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Vascular Surgery
My health hospitals has best vascular surgeons with 10 + years of experience in the field of in treatment of various vascular problems and their treatment with best and advanced technology (Lasers ) with best results through safe and painless surgery with less hospital stay duration and prevent future problems and recurrence .
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Varicose veins are dilated veins on the lower limbs (legs ) which are very prominent and tortuous . Most common cause of these varicosities being standing and walking which increase the pressure in the veins of the legs and make them dilated and prominent.
Varicose veins in some cases may cause dragging pain and discomfort and if left untreated may also cause complications like skin discolorations , ulcers which donot heal despite treatment for many days with medications .
Treatment of these varicose veins involves surgical intervention most of the times to avoid future complications related to venous swelling.
There is no single cause for varicose veins but it has a common problem which is weakness or damage of venous valves and various Risk factors which can cause this to happen -
Inguinal hernia signs and symptoms include:
A vascular surgeon diagnoses your condition as varicose veins by carrying out a physical examination in standing position of both the lower limbs and check for their presence and complications caused by them such as skin discoloration and ulcers on the legs and decide on severity of venous swelling and decides on best management option for you based the pain and discomfort , extent of varicosities and severity . He may order some diagnostic tests which include -
There are many options of treatment decided by the treating vascular surgeon based on your symptoms and severity -
Wearing compression stockings advised by the surgeon (vascular ) may help in some cases causing compression of dilated veins and avoiding any complications .
Sclerotherapy - In which the sclerosant or foam is injected into the dilated vein under ultrasound guidance which slowly closes the superficial veins
Laser treatment (EVLT) – This is most commonly performed surgery in which laser fiber is passed under usg guidance until the dilated segment of varicose veins and short bursts of heat with laser is done along the vein which causes venous closure .This is most safest procedure with almost no complications .
Venaseal (Glue therapy ) - In this procedure , in the place of laser - Glue is used through the catheter introduced inside the vein which closes the venous lumen by sticking it together .
Catheter-based procedures using radiofrequency - This procedure is the treatment for larger varicose veins. Similar to laser treatment heat waves produced by radiofrequency seals and shuts down the dilated vein.
High ligation and vein stripping (Open surgery ) - This procedure involves tying off a dilated vein before it joins a deep vein and removing the entire dilated vein(Stripping ) through small cuts .
Complications include:
Varicose veins are very common. Around 1/3 of all adults have varicose veins. They are more common in people assigned female at birth than in people assigned male at birth.
Most often, varicose veins develop on the lower half of your body, usually on your calves, ankles and feet.
Usually, varicose veins aren’t dangerous and don’t cause long-term health problems. Most people with the condition are concerned with the way varicose veins look. They may experience discomfort but don’t develop complications.
Most of the time, varicose veins that happen while you’re pregnant go away on their own within two or three weeks after you have your baby. For other people, varicose veins may keep coming back after treatment.
Varicose veins can cause ulcers (open sores), bleeding and skin discoloration if left untreated. Severe varicose veins may be a sign of chronic venous insufficiency.This condition affects your veins’ ability to pump blood to your heart.
People who have varicose veins may be more likely to develop blood clots. It’s important to tell your vascular surgeon about varicose veins. Your provider should evaluate and monitor you for clotting disorders such as Superficial thrombophlebitis /Deep vein thrombosis (DVT)/Pulmonary embolism.
Although treatments are effective, varicose veins can return. They’re more likely to come back in people who become pregnant after treatment. You have a higher chance of varicose veins reappearing if you have obesity or have a sedentary lifestyle.
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