What is varicose veins?

The aim of the treatment of varicose veins is to increase the quality of life. The disease usually shows a benign course, most of the patients do not need surgery and good results are obtained with conservative treatment methods. If symptoms seriously affect the patient’s quality of life, treatment should be considered. Sometimes in patients with large varicose veins, if complications such as bleeding or ulceration develop, more aggressive surgical treatment methods may be used.

It should be kept in mind that varicose veins will recur after a certain period of time unless the causative factors are eliminated (excessive weight, prolonged standing, estrogen use).

Methods used in the treatment of varicose veins;

Adhesive treatment

Foam Treatment

Laser Therapy

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.

TREATMENT OPTIONS

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.

Varicose Veins Treatment with Adhesive

One of the newest methods that increase patient comfort in the treatment of varicose veins is the treatment using adhesive. It is aimed to close the veins within a few seconds by injecting the adhesive produced for medical use (for use in humans) into the vein that causes varicose veins. In this way, varicose veins can be treated without using general or local anesthesia, incisions or stitches (non-surgical method). If there are no varicose veins (finger-sized varicose veins), there is no need to apply an elastic bandage. If there are varicose veins, it is sufficient to wrap an elastic bandage only on these areas. Patients can continue their normal life after 1 hour.

How is it applied?

A very small amount of local anesthesia is given to the area where the source vein causing the varicose is located under ultrasound guidance, the catheter used for gluing is placed inside the vein causing varicose veins and external varicose veins, while the adhesive is given from the tip of the catheter, the catheter is quickly pulled outwards and the varicose vein is closed by gluing it completely.

Post treatment

After the treatment is completed, patients continue their daily lives without interruption.

Advantages:

• The patient can return to work and daily life one hour later on the same day.

• In the first 24-72 hours, there is little or no bruising or swelling in the treatment area.

• Does not require general anesthesia or waist numbing

• Technically easier to apply than all other treatments

• The success rate is the same as other treatments

• The risk of skin, nerve damage and numbness due to heat in laser and radiofrequency treatment is not in this treatment method.

• Very comfortable and easy to apply for patients

• There is little or no possibility of leaving a stain or scar on the skin after the treatment.

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 and the knee using laser or sound wave energy and divide the remaining side branch varices.