Varicose veins are the basis of the structural causes of varicose veins, the insufficiency of valves that help the blood in the vein carrying the dirty blood in the body to return to the heart by overcoming the difficulty caused by gravity, the weakness of the vessel walls and congenital vascular diseases.
Familial transition, in other words, genetic inheritance is one of the most important factors. It is more common in occupational groups that require constant standing and / or sitting. Hormonal reasons such as pregnancy and / or use of birth control pills, excessive weight, leg surgeries or trauma caused by accidents also play an effective role. In addition, the presence of other diseases such as diseases that increase intra-abdominal pressure, tumors, thrombophlebitis can also cause varicose veins.
It may cause pain, fatigue, swelling, fullness, cramps, heaviness, burning, itching, discoloration, non-healing wounds in the legs. If there is a family history of varicose veins, a vascular surgeon should be consulted.
How is it diagnosed?
Hand Doppler examination and color Doppler ultrasonography (works with the principle of sound waves in both methods) after the examination provides the opportunity to diagnose varicose by up to 99% of varicose veins. Brodi-trendelenburg test, Perthes test, hand doppler (Continuous wave), B-Mode ultrasonography, color duplex ultrasonography, phlebography, plethysmography, CT venography, MRI are the most widely used diagnostic methods.
What are the treatment options?
The progression of the disease can be prevented by using only compression stockings in early stage varicose disease and in elderly patients with surgery risk. Compression stockings below the knee are generally sufficient.
Sclerotherapy: In thin and medium varicose veins, sclerosing (drying) drugs are injected into the patient vein with microfine (very thin) needles to eliminate varicose veins. The method is painless and can be returned to daily life after 15-30 minutes of operation.
Transcutaneous laser: It is a method of safely eliminating varicose veins with laser in small and medium-sized superficial varicose veins. After the painless 15-30 minutes of procedure, the patient can return to his daily life.
Endovenous laser and endovenous radiofrequency ablation methods: It is a method of eliminating varicose veins (without surgical incision) using laser catheter, which was treated surgically until recently. In the endovenous radiofrequency method, a radiofrequency wave is given into the vein with the help of a catheter. Among the advantages of the endovenous laser method, it is possible to perform the procedure with local anesthesia, to return to normal life a few hours after the operation, to achieve 98% success, to be applied in a short time such as 45 minutes, to be a safe and painless procedure, to provide successful cosmetic results and to be more economical than surgical intervention. take place.
Adhesive polymerization (glue) treatment for varicose veins: Treatment with polymerization, which is a new treatment for varicose veins, is the process of closing the vein causing varicose by giving a medical adhesive. The medical adhesive used causes a rapid reaction called intravenous polymerization, causing the vein to close and dry, and in this way, varicose veins disappear over time.
Ambulatory phlebectomy: It is a method of removing medium-large varicose pouches with local anesthesia. The patient can return home on the same day.
Classical varicose operation: The varicose vein showing insufficiency is removed with incisions made from the groin area and the inner part of the ankle, the patient is hospitalized for 1 night, bed rest may be required.
Hybrid treatment: It is a personalized combined treatment method with sclerotherapy, endovenous laser, transcutaneous laser, endovenous radiofrequency method and ambulatory phlebectomy methods for varicose veins of the patient.
Cross polarized illumination: Thanks to a special light system used, very thin varicose veins under the skin can be detected and treated in sclerotherapy and / or transcutaneous laser applications. Applications performed under crospolarized light with our clinic’s original method are reflected in our results.
Varicose patient education and preventive medicine: Our goal is to catch the disease before it develops or at the beginning stage and to prevent varicose disease from affecting our daily life by taking preventive measures.
Preventive varicose education program specially prepared for the person plays a very important role in preventing the development of varicose diseases and slowing down the progress of developed varicose veins.
Things to know about varicose treatments
In small varicose veins between 1-3 millimeters in which no valve insufficiency is detected in Doppler ultrasonography; The method called “sclerotherapy” can be applied. In sclerotherapy; By entering the vein with fine needles and giving special substances, the vein is closed. In addition, aesthetic capillary varicose veins can be treated with special tools such as electrocoagulation, radiofrequency and laser. Several sessions are applied depending on the prevalence of the disease. The patient can go home on foot after the procedure, bed rest is not required. It is sufficient to wear elastic bandages or compression stockings for 1-3 days.
The options that can be applied in the treatment of advanced stage varicose veins can be listed as follows; standard surgery, foam sclerotherapy, radiofrequency, endovenous tissue adhesive (glue) treatment and laser ablation methods.
The method to be applied is chosen according to the patient and the stage of the disease. The common purpose of all of these methods is to remove the superficial vein with valve insufficiency or to prevent venous load and ponding by providing closure. There is no harm for the body in removing or closing these veins whose valves do not work anyway. Other deep veins take on the role of superficial veins that are taken or closed.