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Vericose Vein Surgery - Laser Surgery - Vascular Surgery Thailand

Understanding Superficial Venous Reflux & Varicose Veins

Normal Vein Dilated Vein
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Your legs are made up of a network of veins. A healthy vein contains valves which open and close to assist the return of blood to the heart Varicose veins are caused by damaged or diseased valves which result in backward flow of blood in your legs, a condition known as venous reflux. This can cause blood to pool in your legs and lead to symptoms such as pain, swelling, and varicose veins.
 

The Closure Procedure

The VNUS Closure procedure, an alternative treatment option to traditional vein stripping surgery, brings state of the art technology to an age old disease.

The Closure procedure is an outpatient (day surgery) treatment performed in doctor's offices, surgical centers, and hospitals. Local or regional anesthesia is typically used to numb the treatment area. A thin catheter is inserted into the vein through a small opening, using only a single needle stick. The catheter delivers radio frequency (RF) energy to the vein wall, causing it to heat, collapse, and seal shut.

Once the diseased vein is closed, other healthy veins take over and empty blood from your legs. As normal return flow is established , your symptoms should improve noticeably.

Following the procedure, the catheter is removed , a bandage is placed over the insertion site and your leg may be wrapped typically for 1 day to aid healing. Your Doctor may ask you to walk, wear compressing stockings, and to refrain from long periods of standing for a period of time following the procedure to help speed your recovery. Many patients resume normal activities within 1-2 days.

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1. Catheter Inserted

2. Vein warmed and collapses

3. Catheter slowly withdrawn, closing vein

What are varicose and spider veins?

Varicose veins are enlarged blood vessels that are close to the skin’s surface and most often occur in your legs. They can be associated with the development of phlebitis (inflamed vein), ulcers, open sores or thrombosis (clot).

Spider veins occur when a small group of blood vessels located close to the surface of the skin dilate. They're most common on the face and legs and usually pose no major health threat.

What are the treatments for varicose and spider veins?

There are a number of generally very successful treatments for varicose and spider veins and new technologies have brought recent improvements.

  • Sclerotherapy is used to treat varicose veins. A solution is injected into the veins that scars the veins and closes them. Then the veins usually fade. A similar procedure called microsclerotherapy is used for spider veins. These procedures can be done in the doctor’s office without anesthesia.
  • Catheter-assisted procedures are usually used for larger varicose veins. These procedures use heat, blades or radio waves to destroy the vein and close it.
  • Stripping involves removing long veins using small incisions. Other veins in the leg will replace the work done by the vein that has been removed. This procedure can be done in the doctor’s office, but is sometimes done in the hospital.
  • Endoscopic vein surgery is used only is some cases and involves inserting a small camera into the vein and closing it.
  • Ambulatory phlebectomy removes smaller varicose veins with a series of tiny skin punctures. This is an out patient procedure that requires local anesthesia.
  • Laser Surgery can be used for some leg veins and face vessels. High-intensity laser beams destroy the veins.
  • Electrodessication seals off the veins using an electric current.

What are there side effects to the treatments?

Most are temporary. They can include swelling, minor bruising, itching, redness and moderate soreness. Also, some procedures produce scarring. Be sure to ask you doctor about these issues.


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