Varicose veins of the lower extremities or varicose veins of the lower extremities - pathological dilation of superficial veins, accompanied by failure of the valves and impaired outflow of venous blood from the tissues of the lower extremities. This is the most common peripheral vascular disease
Varicose veins of the legs of women suffer on average three times more often than men.
- Pregnancy is traditionally considered one of the main risk factors for varicose veins, which explains, in particular, more frequent (3-4 times) damage to women
- Obesity is a proven risk factor for varicose veins
- Lifestyle and work have a significant impact on the development and course of varicose veins. In particular, the adverse effects of prolonged static loads with lifting loads or standing in a standing and sitting position have been proven
Signs of varicose veins - nodular varicose veins, pain, heaviness in the legs, swelling of the feet and legs, fatigue in the legs by the end of the day. Varicose veins are often prone to blood clots and infection. Phlebitis - inflammation of blood vessels or thrombophlebitis - inflammation of blood vessels complicated by blood clots can occur. In the course of the veins there are hard, very painful strands. The skin changes, loses its elasticity and color - becomes dense, dark brown. With a minor injury, ulcers occur.
If varicose veins of the lower extremities are not treated in time, the pathological process can spread to the deep veins. And this pathology is no longer subject to radical surgical treatment, requires constant conservative high-cost therapy and often leads to disability of patients.
Symptoms of the disease.
- Swelling of the lower extremities.
- Feeling of distension and heaviness in the legs.
- Skin changes. Initially, the skin becomes dry, pigmentation appears - the skin of the feet darkens, covered with brown "spots". Later, these symptoms can be joined by various dermatitis, eczema and so-called trophic disorders in the form of poorly healing wounds, up to the formation of ulcers.
- Twisted, engorged varicose veins protruding above the surface of the skin of the legs and feet, with saccular, cylindrical or mixed dilatations.
- Vascular asterisks (telangiectasia). Thus, the group of patients with varicose veins includes people with varicose veins, because the reasons for their appearance are the same varicose veins. And the first and earliest symptoms of varicose veins, such as heaviness in the legs, moderate pain in the legs, fatigue, occur in the initial.
The main method of diagnosing varicose veins of the lower extremities - ultrasound Doppler of the veins of the lower extremities. This method is completely painless and safe (there is no radiation at all) and allows you to get clear information about the disease. At the same time, blood tests are extremely necessary, in particular, to assess the state of the blood clotting system, to clearly establish the presence / absence of a tendency to thrombosis in the patient.
UNIVERSUM.CLINIC provides all the necessary procedures for diagnosis, including laboratory diagnostics, which allows you to quickly diagnose the disease and, without wasting time, begin appropriate treatment.
The ultrasound procedure takes 30-60 minutes, and the test results are usually ready in 24-48 hours from the moment of blood collection.
Current trends in the treatment of varicose veins have changed greatly in the direction of minimally invasive interventions used in outpatient settings, do not require general anesthesia and are characterized by excellent results and faster recovery after the procedure. The following methods are currently being implemented:
- Laser ablation of varicose veins (EVLA - Endovenzone laser coagulation). "Gold Standard" for today. The essence of the technique is that through the puncture of the skin (rarely - a small incision) in the varicose vein is introduced laser fiber, which "evaporates" the vein from the inside without damaging the surrounding tissues. According to recent clinical studies - its effectiveness is almost the same as the surgical complete removal of the vein (Bebcock venectomy.) Good cosmetic result, almost no pain after the procedure, recovery within a week. Estimate time of the procedure – 1-2 hours.
- Miniphlebectomy - a mini-operation in which varicose veins are removed through punctures of 1-2 mm on the skin and removed with a special hook-tool. Performed under local anesthesia, and often do not even require suturing, with excellent cosmetic results. Estimate time of the procedure – 30-45 minutes
- Radiofrequency ablation (RF) - The essence of the technique is that through the puncture of the skin (rarely - a small incision) in the varicose vein is inserted RF conductor, which "evaporates" the vein from the inside due to radiofrequency ablation (vein tissue "mummified” from the inside and without damaging the surrounding tissues. Has almost identical results to the EVLA procedure. Estimate time of the procedure – 1-2 hours
- Sclerotherapy - a procedure based on the introduction (through a needle / syringe puncture) of a special foam substance that "sticks" the vein from the inside. The procedure does not require anesthesia at all, but is inferior to the effectiveness of RFA and EVLA procedures, has a slightly higher rate of recurrence of varicose veins. Estimate time of the procedure – 30-45 minutes
You will not always be offered surgery on the visit to phlebologist. UNIVERSUM.CLINIC treats varicose veins disease in accordance with international protocols, including the United States and European countries. Only after a detailed examination and establishment of the stage of the disease, the doctor will prescribe appropriate treatment.
Modern phlebology - often does not require hospitalization and can take place in an outpatient setting. Depending on the procedure, the treatment lasts from 45 minutes to 2 hours, depending on the method and scope of the intervention.