Varicose veins and its treatment

Compression stockings are recommended for patients with few complaints. According to the location of the varicose veins, knee-high, knee-high or panty varicose stockings are recommended. However, patients can use knee compression stockings most easily. There are compression stockings that apply light, medium, high and very high pressure. Light compression stockings are sufficient for protection. However, patients with varicose veins and swelling should wear higher pressure compression stockings.

Compression stockings are used incorrectly by many people. Compression stockings should be worn by draining the veins of the patient. First of all, the patient should lie on the bed and raise his leg up for 5-10 minutes. Then he should wear the compression stockings. During the day, he should walk around with compression stockings. It is not necessary to wear socks when going to bed at night.

The need and type of treatment varies according to the patient. A small varicose vein that causes visual impairment in a young woman can be treated, while more common varicose veins can be followed for life with compression stockings in elderly patients. In general, varicose veins that cause discomfort, pain and swelling should be treated. Advanced varicose veins should be treated, especially if there are discoloration and wounds on the skin.

In the treatment of varicose veins, 2 problems should be solved together. Varicose veins that can be seen from the outside should be treated, but perhaps more importantly, the underlying problem that leads to increased pressure in the vein is eliminated. Thus, the patient’s image problem will be resolved, as well as pain and swelling in the legs will improve. Perhaps most importantly, the possibility of recurrence of varicose veins, which is the most frequently asked question by patients, will be minimized.

Surgical treatment
The aim here is to remove externally visible varicose veins as well as to eliminate the insufficiency that causes high pressure inside the veins and almost always caused by the valves in the inguinal region. If this insufficiency is not eliminated, the complaints of the patients will continue and varicose veins will recur in a short time. Therefore, it is very important to examine patients with Doppler ultrasound before surgery. In the past, all veins from the ankle to the groin were stripped with the help of a wire. This initiative is now used extremely rarely. This vessel is necessary for a possible future bypass operation and should be preserved as much as possible. The ideal treatment is to eliminate the problem between the groin-knee using laser or sound wave energy and to remove the remaining side branch varices locally.

If the patient does not have valve insufficiency, all that is required is to remove the enlarged varicose balls with small skin incisions made on them. These are 1.5-2 mm long holes made parallel to the natural lines of the skin and often heal without the need for stitches. Therefore, you do not have a post-operative period. The procedure can be performed under local anesthesia, rarely at the request of the patient, by anesthetizing the waist. The patient can usually go home 1 hour after the procedure, and compression stockings are recommended for 1-2 weeks.