Varicose Vein Surgery


Treatment

When the veins in the legs are unable to return all the blood to the heart effectively, it results in a loss of speed in the movement of the blood and causes stagnation. This anomaly is known as venous insufficiency and manifests itself with symptoms such as aching, heavy legs, cramps, spider veins, ankle-swelling or varicose ulcers. If this venous insufficiency is not treated, it can cause severe problems such as ulcers (large varicose veins), eczema (small varicose veins), vein pigmentation, blood clots and phlebitis. 

When there is an increase of small veins, they are made very visible due to the transparency of the skin. These venous “channels”, that normally affect face, legs and hands are unsightly, creating self-consciousness and causing the patient to attempt to hide or conceal the affected areas. This can affect the patient’s general social habits by limiting outdoor activities, causing them to wear clothes that hide the lesions and requiring the use of correction makeup (although this is not always successful) and other limiting factors.

Varicose veins can be classified as follows:

     Large (from 4 to> 8 mm)
     Medium (from 1 to 4 mm)
     Small (<1.5mm)

For large veins, surgery is required.



Surgery duration

1 - 2 hours

Bed

1 day

Recovery

10 days

Anesthesia

Local

Effect

Immediate

Results

Permanent


Procedure

At Clínica Planas, we make a precise diagnosis using the following:

Anamnesis of the patient (working habits, pregnancy, pain, heavy legs, itchiness)

Physical examination (palpation and percussion the veins)

Non-invasive hemodynamic monitoring using an ECHO-DOPPLER. This procedure has revolutionized the diagnosis of varicose veins as it allows doctors to measure their type and size as well as record them. This examination is a must for any treatment.

Techniques

Classic technique - Striping

Striping consists of introducing a cannula inside the varicose vain and then removing the vain itself. It is a traumatic procedure that requires long and painful post-operative treatment and therefore is used little these days.

CHIVA technique

This is a therapy that preserves veins and restores the haemodynamics of insufficient veins on an outpatient basis. It involves making a cartography or map of the veins, finding points where the superficial venous system must be interrupted. The diseased vein is cut using an intra-dermic suture in order to minimise the final scar. It is a less traumatic technique that requires little post-operative treatment.

Müller technique or micro phlebectomy

This technique involves making micro incisions with a #11 scalpel, then introducing a number of little hooks. The area is drained and the varicose vein segments removed before closing the incision once more. This procedure is not traumatic; it can be carried out on outpatient basis and requires very little post-operative treatment. Along with the Chiva technique, this is the most common treatment currently for varicose veins.

Radio-frequency Therapy / Endovenous Laser Therapy

This procedure involves introducing a catheter inside the varicose vein and applying thermic energy, causing the vein to close. Once the procedure is finished, the varicose vein will shrink and become sealed. This is not a traumatic technique, but it does require hospital admission and the patient may suffer some post-operative pain in the treated area. This has become a commonly used technique.


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