In medicine, more and more often for the treatment of varicose veins, a minimally invasive method of combating the disease is used. This method is called laser endovasal varicose vein coagulation (EVLK). Thanks to manipulation, people with varicose veins are cured of the disease, achieving maximum results. Laser treatment of varicose veins is an easy way to treat the disease with minimal health risks. After treatment, complications and relapses are extremely rare.
Increasingly, doctors are offering patients laser varicose vein removal. The method is improved annually. Dozens of medical institutions offer laser sclerosing and obliteration of affected veins. The reason for the method's popularity is easy to explain - after the operation, the patient gets rid of the varicose veins and leaves the clinic healthy.
Laser coagulation of varicose veins emerged in medicine at the beginning of the 21st century and allowed doctors to advance in the treatment of varicose veins. At the beginning of the introduction of the method in medicine, the cost of the procedure was high, not everyone was able to use it. During operation, a disposable LED was used, a considerable cost. Gradually, production became less expensive, leading to a reduction in the cost of the procedure. Now, everyone in need has the right to laser treat varicose veins.
How does the operation take place?
During the operation, doctors directly affect the wall of the affected vein or vessel with laser radiation. The laser emits heat, under the influence of which the sclerosing process proceeds. The varicose vessel is cauterized and closed.
If we consider the burning process in detail, the doctor first punctures the skin. A laser light guide is inserted into the vein. The element runs along the length of the diseased section of the vein. Thanks to the light guide, a beam of light is generated with a wavelength of 1500 nm. Hemoglobin in the blood absorbs the specified spectrum of waves, depending on the degree of oxygen saturation in the blood. When light energy is absorbed by hemoglobin, heat is released into the blood through the veins. There is a "fermentation" of the sick vessel with the heat released from within, the hole is closed. Laser radiation works only in the varicose vein area, not harming the surrounding tissue.
To control the process, an ultrasound machine monitor is installed. During the operation, the vessels are protected that have not suffered alterations under the effect of the disease. To do this, a number of injections are given to fill the space around the veins.
After performing the necessary actions, the laser light guide is removed. The radiation emitted by the laser combines small particles from the affected vein, which is being soldered. Gradually, the sclerotizing sites dissolve.
The result of the operation is that the blood stops moving along the sections of the vascular grid. Deep veins are used to equip the desired area with blood.
To carry out the procedure, the patient is not admitted to the hospital, the process takes place on an outpatient basis. First, ultrasound observation is performed to accurately determine the site of development of varicose veins. To select the method for performing the operation, the patient is referred for a complete ultrasound examination.
How to prepare
The EVLK procedure is easy, the patient does not need special preparation. You will only have to be examined preliminarily to take an examination for the presence of restrictions. It is better to do research at the institution where the operation will take place. During the exam, the doctor informs the patient about the medications that will be used in the EVLK.
If the patient is allergic to certain medications, he or she reports the situation to the treating physician before the procedure. In addition, the patient informs the doctor about the medications taken, possibly the medications selected for maximum results and to exclude complications, the doctor will ask you to temporarily stop taking.
Before the operation, the patient will have to undress and remove the jewelry. Metals make adjustments to the way the equipment works.
Laser treatment of varicose veins has many advantages. The main advantages are:
- The procedure does not require the use of anesthesia;
- There is no need to go to the hospital, the operation is performed on an outpatient basis;
- There is no need for large incisions, just a small puncture;
- Fast recovery after surgery - 3-5 days;
- A small number of disease relapses.
The main advantage of EVLK is that the procedure takes place without surgery. The patient recovers quickly. After a few days he returns to his normal way of life.
After surgery, it takes a long time to recover. After EVLK, complications and relapses are extremely rare. The recovery period is painless. After the procedure, the patient's varicose vein symptoms disappear: the swelling doesn't bother him, the heaviness in the legs disappears. Blood circulation to the lower extremities is restored. Thanks to the EVLK procedure, the patient will not have an advanced degree of the disease leading to the development of skin ulcers, and thrombophlebitis is unlikely.
When you cannot perform the procedure
Not every patient with varicose veins in the lower extremities can treat the disease with laser. The EVLK procedure is not performed if the pathology has already moved to an advanced stage. Sometimes the treatment method described is combined with an operation.
Laser surgery is used to treat varicose veins when the expansion of the mouth of the main vein does not exceed 1 cm. The laser method to treat large veins is ineffective - varicose veins return. The EVLK procedure is not performed:
- with a tendency to form blood clots;
- in the presence of diseases identified during the exam;
- with chronic blood circulation disorder;
- if it is not possible to wear elastic stockings after the procedure;
- in the absence of the opportunity to actively move during the recovery period;
- with high expansion of the saphenous vein;
- in the presence of an inflammatory process in the area of the puncture;
- during pregnancy and after childbirth for several months.
Results and recovery
The EVLK procedure is painless and gentle, after which the patient must follow the recommendations during the recovery period. After the operation, it is better for the patient not to walk for several hours, it is better to leave the clinic by car but not driving.
When you get home, it's better to go to bed, go to bed. After several hours, the patient is advised to adhere to an active lifestyle. Don't lie, don't sit, don't stay too long - such behavior will lead to complications. After the procedure, a compression stocking is put on to help relieve inflammation and accelerate bruising. In two weeks, doctors advise you to have an exam and an ultrasound. Based on the test results, doctors will tell you how much more you should wear compression stockings.
It's best not to drive long distances for a few weeks; when driving, the human circulatory system receives a high load.
Positive dynamics are observed in almost all patients who underwent the procedure to destroy varicose veins in the lower extremities. Symptoms and signs of the disease do not appear even after one year. Periodically, there are cases of renewal of varicose veins in the legs. More often, patients who refuse to change their lifestyle achieve a similar result.
The positive result of the treatment is achieved in the first year after the procedure for removing the veins from the legs. Vessels and veins of the lower extremities, exposed to laser radiation, gradually become little noticeable, not returning to the preoperative state. The feeling of heaviness in the legs, "stars in the blood vessels" and other symptoms disappear. A person's walk becomes light and flying.
Every patient should know that in order to prolong the result and maintain a healthy condition of the leg veins, a change in lifestyle is necessary. After treatment, the patient must refuse to wear high-heeled shoes frequently, it is better to take tight and uncomfortable clothes from the wardrobe, try not to stand up for a long time, discard prolonged physical activity.
It is recommended to monitor your weight and nutrition. Try to exercise every morning, take a 30-minute walk outdoors at night. Massage your feet with a stiff brush while showering.
Every person who has undergone a laser treatment should know that the most positive result can be achieved with a complex treatment.