Echosclerotherapy is a non-surgical technique for the removal of varicose veins

Echosclerotherapy is one of the varieties of therapeutic effect on varicose veins. In this disease, the walls of the blood flow undergo pathological changes and expand. Thinning of vascular tissues and the appearance of "nodes" has serious consequences.

Time-based echosclerotherapy promotes the reduction of the vein and its exclusion from the general blood supply system, which relieves stress on this site and prevents deterioration of the situation. The procedure is performed by injecting a special substance - sclerosant - with a syringe, the process is controlled by an ultrasound scanner.

Indications and contraindications for the procedure

Progressiveness of this method of therapy is provided by accurate and uniformthe distribution of foamy substance into the veins that are inaccessible, for visual detection, a place.

Monitoring of ultrasound is especially important for arresting a disease of stem veins located deep in the body. Often, this technique is used to prevent the development of pathologies in large vessels of the lower extremities.

With relapses of varicose veins, especially with thin walls of veins or a large mesh of vessels, echistocerotherapy is the optimal solution.

The procedure for echosclerotherapy should not be performed in one of the following cases:

• allergic intolerance to sclerosant;
• bronchial asthma;
• congenital heart disease;
• extensive varicose veins in combination with insufficiency of the heart valves;
• serious kidney and liver disease;
• tuberculosis;
• diabetic angiopathy;
• pregnancy and lactation period;
• soft tissue infection;
• obesity;
• treatment of alcoholism;
• taking medications with hormones( including contraceptives).

Features and course of therapy

All manipulations are performed on a patient lying horizontally. The procedure is not an operation. To begin with, inject a thin needle into the affected vessel and carry out a test for the exact location. The effectiveness of the phlebologist is ensured by echocontrol.

The specialist does not "blindly", but clearly "sees" the degree of needle immersion and the progress of the process on the monitor. The sclerosants used do not harm the body and include anesthetic properties. Distribution of the substance from the site of injection is 100-200 mm. The drug inside feels a little burning.

The relief of the disease occurs due to the action on the walls of the vessels and their compression. Foam bubbles for a long time interact with pathologically altered veins, which promotes destruction.

This "gluing" ensures the removal of blood flow from the affected area and a good cosmetic effect. One session requires 3-5 injections.

The echoscanner shows the doctor well until the substance has spread and where to continue the injection. If during the process it becomes bad, it is important to immediately inform the phlebologist.

Advantages of the

method The following factors are positive features of echosclerotherapy:

1. No visible traces of the procedure. This is especially important to the fair sex, in view of the cosmetic effect.
2. Conservation of the integrity of the circulatory system .In the operation, part of the veins are mechanically removed from the body. Sclerosant only "seals" the damaged vessel.
3. After surgery, a long rehabilitation period is required, due to the body's stress. Echosclerotherapy is characterized by a short recovery period of and full body work.
4. There are cases that give additional difficulties in solving operatively. It can be thrombophlebitis and periphlebitis. Sclerosant is most convenient in eliminating such problems .
5. The possibility of combining with other forms of treatment .For example, when using laser removal, with suppression of the disease in the remaining areas.

There are not so many disadvantages to the methodology. In the case of insolvent valves, the substance may partially enter a healthy vessel, but this is under medical supervision on the monitor. Wearing a special stocking and restrictions in thermal procedures are temporary. There may be bruises.

Preparing for

procedure For a favorable course of the drug action process, and to avoid unforeseen situations, it is necessary to perform preparatory actions:

• hand over a blood sample for hepatitis B and C, AIDS and RW;
• perform an x-ray examination of the chest;
• warn the doctor about the hormones used;
• to give up tobacco and alcohol for 48 hours before and after the procedure;
• recommends a small meal for 60-90 minutes before treatment;
• discontinue the use of any anti-inflammatory drugs( Ibuprofen, Trental, Aspirin).The presence of these substances in the blood increases bleeding and promotes the formation of bruises;
• on the limbs with diseased veins do not epilate the hair, nor does it process the feet with lotions and creams;
• it is advisable to take a shower with antibacterial soap;
• on the procedure it is better to wear loose clothes.

Rehabilitation period

The recovery period is not too long, but requires compliance with a certain regime. Immediately put on a compression stocking and it should be worn before the doctor's specified time.

When the procedure is over, it is necessary to walk for 20-30 minutes. Since the injected drug contains alcohol, driving on that day is excluded.

For a full mastering of the substance and adaptation of the body to the compression of certain veins, daily walks for 60 minutes are important. But the first 72 hours, active exercises in gymnastics, swimming or simulators, are prohibited. It is undesirable to stand by your debt or sit.

You can wash yourself in the shower;hot water in the bath will be forbidden for 14 days. Visiting a sauna or a bath should be postponed for 45-60 days.

Complications and consequences of

Although the method of echosclerotherapy is rather progressive, it can be accompanied by side effects:

1. Burning of the skin accompanies the procedure always and disappears within 60 minutes. Sometimes, it can appear for a short time, during the first day.
2. Peeling skin at the injection site, until a small wound is formed, which will take 15-20 days to heal.
3. Painful sensations throughout the vein of undergoing treatment, especially during hard work, are accompanied by a small percentage of patients for 15-20 days.
4. Changes in color pigment on skin areas .5-8% of those who have undergone the procedure have blackouts along the injection site. Sometimes this effect persists for up to a year.
5. Allergic reaction almost never occurs. Only people who react to other allergens can face this.
6. Rarely appears red mesh of thin vessels at the site of sclerotherapy .Neighboring vessels take over the burden of the adherent vein and adapt to the new situation. This happens after 4-6 months.
7. Thrombophlebitis occurs in 0.1% of cases in those who undergo the procedure. More often it is a consequence of a violation of the rehabilitation regime.
8. If the treatment was in the area of ​​the ankle, is possible edema of a short duration of .It is advisable to avoid wearing shoes with heels or very narrow models.

From the practice of

The following are the opinions of the doctor and the patient who participated in the procedure of echosclerotherapy of varicose veins.

Price of the question

The technique of exposure to the affected veins is injection. One prick can be applied to a small area of ​​100 mm.

Clinics conducting the procedure indicate the cost of processing one zone. Therefore, if the price is set at 5000 rubles, then it must be multiplied by the number of ten centimeter sections of the varicose vein.

Usually, such treatment in Russia, costs 30 000 - 40 000 rubles.