ulcers trophic, at certain stages of the surgical treatment of varicosity. A good bandage is a complex process, operating only under the supervision of a doctor.

The selection of the shape, the form and the class of knits must be carried out by a specialist. This is due to the fact that there are certain contra-indications-to-wear segments of the health products. For example:

  • severe cardio-pulmonary failure is a contraindication to compression of the feet.
  • important the greater efficiency of the product in the patient.
  • in the treatment of diseases of the veins, in particular the execution of the event of varicose disease, accompanied by significant venous water retention of some importance has what is called the compression rate variable, created with the help of devices dynamic pneumocompression.
  • In medicinal treatment of the varicose disease of fundamental importance to the so-called phlebotropic drugs (synonyms – vienna active drugs phleboprotector). It is a large group of drugs capable of reducing the severity of chronic venous edema, and other manifestations of chronic diseases of the vein. Unfortunately, phlebotropic drugs do not restore varicosity modified vienna. The drugs of this group are assigned in the form of a rate of exchange for 2 to 4 months. The effectiveness of these tools during the indoor reception.
  • The most effective method of physiotherapy varicose is electro muscle stimulation of the lower limbs. This method can be used when medications and compression, for various reasons, are contra-indicated. Like other conservatives of the event, this method does not eliminate the varicose veins, but to reduce the manifestations of the pathology of venous insufficiency. There are modern individual portable self-electro muscle stimulation.

Sclerotherapy

Sclerotherapy – the method of basis without treatment op varicosity. The essence of the method is very simple: in varicose veins and the vein by a syringe introduced a drug and on the feet is superposed to the compression. This results in a closure (occlusion) of the patient phase of the vessel. In the following, the varicose veins disappear completely. The blood circulates in the veins healthy, improving blood circulation in the foot. This doing away with not only the dilated veins, but the clinical manifestations of the disease pain, swelling, convulsions, heaviness in the legs. The procedure for long time, and often a lifetime and ensures good therapeutic and cosmetic result. Low-cost, minimum risk of injury, the combination of a good functional outcome, high cosmetic effect are the characteristics of this method.

Modern sclerotherapy of large varicose veins and trunks of the saphenous veins takes place the form of foam under the control of the ultrasound scanner micro – foam (foam-form) echo-sclerotherapy. Micro-sclerotherapy "spider" is done under the control of a special device – transilluminator.

Sclerotherapy like of self-treatment made:

  • isolated varices in the expansion of the tributaries of the saphenous veins;
  • reticular varicosity ("vascular grid");
  • telangiectasia.

In some patients in order to reduce the operating injury and improve the cosmetic result, sclerosis pass at the end of a certain time after the surgery. Phlebosclerotic use for the treatment of recurrent varicosity for the arrest and prevention of bleeding varicose veins, as well as certain forms of congenital angiodysplasia.

Contra-indications for the application of sclerotherapy:

  • Serious systemic diseases (cardiac or pulmonary insufficiency, liver failure, et al)
  • Thrombophlebitises
  • Local or general infection
  • The need to comply with bed rest
  • Expressed by the allergic manifestations
  • Pregnancy and breast-feeding
  • The situations in which the counter-compression therapy-foot

The surgical methods of treatment of varicose disease

The surgery of varicose veins in the legs are the most radical method of treatment. The vast majority of minimally invasive can be performed as an outpatient or in the hospital's surgery a one night stay.

The scientific and technical progress has caused a revolutionary change in the treatment of varicose veins of the lower limbs. After implementation in clinical practice phlebologists lasers, high energy, endovasal laser obliteration (ELO) has become a standard little invasive treatment of varicosity. The essence of the ELO is the destruction of varicose veins of the laser beam. This technique is not a transaction in the traditional sense. The cuts is not necessary, all manipulations are performed by micro-perforations. The procedure is done as an outpatient under local anesthesia and hospitalization in a hospital doesn't require it. All manipulations are performed under visual ultrasound guidance. Through a small incision at the lower part of the thigh or the top of the tibia is introduced in the vein of the thin and flexible laser shaft of light. After that, around vienna, is introduced a solution of anesthetic to the treatment of pain. In the mode of operation through the light is used strictly metered by the thermal energy, which causes the complete closure (occlusion) and the continuation of the obliteration of the ("overgrown").

The patient retains a fairly active mode of the day with a minimum of discomfort. ELO effectiveness and at the same time the smallest chance of injury significantly superior to the classical methods of operations.

There are restrictions for the application of ELO:

  • It is extremely launched varicosity to a strong expansion and a trunk of the saphenous veins. In such cases, shows the combined phlebectomy.
  • Repeated Interventions on saphenous veins. In these cases, the possibility of applying ELO precise individually to each patient during the depth of the review.

Large varicosity advances tributaries of the shank of the veins at the present time are removed by using a thrifty procedure, such as an ambulatory mini-phlebectomy. This procedure is done under local anesthesia with tools through the micro-perforations in the skin. Usually, directly after ELO or used as a separate method. The hospitalization in the hospital and the anesthesia is not necessary. The sensation of the pain and discomfort post-operatively is minimal. When large varicose veins the aesthetic results are often higher than when the sclerotherapies.

Classic of the operation

Classic transactions are presented in the case of a large run of varicose veins in the defeat. Usually, requires hospitalization in a specialized hospital vascular surgery. The intervention is performed using anesthesiological of the allocation of narcosis or locoregional (cerebrospinal fluid) anesthesia. These operations carry a phlebectomy, endosurgical dissection of perforating veins. This group of operations is different from long-term rehabilitation, often unsatisfactory aesthetic result. We often observe complications such as thrombophlebitises, damage healthy tissue, nerves, the first relapse varicosity.

In conclusion, it is necessary to say that, although difficult to have a comprehensive approach in the treatment of varicose vein disease, this condition is treated with success at the present time.