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varicose vein treatment

Here is the detailed information regarding varicose vein removal, indications and contraindication to the operation. The procedure is performed under local anaesthesia and is practically painless.

Varicose vein removal

Varicose veins of the legs most often develop in women. Surgery is an effective method of rectifying this problem. The decision on whether the patient should be treated surgically is made by the surgeon. The basic indications to the operation are a history of thrombophlebitis, bleeding from varicose veins, varicose vein lesions in people who work in a standing position. There are also emotional and cosmetic grounds for surgery, e.g. when the patient absolutely cannot accept the appearance of her legs. The procedure is contraindicated in pregnant women and in persons with very serious disorders such as cancer, heart failure, diabetes, and advanced atherosclerosis. Before treatment the patient is thoroughly examined. We diagnose the condition of the patient's veins using, for example, ultrasound diagnostic devices. We prescribe complete blood count and blood coagulation tests as well as prophylactic vaccination against viral hepatitis. There is one (so-called secondary) type of varicose veins that require further diagnosis whose common outcome is contraindication to the operation.

Modern varicose vein treatment (the Varady method)

Varicose veins of the legs are distended, hypertrophied plexuses of superficial veins. The disorder occurs mainly in adults and is most prevalent in industrialised countries, affecting almost 40% of women and 20% of men. It always results in a visible aesthetic defect. Advanced varicose veins may cause health-threatening complications in the form of thrombi. In such a situation, prolonged hospital treatment is required.

The disease is chronic and has been observed to recur. Its predominant causes are prolonged standing, pregnancy, hormonal disturbances, obesity, and leg traumas. There are numerous methods of varicose vein treatment, of which surgical procedures are considered the most effective.

The aesthetic problem connected with the appearance of varicose veins applies in the absolute majority to women. Recently, several methods have been introduced combining high therapeutic effectiveness with a good cosmetic effect. They include the varicose vein treatment method proposed in 1987 by Professor Varady from Frankfurt an der Main (microphlebectomy).

The method consists in removing varicose veins with the use of microsurgical tools through small 2 or 3 mm-long incisions which are in fact only skin punctures. The procedure is performed under local anaesthesia and is practically painless. In the case of extensive lesions, brief general anaesthesia performed by an anaesthesiologist is recommended. Skin incisions are not sutured but closed with the use of adhesive strips (Steri-Strip) removed at day 7 to 9 following the procedure; the incisions heal without leaving practically a trace. The procedure is performed on an outpatient basis, within the system called "one-day surgery". The patient is discharged home soon after the treatment, and can even drive a car. For 2-3 days following the procedure an elastic bandage should be worn, followed by compressive stockings worn for at least one month. Small haematomas and ecchymoses resulting from the treatment disappear within up to 3 weeks. The patient can return to normal physical activity within 7 days following the procedure.

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Last update: 2009-09-05

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