Surgery for varicose veins: use of tourniquet

Chirurgie varicose ven

Active[ edit ] Treatment options include surgery, laser and radiofrequency ablationand ultrasound-guided foam sclerotherapy. Newer treatments include cyanoacrylate glue, mechanochemical ablation, and endovenous steam ablation. No real difference could be found between the treatments, except that radiofrequency ablation could have a better long-term benefit. The symptoms of varicose veins can be controlled to an extent with the following: Elevating the legs often provides temporary symptomatic relief.

You can make an appointment here What causes varicose veins? A major cause of this disease is a weakness of the connective tissue with weakening of the vein wall.

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In most cases, this is innate. Suffering is mainly intensified by obesity, prolonged standing, pregnancy and lack of exercise.

Indication to the treatment is based on different criteria: etiological, clinical and diagnostic. The treatments include: conservative therapy, sclerotherapy, phlebectomy, endovenous laser therapy, radiofrequency ablation, and surgery involving saphenous ligation and stripping [ 2 ].

What is the result? Left untreated, the disease can be transferred to the deep veins and develop into the final stage, the clinical picture of open sores ulceration.

chirurgie varicose ven

What are the most common varicose vein diseases? Trunk varicose veins In trunk varicose veins, one of the so-called saphenous veins is affected.

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Anterior saphenous vein: inside of the thigh and leg; rear trunk vein: back of the lower leg. If untreated this can cause painful complications and lesions and eventually venous ulceration. Branch varicose veins This form of varicose veins often occurs in conjunction with trunk varicose veins and optically irritates depending on the extent, functionally depending on propagation.

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  • Aim of the study: To identify --the various surgical procedures used for treating chronic venous disease and in particular varicose veins; --the current use of preoperative investigation with duplex ultrasound; --the type of anesthesia used; --the postoperative treatment prescribed, and specifically compression therapy.
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Spider varicose veins These are very small, dilated veins in the skin. These usually have only cosmetic significance, although they may indicate an invisible trunk varicose vein. What treatment options are there?

chirurgie varicose ven

Open surgical procedures In this surgery, a small incision is made in the groin and the varicose vein is chirurgie varicose ven and severed in the region of its junction with the deep vein. With the help of a probe, the diseased portion of the vein is then pulled out stripping.

chirurgie varicose ven

Further small incisions are used to remove the extended side branches. The procedure is performed either as an outpatient or inpatient.

This is then sealed in the withdrawal procedure by the heat of ° C occurring at the probe tip. The protein structure of the vein wall is thereby destroyed and the vein shrinks in the treated section.

chirurgie varicose ven

A stable closure clot forms in the centre. This technique is particularly suitable for the saphenous vein of the thigh to below the knee. It is frequently combined with other methods sclerotherapy, miniphlebectomy.

Varicose veins

In principle, the procedure can be carried out with gimnastica împotriva varicose 2022 anaesthesia, but also under local or regional anaesthesia. Endovenous radiofrequency therapy does not lie within the scope of the statutory health insurance.

Therefore on indication or treatment request, the patient must negotiate with their health insurance on an individual basis or apply for a cost transfer.

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The procedure is performed outpatient or inpatient. Sclerotherapy obliteration By means of injecting a sclerosing agent into the varicose vein, an artificial phlebitis is provoked that leads to conversion of the enlarged vein into connective tissue. This method is preferred for branch and spider veins, for cosmetic reasons.

chirurgie varicose ven

The sclerosing agent can be foamed, whereby the effect is chirurgie varicose ven foam sclerotherapy. In severe and extensive findings several treatments are required, because the amount of sclerosing drug used must be limited each time.

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Sclerotherapy falls under individual health services IGeLwhich does not belong to the scope of the statutory health insurance except for medically justified exceptions. The procedure is performed on an outpatient basis.

chirurgie varicose ven

Anaesthesia is not necessary. Stocking compression For all the described treatments of varicose veins, a compression treatment is recommended for weeks with support stockings of a specific compression type.

Varicose veins are part of a spectrum of chronic vein problems.

These are prescribed individually and in most cases should be thigh length.