How is laser coagulation of varicose veins - indications for laser treatment of varicose veins, reviews and prices

Varicose disease of the lower extremities is one of the most common vascular pathologies and according to statistical data it steadily grows younger every year.

Varicosity is manifested by vascular asterisks, enlarged and noticeable on the tibia with veins, with prolonged flow leads to swelling, constant fatigue of the legs.

But the worst thing is that the disease is often complicated by trophic ulcers and deep vein thrombosis, which results in very unpleasant consequences.

When surgery is needed

Conservative treatment of varicose veins does not always end successfully and avoid complications to the patient, doctors - phlebologists offer surgery to remove lesions in the blood vessels.

The main goal of surgical intervention is the normalization of blood flow through the veins changed, the indications for such treatment include:

• revealed pathological dilatation of veins located in the subcutaneous layers;
• varicosity, combined with increased fatigue, skin changes, puffiness;
• revealed signs of outflow of blood in deep-seated vessels;
• increasing and not amenable to therapy trophic changes in the skin of the legs - red spots, impaired sensitivity, atrophy, ulcers;
• acute thrombophlebitis.

The technique of performing surgical operations has been developed quite a lot, the type of operation is chosen not only on the basis of the patient's desire, but also from the condition of the veins walls and accompanying diseases.

Available types of surgical intervention

Traditionally, surgical interventions have been used to restore normal blood flow in the lower limbs for several decades. The purpose of the operation is removal of a part of the inoperable vein, most often using a combined phlebectomy.

The damaged portion of the vessel is removed through micro cuts on the skin. The operation is performed under anesthesia or local anesthesia. Also phlebologists use ligation , consisting of a vein ligation from both sides, sclerotherapy - the introduction of a special substance, under the influence of which the vessel collapses.

Modern medicine offers patients to use and laser therapy in detecting varicose veins.

Laser treatment of

Laser treatment of varicose veins is based on using a high-energy light flux , under the influence of which photocoagulation takes place, i.e. all layers of the vein are destroyed and fall off.

The accuracy of the direction of the laser beam under the control of the device ensures that there is no damage to surrounding tissues and minimal tissue trauma.

Several methods of laser coagulation of varicose veins have been developed, they differ in the stages of carrying out and indications.

The essence of the effect of is one - a laser flash leads to coagulation of the inner layers of the vein, after which they fall off and a small flagellum forms on the site of the affected vessel.

Over time, it completely resolves, which means that the total blood flow is normalized, the blood stops stagnating in the dilated vessel, skin changes, vascular asterisks disappear.

Advantages of laser therapy

More and more patients are resorting to laser therapy for the treatment of dilated veins and vascular spines and this fact is explained by the whole series of advantages:

• treatment of varicose veins by the laser is performed on an outpatient basis, that is, the patient does not need to go to hospital, and the next day he is fully able;
• under the influence of the laser does not use general anesthesia, no pain during and after the intervention;
• procedure does not cause a cosmetic defect - there are no scars, bruises and scars on the skin;
• short rehabilitation period;
• the least number of relapses and complications.

The use of the laser allows the patient to give up expensive medicines, which positively affects the condition of the internal organs.

Despite the conditional effectiveness of treatment with varicose leeches is perceived by doctors ambiguously, why is this happening? What is fraught with varicose veins of the pelvic organs and how to prevent any deplorable consequences in this disease everyone should know.

Types of laser operations

Phlebologists widely use two types of laser exposure , each of them has its own group of indications and contraindications, so the doctor assesses the advantages of each technique for a particular patient.

1. Endovasal laser coagulation of varicose veins is an intravascular technique in which the thermal energy of the laser leads to coagulation of the vessel, to its further collapse and resorption. It is used when detecting a diameter of veins no more than 10 mm, their smooth course and trophic changes.
2. Percutaneous laser coagulation is a technique for affecting veins without contact with the skin. Indications are vascular asterisks for varicose veins. After using the laser by this technique, the skin defect disappears almost instantaneously.

Based on the findings, the phlebologist concludes that a particular laser intervention is advisable.

Endovasal laser coagulation

Endovazal laser coagulation of varicose veins is denoted by abbreviated terms - EVLK or EVDO .The vein is not removed from the EVLK, the intravascular action of the high-temperature laser leads to the adherence of the walls, then the vein is replaced here with a connective tissue.

Indications for EVLK:

• varicose veins with insufficient valve function;
• varicosity with signs of trophic disorders;
• difficult to treat conservatively, trophic ulcers.

When choosing the method of EFLA, the doctor evaluates both the anatomical features of the vessels, laser therapy is performed in the following cases:

• the diameter of the vein does not exceed one centimeter;
• needing a soldering vein has a straight stroke;
• sinuous veins impede the direct passage of the light guide.

Technique of EVLK

There is no special preparation for EVLK, the patient must previously undergo examination of the condition of veins, take blood tests necessary for the operation, obtain admission from the therapist( the doctor finds out the contraindications).

You also need to pre-select the compression linen, which will be required after laser coagulation.

EVLK is performed on an outpatient basis, anesthesia is local with a suitable analgesic, the injections of which are placed around the vein.

Before the introduction of the light guide, duplex scanning of the is carried out, under its control, the veins and the boundaries of the valve failure are marked on the leg, and adjacent vascular accidents are noted.

The patient is then anesthetized, the puncture site on the skin is disinfected, puncture is performed and the light guide is inserted. The delivery of laser radiation, control of the temperature and site of exposure is carried out continuously using ultrasound Doppler.

The patient is in the office from for 30 minutes and up to one hour , after which the compression stockings are worn on the foot and forced to walk around the office for at least 40 minutes. Then, after receiving appropriate recommendations, the patient can go home.

The examination after EVLK is carried out by the doctor approximately for 3 days, periodic observation is required for at least six months.

Complications after laser therapy

Complications after EVLK are much less than after traditional surgical intervention and they are all subdivided into those passing independently and requiring the appointment of appropriate therapy.

Temporary complications include in itself:

1. Pain in the leg for several days. Most often, the pain syndrome is caused by incorrectly selected, that is, compression compression linen.
2. Bruising in some patients is due to the injection of an anesthetic or the perforation of the vein. The bruises pass quickly enough.
3. A small temperature is considered a normal reaction and occurs in response to protein coagulation.
4. The tension of the vein, which interferes with movement, is very rare and passes on its own for a month.

Serious complications of include:

• thrombophlebitis - inflammation of the vein wall;
• thrombosis requiring immediate treatment.

With all signs of complications, it is necessary to consult a physician who is to prescribe a highly effective therapy.

Percutaneous laser coagulation

Percutaneous laser coagulation with varicose veins is performed by irradiating the vessels without contact with the skin. Under the influence of the laser, vein walls heat up to 70 degrees, which results in soldering.

Indications for the procedure for varicose veins the only is the removal of the vascular network, and the diameter of the vessels should not exceed 3 mm.

In the treatment of varicose veins widely , the combined method is used - first by sclerosing the treated vessels with large diameter are treated, then dilated small veins are removed by percutaneous coagulation.

Percutaneous laser coagulation technique

No special preparation, at the site of exposure, the skin is treated with an anesthetic gel.

The special equipment is used, allowing to control the temperature, the time of the laser action and the parts of the vascular asterisks on the leg.

In the first session, in most cases, up to 80% of the small enlarged veins are removed, to complete their disappearance, up to 4 procedures are required at certain intervals.

After the action of the laser, reddish specks remain, which alone pass within a few days. Accelerates the healing of ointment Actovegin , also during the month it is necessary to protect the feet from the sun.

Complications after

procedure After percutaneous laser therapy, the complications are reversible and pass for several days, the is attributed to them:

• hyperemia and small swelling;
• skin blushing for several weeks;
• burning sensation;
• formation of small crusts disappearing in a week.

Reviews of patients who underwent laser treatment

Each patient before the choice of the method of treatment of varicose tries to obtain information from patients who have already undergone laser treatment.

Feedback from people who have been laser coagulated varicose veins, help make the the right choice:

1. "EVLK did a few months ago, before surgery worried about heaviness in the legs, visible, protruding veins. Now, even at the end of the day, I feel great, again with pleasure I wear short dresses in summer. Scars are not present, the truth, after the procedure several weeks the pigmented spot did not descend, now it is practically imperceptible "- Natalia, 43 years .
2. "From varicose veins I was treated for several years with pills, I wore stockings. The result was minimal, I could not decide for a surgical operation. On the advice of friends I decided to try laser coagulation and passed the procedure a few weeks ago. The most unpleasant thing is wearing crushing stockings, but it survived. Now there is a bruise on the vein, and nothing else bothers "- Igor, 45 years old .
3. "After birth a vascular reticulum appeared on the shin of one leg, cream and ointment did not help, but I wanted to wear a skirt without problems in the summer. Appealed to the phlebologist, he advised percutaneous coagulation with a laser beam. The operation was a few days ago, right after it I noticed that all the enlarged capillaries had almost disappeared, remained somewhat unobtrusive. To remove them, it takes 2 to 3 more sessions. Procedures are painless, after them there is only burning. I'm glad and advise everyone "- Katya, 29 years old .

The cost of laser treatment

Prices for laser treatment of varicose veins with percutaneous laser coagulation lie within 6 thousand rubles , the price may decrease or increase depending on the area.

Endovasal laser coagulation of varicose veins refers to expensive procedures, its cost depends on the size of the vein and its location and ranges from 20 to 50 thousand rubles .

Video: Laser surgery to remove varicose veins

The type of laser surgery for varicose is determined by the diagnosis and complexity of a particular case. But in any case, minimally invasive methods, such as endoluminal laser coagulation of veins( ELCV), are preferred.