Varicose Veins Treatment
A simple surgical procedure can remove unsightly and painful varicose veins from the legs. Varicose veins are large veins that are darkish in color and tend to bulge. They can cause pain and may be related to more serious vein disorders. Varicose veins often arise during pregnancy and also as a result of ageing. The problem is most common in women but also occurs in men. Treatment can be done on a wide range of ages, provided the patient is in good general health. Both legs can be done in one treatment and the treatment may include removal of spider veins.
Procedure: Treatment is undertaken with a combination of methods depending on the type and size of the problem veins:
- Endovascular laser EVL is usually used to treat the largest main stem of the varicose veins. The laser destroys the primary vein branch, with minimal blood spilling into the surrounding tissue and therefore minimal blood blisters and bruises. For EVL, several incisions of 5-7 mm are made for insertion on the probe, which are glued rather than sewed, and can be treated with bio-stimulating laser. (The traditional surgical stripping method is more invasive and involves making incisions in the groin and near the ankle and removal of the vein by means of a special stripper).
- The microcosmetic Chiva method is a combinantion of laser and surgical methods, for removal of the minor varicose veins through tiny punctures and the targeted removal of varicose veins without damaging the subcutis.
- Sclerotisation can be used to destroy the smaller red or bluish veins of 1–4mm in diameter. In this method the doctor injects the veins with a special solution, which chemically destroys them. This method is gentle and the place of injection can be desensitised by a special cream. After this method the patient should wear special bandages for three to six weeks to prevent these vessels reappearing again.
- Laser treatment from the surface of the skin is used for treatment of the smallest spider veins.
Patients should not smoke at all at least 1-2 weeks before and after surgery. It is normally done under local or conduction anesthesia. Surgery normally takes 30-90 minutes. Normally done as outpatient (home same day), the patient spends at least 2 hours in the clinic after the surgery.
Recovery: Recovery takes 2-3 weeks, some people resume work a few days after the operation. There may be some minor bruising and scarring for up to 6 months. Rebandaging and check up is normally done 2 days after the surgery. Compressive stockings should be worn for 2-3 weeks. Recommended stay in Prague and back to work 3-5 days. Activity should be minimised for a few days after surgery and strenuous exercise avoided for 2-3 weeks. Scars are minimal.
Stay in clinic: No
Recovery: 2-3 weeks
Stay in Prague: 3-5 days
Final result: About 4-6 weeks
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