Endovenous laser coagulation is one of the modern methods of treating varicose veins. Its essence lies in the thermal effect of laser light on the walls of a damaged vessel. Due to exposure, it subsides and turns off from the bloodstream. Over time, the vein resolves and becomes visually indeterminate.
- What is dangerous varicose veins
- Features of the procedure
- Indications and contraindications
- How is the intervention
- Recovery after laser therapy
What is dangerous varicose veins
The disease develops as a result of thinning of the walls of the veins and disruption of the valves that prevent the reverse flow of blood. As a result, there is pain and heaviness in the legs, swelling appears. Stagnation of blood in the vessels leads to their increase, inflammation. Often there are such severe complications as thrombosis and thrombophlebitis.
Treatment of varicose veins is best started in the early stages. It is important to remember that conservative methods (ointments, wearing compression underwear) can only slow down the development of pathology. For a complete cure, surgery, the use of alternative methods, such as laser exposure, will be required.
Features of the procedure
This is one of the most effective methods for removing affected veins. It is low-traumatic, practically bloodless, leaves no scars. During the procedure, a thin optical fiber is inserted into the vein, through which laser radiation is transmitted. Under its influence, “boiling” of venous blood and cauterization of the vessel wall occurs. The vein collapses, and in its place a strand of scar tissue is formed, which practically does not stand out externally.
The advantages of the method include:
- Minimal discomfort during the procedure.
- There is no need for stitches, after the intervention there are no cosmetic defects.
- A short recovery period allows you to return to normal life almost immediately after laser coagulation.
- Minimal chance of complications.
It should also be noted a lifetime guarantee against relapse. The vessel subsides forever and will no longer cause trouble.
Indications and contraindications
The procedure is prescribed in such situations:
- failure of the valvular apparatus of the veins and their expansion;
- severe manifestations of varicose veins (pain, swelling);
- complications (thrombophlebitis, trophic ulcers).
It is important to take into account that the technique will be ineffective for removing vessels with a diameter of more than 1 cm, classical surgery or other alternatives will be required.
Also, laser exposure is contraindicated:
- with diseases of the heart and blood vessels (ischemia, angina pectoris, recent strokes);
- tendency to thrombosis;
- pregnancy and lactation.
The presence of contraindications is determined by the doctor before prescribing coagulation.
Before the intervention, a consultation with a phlebologist is carried out. Blood and urine tests, ultrasound of veins, and other diagnostic methods may be prescribed.
A few days before laser treatment, you need to stop taking alcohol and tobacco, exclude physical activity. You may need to stop taking certain medications (as advised by your doctor). Immediately before the procedure, it is recommended to exclude food intake (4 hours in advance), pick up loose clothing, as compression underwear will be put on immediately after the intervention.
How is the intervention
Treatment of varicose veins with a laser usually takes no more than 1 hour and is guided by ultrasound. This makes it possible to carry out the impact extremely accurately.
The procedure is divided into the following steps:
- Puncture of a vein in a predetermined place.
- Insertion of a flexible catheter.
- Passing a laser fiber through the catheter.
- Injection of an anesthetic into a vein.
- Perform coagulation.
During the procedure, pain receptors are practically not affected, so the patient experiences a minimum of discomfort.
After the intervention is completed, a compression garment is put on the limb. After another half an hour, you will need a leisurely walk lasting about 1 hour.
Recovery after laser therapy
During the rehabilitation period, you must strictly follow the recommendations of the phlebologist, the most important include:
- Constant wearing of compression underwear for the first 5 days.
- Putting it on every day for 14 days.
- Daily walks at a slow pace lasting up to 2 hours.
- Exclusion of heavy physical activity.
- Temporary refusal from hot baths, saunas and sunburn.
Compliance with medical recommendations will significantly reduce the risk of complications. In the first days, there may be a slight increase in temperature, pain in the area of the coagulated vein. This is a normal reaction of the body, which does not require additional treatment, unpleasant symptoms disappear after 2-3 days.