Of Laser Procedure With Surgery
1. OPD Procedure
|1. Hospital procedure
|2. General anesthesia
3. One hour
|3. Three - Four hours procedure
4. No rest
|4. Rest for one week
work same day
|5. Resume work after two or
term recurrence is 2-4%
| 6. Long term recurrence is
support stockings are prescribed to slow down the
progression of varicose veins. This is done for symptomatic
relief, but they must be worn pretty much every day
for the rest of your life to be effective. Stockings
may help vein symptoms so long as they are worn, but
they do not cure the problem.
is performed by injecting a solution into the diseased
veins. A mild chemical solution is injected into the
dysfunctional vein, which causes it to shrink and
gradually disappear. A single treatment session may
involve as few as 1 to as many as 50 injections. After
treatment, the leg is wrapped in elastic bandages
to ensure that the treated veins remain closed. Sclerotherapy
does not require anesthesia, and can be done in the
doctor's office. Side effects which may only occur
at the site of the injection, such as stinging or
painful cramps; red raised patches of skin, small
skin ulcers, and bruises. Spots, brown lines, or groups
of fine red blood vessels could appear around the
vein being treated. These usually disappear. The treated
vein could become inflamed. Applying heat and taking
aspirin or antibiotics can relieve this. Lumps of
coagulated or congested blood may develop which are
not dangerous and can be drained.
Instead of using a sclerosing agent
in its liquid form, this technique involves a foam
sclerosing solution. The principle behind foam sclerotherapy
is the same one that makes shaving cream so effective:
foam has a greater surface area than liquid, which
increases the likelihood that it will cling to its
target surface. Foam sclerotherapy irritates the vein
and causes it to shrink more quickly than liquid sclerotherapy.
These procedures are used for surface
varicose veins that are too large to be easily treated
by sclerotherapy. The incisions are only 2-3mm (about
an eighth of an inch) and are so small that they do
not require stitches. Advanced micro-surgical procedures
such as ambulatory phlebectomy are performed in the
office with mild sedation and leave no large scars.
Image Guided Ligation
Ligation may be needed to treat
deeper vein disease in some patients who cannot be
treated by other methods. Unlike older "blind"
surgery requiring larger exploratory incisions, the
surgical site is localized using ultrasound imaging
and a small incision is made, usually 1 to 2 inches
long. Ligation is usually performed in combination
with injection sclerotherapy and/or micro-incisional
removal of surface varicose veins.
Surgical Ligation and Stripping
Surgical stripping is reserved for
only the most severe 10% of varicose vein cases. It
is usually used to remove the main superficial vein
(the long saphenous vein), which runs from the groin
to the ankle. This collects blood only from the skin.
Removing the veins will not affect the circulation
of blood in the leg because veins deeper in the leg
take care of the larger volumes of blood. Vein stripping"
is the oldest method for treatment of varicose veins.
The first surgery was first performed 100 years ago.
Incisions are made to dissect down into the leg and
locate underlying diseased veins. Long "strippers"
of various designs are passed through these deeper
veins and then the stripper and vein are pulled out
of the leg together. This is almost always performed
using general anesthesia (with the patient completely
unconscious and connected to a ventilator) due to
the tissue trauma involved. The need for general anesthesia
requires that the surgery be performed in a hospital
or equivalent surgical facility. Surface vessels are
commonly removed at the same time through several
incisions measuring 1 to 4 inches each. Recovery times
vary widely, but are typically about two to four weeks.
Some surgeons perform stripping as an outpatient surgery,
with the patient going home at the end of the day,
but others will keep patients hospitalized overnight
or for a day or two.
The 2 main types of surgery for varicose
2. Ambulatory surgery.
Mini-phlebectomy is an in-office
surgical procedure performed under local anesthesia
to remove the faulty area of a vein through minute
incisions. Ambulatory surgery is performed in the
hospital to remove the long saphenous vein through
two small incisions at the groin and at the ankle
- Surgery can leave permanent scars.
- Serious side effects are uncommon
- However, with general anesthesia, there always
is a risk of cardiac and respiratory complications.
- Bleeding and congestion of blood can be a problem,
but the collected blood usually settles on its own
and does not require any further treating.
- Wound infection, inflammation, swelling and redness
- A very common complication is the damage of nerve
fibres around the veins which can lead to pain.