Varicose veins. About the treatment of varicose veins. Pregnancy and varicose veins (varices)

Varicose veins (varices) may be congenital or arose later in life. Varicose veins appear as prominent and tortuous veins on the legs. They are usually caused by uætte venous valves normally ensure that blood in the veins can only run up towards the heart. When the valves do not close tightly, blood can however run back in the legs when standing up. This creates an increased pressure in the veins which causes them to expand. Varicose veins and palpable veins under the skin are found in 20-25 percent of all women and 10-15 per cent of all men over 15 years have varicose veins. Symptoms may include soreness, heaviness, swelling, itching or cosmetic discomfort. If you have symptomatic varicose veins or feel cosmetically bothered, is surgery or laser treatment as often as possible.

Symptoms of varicose veins (varices)

Varicose veins can usually be felt when standing up. There may be pain, heaviness, itching or there may be fluid collection around the ankles. Many people with varicose veins complain of fatigue and restless legs or leg cramps, especially at night. Some patients with varicose veins also developing eczema of varicose veins or ankles. This can develop into ulcers on the shin, which can be hard to get to heal with less varicose veins are removed. Varicose veins can also cause cosmetic problems. Varicose veins are not "dangerous" and they give no dangerous blood clots or other serious illnesses. Are there significant genes with such turmoil and swelling or varicose veins are very distinct, is surgery a reasonable consideration.

Laser surgery, injections or other treatment?

Varicose veins can be treated with compression stockings, injection, laser and surgery. Compression stockings can relieve the discomfort of varicose veins, but not make them disappear. Intravenous treatment is particularly suited to treating veins, as well as to remove any small varicose veins that remain after an operation. Surgical and laser are the surest ways to achieve a lasting result. This eliminates not only the varicose veins, but also their causes. In the majority of primary varicose veins, it will be about a surgery in the groin, where the largest superficial vein from the leg terminating in the deep veins. Annually performed thousands of operations of varicose veins.

Laser Treatment of Varicose Veins

The high superficial vein of the leg can also be removed with a laser. This helps avoid groin surgery and stripping and is more gentle than traditional surgery. The advantage of lasers is the fact that there is little tenderness of the leg after the treatment. Outpatient surgery is performed and typically takes a half hour, then you can take home. Most people can go on the job the very next day and resume physical activity very quickly. Laser treatment of varicose veins, also called ILVO method (intravenous laser vein occlusion), limited use in Europe, but in eg the USA, the preferred method for treating varicose veins. Laser Surgery of varicose veins is typically not paid by the public, but require user fees or health insurance.

Prospecting and medical assessment

Investigation of varicose veins done in accordance with guidelines established by the Board of Health. The study begins with a clinical evaluation in which the physician notes where the legs and varicose veins are varicose veins may be the cause of the genes that may be. This is followed by a so-called duplex scanning, where the ultrasound and Doppler can directly see if the deep veins is operating normally and measuring which way the blood flows. This reveals the venous valves are defective, and the doctor will find the places to be operated. Are varicose veins on the back of the legs can result from faulty valves in the popliteal veins. Since the anatomy of the popliteal space is highly variable from person to person, the doctor will, where appropriate, conduct a further scan before surgery.

Surgery for varicose veins

Surgery for varicose veins is usually an outpatient basis and under local anesthetic. It then uses in most cases in the groin, in which the superficial veins runs down to the deep veins. Often you will add to extract a large blood vessel from the groin down to the knee (stripping). Where there are many blood vessels around the leg, it will be for many small incision extract these blood vessels. Finally, there may occasionally also have varicose veins on the back of the lower leg. They are treated the same way. After an operation can often be several small incisions in the skin.

Why treat varicose veins?

Varicose veins will not disappear by themselves, unless they have occurred during pregnancy. However, they have a strong tendency to worsen with time. Early treatment can prevent this while preventing the occurrence of complications. It may be incipient skin changes around the ankles or even shin wound that can develop into a chronic condition. There may also experience complications such as eczema, phlebitis, or bleeding from varicose veins. The treatment of varicose veins may also be due cosmetic reasons.

Income from the operation of varicose veins

At surgery removed all varicose veins in more than 90 percent of patients. If there is scar tissue around varicose veins after previous surgery or after injection therapy may be impossible to remove them all. Nuisance caused by varicose veins will disappear in most people. Secondary improve significantly. Any spider veins or discoloration will not disappear, but often become less visible. Cosmetic can spider veins subsequently treated with "'micro-injections." Complications: Some complications of surgical treatment of varicose veins is inevitable. There may be a risk of infection in wounds, but it rarely causes long-lasting problems. At less than 1 percent can come lymph accumulation in the groin year. These will disappear within a few months without treatment. You may damage the operation of sensory nerves to the skin. This is seen in 10-20 per cent and appears as small areas of skin on the leg with impaired sensation or a slight numbness when you touch it. Often disappears by itself within a few months and only rarely affects the quality of life. The cosmetic result of an operation can only be assessed after 3-6 months. Even after a well-executed operation, about 10 percent again get varicose veins within five years. There is virtually nothing you can do to prevent varicose veins or spider veins.

Pregnancy and Varicose veins?

Nearly one in three pregnant women develop dilated veins or varicose veins regular. In most varicose veins disappear some months after birth. It is not known whether it is the hormonal influence or a mechanical pressure from the uterus on the pelvic veins, which are the cause. But since the vast majority of varicose veins disappear after pregnancy, there's just no reason for concern. Nevertheless, it is recommended that the pregnant woman to use compression stockings. At the earliest 6 months after pregnancy termination can be assessed whether the varicose veins disappear by itself.


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