LASER FOR VEINS

Varicose veins, or varicose veins, in everyday life is often referred to as "the disease of tired legs. "But in fact, the factors causing it are much more complicated. And the disease itself is by no means just a harmless cosmetic defect. Varicose veins of the lower extremities leads to the occurrence of chronic venous insufficiency - a condition, the final result of which may be the occurrence of a venous trophic ulcer.

Endogenous laser coagulation

Endovenous laser coagulation (EVLK)- minimally invasive, safe, modern and effective type of treatment for varicose veins. It has synonymous names: endovenous laser ablation, endovasal coagulation of the veins of the lower extremities, endovenous laser obliteration (EVLO). But whatever the name, the technique of laser coagulation remains the same. A radial fiber-optic light guide is inserted through the puncture into the vein. Then, with the help of a special pump, an anesthetic solution is pumped around the vein, which not only anesthetizes the procedure, but also compresses the vein, reducing its diameter and thereby protecting the surrounding tissues from overheating. For the procedure, modern vascular lasers are used, which generate two waves: one of them is absorbed by blood hemoglobin, the second - by the vascular wall. Vienna is "brewing". All stages (position of the light guide, infiltration of the solution around the vein, the very process of "brewing") are monitored in real time by ultrasound devices. The duration of the EVLK procedure on one limb is 30-60 minutes.

Advantages of the laser removal method:

• Minimal trauma, which allows the procedure to be carried out on an outpatient basis and under local anesthesia;
• you can go home immediately after the operation.
• Fast recovery, good cosmetic result: no marks and scars remain;
• high efficiency, low relapse rate.

Since endovenous laser coagulation is currently considered one of the most advanced, low-traumatic and minimally invasive types of treatment for varicose veins.

Complications

Complications of varicose veins, although rare, can include:

• Painful ulcers may form on the skin near varicose veins, particularly near the ankles. A discolored spot on the skin usually begins before an ulcer forms. See your doctor immediately if you suspect you've developed an ulcer.
• Blood clots.Occasionally, veins deep within the legs become enlarged. In such cases, the affected leg may become painful and swell. Any persistent leg pain or swelling warrants medical attention because it may indicate a blood clot — a condition known medically as thrombophlebitis.
• Occasionally, veins very close to the skin may burst. This usually causes only minor bleeding. But any bleeding requires medical attention.

HOW IS LASER COAGULATION OF VEINS DONE

Shortly before manipulation, you should purchase compression stockings of the 2nd degree of compression (25–32 mm Hg). The doctor will tell you in detail what size is required. Endovasal laser coagulation itself does not require any special preparation.

All stages of endovenous laser obliteration are carried out under constant ultrasound control.

1. Before the start of the procedure, the vein is "marked": the doctor puts marks on the skin, corresponding to the places where the blood flows back, the tributaries flow into the vein.
2. At the beginning of the manipulation, local anesthesia occurs, the vein is punctured (punctured). The sensations are no different from the usual intravenous injection. A radial light guide is inserted into the vein using a special catheter.
3. Next, a protective "sleeve" of the anesthetic drug is created around the vein. Under ultrasound control, using a special pump, the doctor injects a local anesthetic into the space around the vessel. This allows not only to relieve pain, but also to protect the surrounding tissue from excess laser heat.
4. The procedure itself is EVLO varicose veins. In modern optical fibers, laser radiation is supplied evenly around the entire circumference of the device, providing uniform heating of the vein from the inside. After removing the light guide, the patient undergoes ultrasound monitoring of the condition of the treated vessel, as well as the deep veins of the limb.
5. A compression garment is put on the patient. Immediately after the end of the manipulation, the patient should take a walk, lasting at least 40 minutes.