Varicose Veins: Surgical Treatment Options

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In this Video, Dr. Shashidar explains the various treatment options for varicose veins. Dr. Shashidar KP is an expert in Vascular and Endovascular surgery.

Given below are some of the other treatment options for varicose veins:
Sclerotherapy. In this procedure, your doctor injects small- and medium-sized varicose veins with a solution or foam that scars and closes those veins.
Laser Treatment: Laser treatment works by sending strong bursts of light onto the vein, which makes the vein slowly fade and disappear. No incisions or needles are used.
High ligation and vein stripping. This procedure involves tying off a vein before it joins a deep vein and removing the vein through incisions.
Catheter-assisted procedures using radiofrequency or laser energy.
Endoscopic vein surgery. You might need this operation only in an advanced case involving leg ulcers if other techniques fail.

EVLT stands for Endovenous Laser Treatment. A surgical treatment, which closes the affected vein by heating the inside walls of the affected veins with a laser. This treatment is by far one of the safest compared to traditional surgeries such as sclerotherapy. The patients are almost immediately relieved of their symptoms.

PRE-SURGERY

Pre -surgery is conducted so as to smoothly carry out the surgery without any complications. It involves the following:

The doctor may advise the patient to stop taking any medication (especially blood thinners) before the surgery.
The patient should avoid forcing their weight on the affected leg before the surgery.
No food or drink should be consumed by the patient for a minimum 8 hours before the surgery.
The physician will scan the problematic area of the skin using a hand-held ultrasound device. This is done to identify the parts of the vein that have varices, so as to get a clear idea of where the treatment should be concentrated.

SURGERY

The surgery is minimally invasive. It is a very short procedure which does not require hospital stay. A simple overview of the surgery is as follows:

The patient is given a local anaesthetic, so as to numb the portion to be treated.
The skin is sterilized and the needed instruments are inserted into the affected veins. It comprises of 3 stages- 1.Guide wire is positioned inside the target vein. The main job of the guide wire is to guide the catheter (flexible tube) to the treatment site. 2. Once the guide wire is in place a sheath is placed around and runs along the length of the wire. 3. After the sheath completely covers the guide wire, the wire is then pulled out and the laser is then inserted.
Once the instruments are inserted

The laser is activated and gently pulled back along the length of the varicose vein.
Due to the heat emitted by the laser, the walls of the vein collapse behind the tip of the laser as it is pulled back thus, closing the vein.

POST SURGERY CARE

Once the vein is treated, the sheath and the laser are removed from the patient. The symptoms are relieved almost immediately. However, to make this relief lasting and permanent, doctors advise the patients on how to manage themselves after EVLT. It includes:

Wearing compression stockings for upto 2 weeks after the surgery. The motive behind this is to create a pressure which will assist the leg veins to push the blood up, thus preventing a venous disorder to occur again.

There will be swelling seen on the treated site after the surgery. It is recommended to keep an ice pack on the site for a day or two after the surgery to reduce the swelling.

About Medfin:
At Medfin, we understand the discomfort and inconvenience caused by varicose veins, which are swollen and twisted veins that can be painful and unsightly. We offer the latest minimally invasive or surgical procedures to help prevent complications and improve effectiveness.

Our team of experienced and skilled physicians specialize in laser, laparoscopy, and embolization treatments for varicose veins. These treatments are designed to be minimally invasive, with shorter recovery times and fewer complications than traditional surgical procedures.

Our goal is to help our patients regain their confidence and quality of life by providing them with the most effective and advanced treatments available.

If you're experiencing symptoms of varicose veins, such as swelling, pain, or discoloration, don't hesitate to contact us. Our team is dedicated to providing compassionate care and innovative treatments to help you achieve optimal health and well-being.

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