Varicose Veins Treatment

Varicose veins or venous insufficiency, which causes early fatigue, swelling and non-healing wounds, especially in the legs, is a treatable problem. While genetic factors play the most important role in the development of the disease, it is seen more frequently in occupational groups that require long-term standing and in individuals who do less sports, which indicates that lifestyle is an important factor. The treatment approach varies at different stages of the disease. While the use of compression stockings, sports activities and some veno-active drugs is usually sufficient in the early stages, interventional methods are usually required in the advanced stages. The main pathology in the development of varicose veins is that the pressure in our superficial veins is higher than it should be. The most important reason for this situation is the inability of the blood in the vein to overcome gravity and move upwards towards the heart. Therefore, the blood remaining in the vein causes an increase in pressure, causing an increase in diameter in the leg vein and its side branches. This increase in diameter in the superficial vein causes the disease to progress faster by disrupting the functioning of the valve structures in the vein over time. In the late stages of the disease, the blood trapped in the vein may clot and cause blockages and serious complications. Varicose veins can occur in any vein in our body, but most commonly in the leg veins, which have to work the hardest against gravity. As long as the blue-green capillaries seen in the early stages of the disease do not pose a serious aesthetic problem, patients generally do not consult a doctor during this period. However, it should be kept in mind that the risk of recurrence is high unless aesthetic procedures such as sclerotherapy applied to destroy these capillaries are supported by methods such as compression stockings and drug therapy. Because the main purpose in the treatment of varicose veins is to reduce the pressure in the vein. In the moderate stages of the disease, complaints of swelling in the legs and around the ankles can be seen, especially after prolonged standing or long journeys. Patients usually describe this situation as ‘the sock scar is visible’. At this stage, your doctor must perform an ultrasound examination to detect the disease. Depending on the results of the ultrasound examination, different treatment options can be applied. It is decided which treatment to be applied, the extent to which the patient’s complaints affect the quality of life, and the vessel diameter and ‘blood regurgitation rate’ measured in the ultrasound examination. In the advanced stages of the disease, prominent leg edema and leg pain are the most important complaints. During this period, the veins, which are called ‘packs’, became visible because of the obvious expansion of the main superficial vein and its branches. Coagulation within the package structures and, rarely, bleeding are complications that can be seen in this period. Again, at this stage, due to impaired leg circulation, black color changes, especially around the ankle, and wounds that open spontaneously but heal in a long time can be seen. At this stage, the patient’s lack of professional support can lead to much more serious results. Surgical Treatment Method Surgical treatment methods can be categorized as open and closed methods. Varicose vein surgery (Stripping) with the open method is based on the complete removal of the diseased superficial vein and its branches. In this technique, approximately 3-4 cm incisions are made in the groin and knee regions, and the superficial vein is found and the diseased area is ligated and removed. Enlarged lateral branches are tied and removed by making incisions smaller than 1 cm. In varicose vein surgery with the closed method, the diseased vein is marked with ultrasound guidance and the vein is closed by means of a catheter advanced through the vein. With this method, different applications such as laser, adhesive and radiofrequency can be used to close the vessel.

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