Soon the arrival of spring! If you have varicose veins and you hesitate to have surgery, it’s time. Do not worry, this is a relatively simple, the results are amazing. All you need to know about new surgical treatments.
Why treat varicose veins surgically? To have beautiful legs, of course, because this is important. But the treatment of varicose veins can meet several objectives:
• Relieve pain when they disrupt daily life too;
• Fight against edema secondary to poor venous return;
• Prevent complications such as skin problems (ulcer, dermatitis);
• More rarely, remove a blood clot formed inside the varicose vein (superficial phlebitis);
• Or simply improve the appearance.
Several methods can be used in these different circumstances. Your doctor will advise you either surgery or sclerotherapy, a method of injecting a product inside the varicose vein to stick the two sides on one another and so close.
Sclerosis and surgery complement
The decision between the two types of treatment is sometimes arbitrary and may be influenced by your preferences. However, sclerotherapy is generally effective in early varices and when the reflux of blood is not very important upper body to lower body.
When varicose veins are large caliber, and the number is significant reflux, surgery is usually required.
However, sclerotherapy and surgery are far from being opposed. On the contrary, it is common to complete the surgery by a varicose vein sclerotherapy remaining to improve results.
Many surgical techniques
All kinds of methods can be used to destroy or remove varicose veins.
One of the most classic is the stripping. This technique involves removing the main vein of the legs (saphenous vein) by making two small incisions at the ankle and the fold of aid. This stripping may be associated with additional surgical procedures. For example, the surgeon can remove small varicose veins developed from the saphenous vein.
In recent years, a surgical technique to name a few “barbarian” Chiva (or Cure hemodynamics of venous insufficiency as an outpatient) is increasingly practiced. This method flattens varicose veins removed without tying the trunk of the saphenous vein at various levels. It often provides good results, but it is quite complex to undertake.
Finally, one may use cryosurgery. This method relies on the use of a probe, whose end is cooled to very low temperatures. It allows you to freeze the vein that sticks to the probe is then removed.
A recent method called ASVAL (for selective ablation of varicose veins under local anesthesia) is less aggressive than the traditional surgical treatment: the removal of varicose veins is through micro-incisions under local anesthesia, sometimes associated with relaxation therapy. This method would allow a walk and an immediate release and does not require any hospitalization or absence from work.
In practice
The decision of the vascular surgeon to use a particular technique will depend on experience and preferences but also the importance of varicose veins and their location. The techniques can also be used in combination. Often, a marking of varicose network has been completed the previous day by the surgeon or angiologist in felt pen, in order to facilitate the surgical procedure.
According to its nature, the surgery can be done without requiring hospitalization or a stay of several days in hospital (stripping). It can be done under simple local or general anesthesia.