The treatment of varicose veins with a laser is a modern and effective way to get rid of this disease.
Laser therapy uses a focused beam of light, which causes vein damage and the growth in its lumen of the connective tissue.The blood flow through the slender vein ceases, which leads to the disappearance of the symptoms of the disease.
The principle of the operation
If the patient has varicose veins on the legs, laser treatment is carried out with the aim of thermal effects on the wall of the vessel.This influence is caused by an irreversible decline, the replacement of the connective tissue and the disappearance of the expanded vessel.
The main mechanism of action is the heating of the minimum amount of blood with the formation of steam, which damages the vascular wall.A diode laser with different size and structure of optical fibers is used.
To compile a varicose veins, an ultrasound Doppler study is used.An analgesic substance is introduced into the area of intervention.A very thin optical fiber is introduced into the varicose vein, from the tip of which a laser beam comes out.
The energy of the laser is converted into heat.The temperature inside the vessel reaches 60 - 70 degrees.The effect of heat on the wall of the vein leads to its "gluing".Subsequently, over time, the sclerosed vein is absorbed.
Indications
Laser treatment of varicose veins is carried out in two main methods:
- percutaneous;
- intravascular (endovascular).
Bearing laser therapy helps to get rid of vascular stars and small expanded subcutaneous veins.This procedure is carried out for a cosmetic purpose.It can be used as a second stage of treatment after eliminating large varicose veins using surgery, sclerotherapy or endovascular therapy.
The endovascular method is used to eliminate large varicose veins.
If there is varicose veins on the legs, laser treatment allows you to influence such vessels:
- large and small subcutaneous;
- front and back additional subcutaneous;
- superficial subcutaneous;
- Front and rear envelope of the femoral.
Laser therapy is especially shown to obese patients, since sclerotherapy or phlebectomy in such patients is difficult to technically or can lead to complications.
Indications for endovascular coagulation:
- ineffective operation of valves, accompanied by edema (reflux for pre -Popplerography of more than 0.5 s);
- Trophic disorders: a change in color and skin density, dryness and skin itching;
- Harse ulcers, difficult to treat.
The main symptoms in which laser treatment is shown:
- Lomota in the legs;
- severity and fatigue;
- feeling of pulsation;
- skin itching;
- convulsions at night;
- Hemorrhages under the skin.
Skin changes:
- vascular stars, eczema, color change;
- foci of white atrophy of the skin;
- ulcers;
- swelling;
- Inflammation of surface veins.
Contraindications
Endovascular laser therapy is contraindicated in the following cases:
- pregnancy and breastfeeding in which anesthesia can damage the child;
- difficulty in blood flow through deep veins, which will prevent the normal outflow of blood after surgery;
- liver failure or allergies to painkillers;
- blood coagulation disorders;
- the impossibility of proper outpatient treatment and observation after intervention;
- Blood casting (reflux) in overlying veins;
- Thrombosis, adhesions, or tolerance of veins.
Advantages of the method
Laser coagulation of veins is a safe and effective method for treating varicose veins on an outpatient basis under local anesthesia.The procedure takes 1 - 1.5 hours.Most patients are satisfied with the result of treatment.
The total cost of the intervention is lower than the surgical operation.Its effectiveness in terms of 3 months to 4 years reaches 93 - 100%.
Laser therapy does not lead to the formation of scars and scars.It is well tolerated and allows you to quickly restore normal activity.Side effects of the procedure arise very rarely.
Flaws
Laser treatment of varicose veins can be accompanied by the following consequences:
- skin burn;
- change in skin color;
- damage to the nearby nerves, accompanied by burning or tingling (the probability of this is much lower than during the usual operation);
- Vienna thrombosis.
The more the experience of a doctor who performs the removal of vessels on the legs with a laser, the better the result of treatment.
Endoxic coagulation cannot be carried out with coasting of the veins, for the treatment of large varicose nodes, as well as with a vessel diameter of more than 1 cm.
Recommendations
Credid treatment with a laser of varicose veins requires several sessions.They are held at an interval of 6 - 12 weeks.
Endovascular therapy is performed using a thin fiber introduced into the vein under the control of ultrasound.This is a procedure with a short recovery period.It is carried out under local anesthesia.
After the laser removal of blood vessels was performed, the patient can walk almost immediately and quickly returns to ordinary life.Within a week after the procedure, it is recommended to wear compression stockings with II degree of compression (30 - 40 mm Hg) or elastic bandages.
Walking is recommended for 1 to 2 hours a day for 2 weeks.At this time, it is necessary to abandon hot baths, running, jumps, weight lifting and straining.
If pain or discomfort appears, an anti -inflammatory drug can be taken.
A repeated inspection and ultrasound examination of the veins are carried out a month after the intervention, and then after 1 year.This allows you to evaluate the effectiveness of the completed procedure.
Alternative methods
When laser coagulation of veins is not shown, it is necessary to consider the issue of using other methods of treating varicose veins:
- medications combined with elastic compression;
- Radio frequency ablation - destruction and blockage of the vessel using radio waves;
- sclerotherapy - lumen prison with chemicals;
- Flebectomy - surgical removal of vein.
Intravascular laser therapy of varicose veins is an excellent method that provides effective getting rid of the disease for 3 to 4 years in 90% of patients.It is rarely accompanied by serious complications.The advantage of the laser is the absence of scars after surgery and a quick recovery period.