Varicose veins are the most common vascular disease and according to the World Health Organization, almost 30% of the world’s population has a problem with varicose veins. Although the human venous system consists of superficial and deep veins, when we talk about varicose veins we mean superficial veins.
Dilated and twisted superficial veins on the legs are the result of impaired function of the venous valves of the superficial and deep veins, whose role is to direct venous blood from the legs towards the heart. When they are damaged, with long-term standing and sitting, obesity and lowered feet, blood is retained in the veins with an increase in pressure and gradual dilation of the veins, ie the development of varicose veins. Varicose veins are not only an aesthetic problem, but can cause serious problems ranging from swelling, burning, burning, itching, pain, night cramps to bleeding, inflammation, clots (superficial thrombophlebitis), hyperpigmentation of the lower leg skin and the development of ulcers that are difficult to heal. All complications reduce the quality of life, especially in the working population and require long-term treatment.
Varicose veins are affected by age, heredity, pregnancy, prolonged standing and sitting, carrying heavy loads and getting worse over time.
Compression therapy (elastic compression stocking or bandage) can prevent the increase and spread of varicose veins and reduce symptoms, but varicose veins will not be cured.
Specialist examination and consultation of a vascular surgeon with Color Doppler
We offer a complete examination and opinion of the vascular surgeon with a color Doppler ultrasound examination of the leg veins. Color doppler ultrasound examination reveals morphological changes in the walls of the veins (varicosities) and hemodynamic changes in terms of reflux and insufficiency and thrombosis in the venous system. After the examination, it is possible to make an accurate diagnosis and determine the method of treatment.
Methods of treating varicose veins
Removal of large veins (saphena magna vein and saphena parva vein) is performed by endovenous laser ablation (EVLA) which thermally damages the inner layer of the vein with the action of laser energy and is thus excluded from the circulation. The method is minimally invasive and almost painless, and the procedure itself takes about 30-45 minutes. Another method is surgical atraumatic stripping in which the diseased vein is surgically completely removed between the two incisions. Both procedures are performed under local (tumescent) anesthesia and the patient with a compression stocking immediately after the procedure.
Under local anesthesia alone or in combination with large vein ablation, varicose veins larger than 4 mm are surgically removed through individual mini skin incisions.
In combination with large vein ablation, varicose veins up to 5 mm in size are removed by sclerosis which chemically damages the inner layer of the vein. If the changes are less pronounced, the so-called capillaries, sclerosance in liquid form is used, while for more pronounced varicose veins we use UGFS (Ultrasound Guided Foam Sclerotherapy) method, ie ultrasound-guided method of removing veins with the help of sclerosants in the form of foam.
After the procedure, an elastic compression stocking of the 2nd degree of compression is placed, which can be worn for up to 4 weeks, depending on the extent of the procedure.
Treating changes on time and at an earlier stage prevents the occurrence of complications in old age and contributes to a better quality of life.