Phlebology

Varicose vein disease in the most general terms is understood as the defective expansion of lower extremity superficial veins. While disease progression, along with venous dilation itself, there takes place other disease manifestations – edema, dermatitis, trophic ulcer.

The fundamental cause of disease development implies inborn connective tissue failure which covers the structure of venous wall.

The following factors promote disease onset and progression:
• Overweight
• Sedentary life – contributes blood congestion in leg venous system.
• Pregnancy
• Dishormonal states which also include the long-term administration of hormonal contraceptives.
• Lower extremity injuries

If you have relatives suffering from varicose vein disease and if there are any manifestations of the given risk factors, it is necessary at least once a year to consult surgeon-phlebologist.

Diagnostics:

The success of varicose vein disease treatment directly depends on the stage of its progression for the beginning of therapy. The earlier you refer to phlebologist, the simpler would be the treatment together with reduced risk of complications. Where relevant, after primary examination, RADC phlebologist may refer you for the triplex ultrasonography of lower extremity venous system, which enables objective definitions of indications for any treatment option of varicose vein disease.

The current concept is that any surgical intervention is to be done using the most sparing method for patient, together with the provision of reliable and lasting result. For this reason, for the treatment of lower extremity varicose vein disease we use the technique of radiofrequency endovasal obliteration and microphlebectomy combined with sclerosing therapy.

Nowadays, the procedure of radiofrequency vein obliteration is the most advanced alternative approach to the treatment of varicose vein disease adopted from cardiosurgery, where it is used to eradicate abnormal contracting foci in myocardium.

This minimally invasive technique involves the introduction of radiofrequency catheter through the small puncture in vein lumen. By the action of radiowaves, there takes place the heating of varicose vein, it deflates and subsequently resolves. The procedure is performed without general anesthesia with outpatient hospitalization and leaves patient with little if any isolation from the habitual life style. Manipulation is implemented under permanent ultrasonic control. As a rule, the procedure is combined with microphlebectomy – the excision of subcutaneous vary in the area of hips and lower thighs through the minimum “punctures”, which makes it possible to reach the desired medical and esthetic result almost immediately after the operation.

Advantages over the other techniques:

• Unexampled accuracy and efficiency of the procedure — performed under ultrasound control, the surgeon controls over the course and extend of performed manipulation. Complications after the given type of interventions are exceedingly rare, and relapses take place not more often than in case of standard surgical operations.
• Maximum safety for patient – low injury rate, reduced risk of possible treatment complications and disease relapses. No need for general or spinal anesthesia.
• Near-complete absence of hematomas (bruises), pain syndrome – this is achieved by means of strict local and “soft” procedural VNUS impact on venous wall, free of surrounding tissue damage.
• Greatest cosmetic result – the manipulation is implemented in the form of a puncture that is without incisions, which enables liquidation of varicose veins with little to no marks on the skin after the given treatment.

Just in a couple of days, the patient may return at his job. Sporting activities are allowed a week later, but for visits to bath-houses and sauna.

The only restrictions in the use of the given techniques include too large varicose veins and excessive tortuous veins.