Modern Varicose Removal Methods

In the last 20-30 years, many different innovative methods have been invented to remove diseased varicose veins. If the first phlebologists used only the classic surgical operation for this, nowadays biological glue, laser, steam, radiofrequency intervention and much more are used.

The great advantage of modern varicose vein removal methods is that almost all are minimally invasive - they are performed with minimal surgical intervention (by injection, by puncture, by a small incision) and do not require prolonged postoperative recovery.

So, in our article today, we'll talk in detail about how to remove varicose veins using modern methods and consider its main disadvantages and advantages.

removal of varicose veins under ultrasound control

RF interference

This method is especially popular in the United States of America and has gained great popularity because, after this procedure, no scars or scars remain on the body, for example, after laser vein removal. Furthermore, the advantage of this method, compared to the same laser coagulation, is the safety for the most sensitive and delicate parts of the body (genital organs, face).

The principle of intravenous radiofrequency surgery is extremely simple - through a small puncture, a special catheter electrode (looks like a long but thin wire) is inserted through a small puncture into the diseased vein, at the end of which there is a special nozzle 7 centimeters long, which emits radio frequency energy, which heats the veins and makes them stick together. . . The operation is carried out under the control of an ultrasound machine, so that the physician, at all stages, fully controls the progress of the procedure through the monitor.

The main advantage of radiofrequency catheter ablation is that it can be used even on the most vulnerable parts of the body. Furthermore, the advantages include the fact that after the operation you no longer need to take painkillers and, furthermore, the procedure itself is not very painful.

A significant disadvantage of this intervention is the price, it is an order of magnitude higher than that of the same laser coagulation, therefore, this technique in the post-Soviet space, which performs the removal of veins with varicose veins, is relatively less used. often than in the US.

Bioglue Venaseal

This innovative technique was invented in the USA and successfully applied in 5 countries around the world since 2010. This procedure is absolutely painless, does not take a lot of time and is performed in an outpatient clinic without any anesthesia (no need to go to the hospital). After graduation, you can immediately go home and take care of your business.

In the minimally invasive intervention process, a special catheter is inserted into the affected vein through a puncture and through it is filled with bio-glue. The entire procedure takes place under the full supervision of a doctor, who in real time, through an ultrasound machine, observes how the diseased veins unite and transform into connective tissue. The operation does not cause any harm to the body, as well as the bio-glue itself, as it is an ecologically correct substance and does not even cause allergic reactions.

The advantages of this technology for removing veins with varicose veins are enormous. First, it is the total absence of a rehabilitation period, after bonding the veins with bio glue, you don't even need to wear compression stockings, as with most other minimally invasive methods of removing dilated veins. A person can take care of his business immediately after the end of the transaction.

Furthermore, the advantage of this method is its absolute absence of pain and complete absence of preliminary preparation. Visual changes become visible already during the operation, the veins adhere and disappear before the eyes, the skin becomes smooth, the nodules and tubercles disappear.

Among the disadvantages of the procedure, one can only note the high cost, and the fact that it is performed only in five countries in the world, including Latvia. Therefore, not everyone can afford to remove varicose veins with this method.

sclerotherapy

A method very similar to the previous one, but less effective in relation to the main (internal) veins. In approximately 25-35% of cases, the main veins can only be partially closed, and this is fraught with reoperation. However, for superficial veins, those that protrude above the skin, this procedure has proven to be very good.

During sclerotherapy, the doctor, through a single puncture, injects a special substance into the varicose vein - the sclerosant. This is what chemically glues the damaged vein together and removes it from the bloodstream. After the operation, the use of compression stockings is shown.

The main disadvantage of sclerotherapy is that the procedure is ineffective in hardening the main (internal) veins. Also, a significant drawback to this method of varicose vein removal is the price.

sclerotherapy to remove varicose veins

laser coagulation

This method is one of the most popular today, as it has a large number of advantages. This operation is performed under local anesthesia on an outpatient basis, after which patients are shown wearing compression stockings for 1 month.

During the procedure, a light guide that emits laser thermal energy is inserted into the affected vein through a special micro-hole in the skin. The fluid in the veins heats up and they stick together. With correct local anesthesia, there is usually no postoperative pain syndrome in patients.

The main advantage of such an operation is its absence of pain and the absence of a rehabilitation period.

There are only two disadvantages to laser coagulation: the high cost of the procedure and small scars, which in some cases do not heal even after several months. It is also important to note that all procedures are performed 1-2 weeks apart, so if diseased veins have not been removed in a moment, their repeated removal is only allowed after 1-2 weeks.

steam removal

It is also a very effective procedure for removing varicose veins; in Europe it is used in the same way as the above methods, in post-Soviet space it is much less common. In 2010, when it was officially recognized by the medical community at the European Phlebology Forum, it won first place as the highest quality and original surgery to remove varicose veins.

During this procedure, a catheter is inserted through a micro-opening into a vein, with the help of which controlled micro-pulses of heated water vapor enter. Under its action, the venous walls are compressed, the vein is completely closed and exits the bloodstream. After the procedure, the compression stocking is always displayed.

The operation is performed on an outpatient basis, under local anesthesia, without any prior preparation. After removing the veins, you can immediately go home and work the next day.

There are many advantages to the intravenous thermal occlusion of steam micropulses. First, this is the effectiveness of the operation in difficult cases, when the veins have extensive branches, large in diameter or are located in the lateral branches (previously, these veins were removed only by the classical method of Varadi). In addition, this method can be used for disease relapses and after thrombosis.

The main disadvantage is anesthesia, which is performed with the addition of adrenaline and therefore can put additional stress on the heart. Also, in some cases, after removing the veins with steam, people experience a temporary violation of skin sensitivity and bleeding.

Miniphlebectomy

This is a minimally invasive and less traumatic method of varicose vein removal that does not require preliminary preparation. The procedure is performed on an outpatient basis under local tumescent anesthesia and lasts about 40 minutes. Once you're done, you can go home in a few hours. All perforations in the skin heal after some time and become almost invisible.

During the operation, the surgeon makes several punctures along the dilated vein and mechanically extracts the diseased vein through these holes. The doctor controls the course of the procedure using an ultrasound machine. Anesthesia lasts from 6 to 10 hours.

The advantages of such an intervention are a high cosmetic effect and a complete absence of pain. It is also important to note that such an operation is available to a wide range of people, including people with ascending thrombophlebitis, as it is well tolerated.

There are few disadvantages of this method - hyperpigmentation of the skin along the removed vein (rarely), bruises (after a while, they dissolve without a trace), deep vein thrombosis (isolated cases). To prevent the development of thrombosis, the use of compression stockings and limitation of physical activity in the first days after the removal of the vein is indicated.