Sclerotherapy leg veins on the legs, what it is, foam, compression, pros and cons, price, reviews and consequences

The prevalence of the disease among the cardiovascular group include thrombosis, atherosclerosis and varicose vascular pathology. Legs most often exposed to various pathological conditions of vascular nature. These diseases can be solved by sclerotherapy veins.

What is Sclerotherapy leg veins

In order to get a healthy look down, you must turn to phlebologist doctor. He will appoint an ultrasound examination of the vessels of legs, which allows to determine the patency of blood supply vessels and the presence of blood clots.

According to the general condition of the vascular system of the patient will be assigned a certain type of sclerotherapy. manipulation is not recommended to debug a long period of time, as the pathology progresses.

Sclerotherapy leg veins belongs to a certain type of treatment of varicose vascular pathologic conditions and diseases of the lymphatic system.

The essence of manipulation is to inoculate active liquid inside the vein which closes its wall. After a certain time sklerozant dissolves, thereby achieving a high level of cosmetic effect.

This method is widely used for the treatment of pathological conditions of the veins at various locations of the lower extremities. By its second only to the effectiveness of some modern technologies, namely endovenous laser coagulation and ablation using radiofrequency.

Reducing the number of side effects during sclerotherapy achieved by:

• of Technology under the supervision of US;
• Use translyuministsentnyh lamps;
• development of a new direction - foam sclerotherapy.

The average cost for conducting the procedure varies from 2 thousand. rub. up to 30 thousand.

The average cost for carrying out sclerotherapy:

Service	The average price
Sclerotherapy of varicose veins	2000 - 15 000 rubles.
Mikroskleroterapiya	5 000 to 30 000 rubles.
Removal of small vascular lesions (drumstick or thigh)	10 000 rub.

Action on vessels

Sclerotherapy of veins of the lower extremities involves the introduction of the active solution, which glues the pathological vascular area. The active ingredient, which has the nature of the effect on veins, called sclerosant. By common medicinal drugs for sclerotherapy include etoksisklerol and Fibro Wayne.

Sclerosant action on the vessel due to certain mechanisms:

1. The active drug after administration leaves burn internal epithelium of the vessel walls.
2. Damaged walls Vienna loses its elasticity.
3. Subsequent compression of the vessel closes.
4. The walls of the fuse, and on-site pathology varicose formed scar tissue bands.
5. Accordingly, through the damaged portion of the vessel stops flowing the blood supply, which provokes a further resorption venous pathological condition.

pros procedures

Sclerotherapy leg veins have the advantage in comparison with the Alternative methods of treatment of vascular pathologies:

• Rehabilitation. The patient has no need for bedrest. Recovery is very fast. Immediately after the operation is shown in the form of exercise walking.
• Cosmetic effect. Do not appear on the skin long-term scars or scars, rarely observed pigmented areas. Manipulation goes without cuts, which significantly reduces the pain involved.
• Efficiency. To complete disappearance of varicose disease can take from 1 to 5 sclerotherapy procedures. On average, one session is not more than 1 hour in duration.
• Cost. For other methods of treatment of varicose pathology sclerotherapy belongs to one simple and affordable for this.
• Fast preparation. No need for a special long preparatory phase and carrying out a number of additional analyzes.
• The presence mikroskleropatii. With this technique removes even small varicose pathology in all areas of the feet.

Minuses

The disadvantages of this technology include:

• The need for constant wear compression underwear. Phlebologist uses after sclerotherapy treatments elastic bandages that provide a certain level of compression in the zone of the procedure. Bandages cause discomfort and stiffness.
• At the end of the manipulation to restore blood circulation in the legs need to be at least 1 km at a rapid pace.
• There may be itching in the treated areas, or painful sensations in the course of the vessel. Do not rule out the presence of peeling of the skin.
• Introduction sclerosant sometimes provoke browning around the affected area.
• After contact with the active substance outside of the vessel, the formation of subcutaneous fat burn.
• The run-off of the lower part of the legs after undergoing the procedure observed for several days.

Indications for the procedure

Sclerotherapy leg veins needed for the treatment of certain pathological conditions:

• initial stage of varicose veins formations;
• venous neoplasm or in the form of lymphangiomas hemangiomas;
• hemorrhoids located on lung stages;
• to eliminate cosmetic vascular defects;
• removing venous nodules;
• varicose formation in which it is impossible to take surgical treatments;
• small vascular pathology that emerged as a result of surgery;
• procedure is used to treat Baker's cysts.

Manipulation is carried out as a separate procedure, and as a combined therapy.

Contraindications

Sclerotherapy enables cure varicose disease of the lower extremities painlessly and quickly.

The procedure gives a positive result in the early stages of the disease, but has a few contraindications:

• presence of thrombosis or thrombophlebitis;
• detection of deep vascular obstruction;
• if the seal on the walls of the veins;
• propensity for allergic reactions;
• the presence of purulent lesions feet;
• during lactation or pregnancy;
• unstable blood pressure, hypertension;
• diabetes;
• congenital or acquired disorders in the atrial septum;
• chronic pathological phenomena in the kidneys;
• in the presence of excess weight;
• the presence of infection in the patient.

It is undesirable to carry out sclerotherapy of veins in the presence of alcohol dependence or excess weight, as well as in the hot season.

complications

Subject to all indications for sclerotherapy presence of complications in the patient is reduced to zero.

However, there are abnormalities that may occur after the session and require consultation phlebologist:

• Allergic reactions. Small itching and reddening is easily tested after receiving antiallergic drugs.
• Necrosis. Often, this pathology is painless in nature and easily removable. It arises as a consequence after rupture of the vessel wall at the site of administration of the active substance or recombination improper blood flow. With this complication phlebologist doctor assigns a long period of wearing compression underwear.
• thrombophlebitis treated vessels. Distributed when working with liquid sclerosant. At the moment, we have successfully implemented a new technology based on the substance of sclerotherapy foam character.
• increased swelling of the lower extremities. There is an incorrect application of dressings.
• Extravasation. Flow or penetration of the active solution outside the treatment area. In this case, there is a seal with the painful character. To avoid such negative consequences as possible to carry out operations with the use of ultrasound.
• Other complications. Infrequently after the completion of the procedures permitted stroke, visual impairment or migraine.

Kinds

Depending on the active substance and scope of the affected area can be used various kinds of sclerotherapy vascular problems:

• Mikroskleroterapiya. It refers to the manipulation of a cosmetic nature. Often side effects have been observed. Used in the treatment of vascular networks. After the procedure, there is a slight swelling, which resolves after a short time.
• Foam sclerotherapy. Directed procedure for treatment of large areas of vascular lesions nets extended reticular veins. Unlike standard sclerotherapy it is as a solution, because it has a foamed form. After passing through such manipulation recommended exercise, ultraviolet bath and heat bath.

  

• Puncture. Before the introduction of sclerosant used puncture in the vertical position of the patient around the perimeter of the lesion.
• Katetarnaya sclerotherapy. The procedure is performed without sclerosant. Bonding vein extends via optical fiber and laser beams.
• Injection. With this method, injection sclerotherapy carried out using thin needles.
• Compression sclerotherapy. Is an alternative to surgical methods of removing subcutaneous tributaries vessels. Used after fleboektomii and copes with only the external manifestations of disease.
• Echo-sclerotherapy. Executed under the full control of ultrasound. Suitable technology with extensive varicose blood vessels. Is a painless character, the procedure is performed on an outpatient basis. Minus the echo sclerotherapy is the possibility of disease recurrence. Such treatment is not recommended baths and thermal loads for a period of 1 month.

For foam sclerotherapy are used several methods for preparing the solution:

• Foam Tessar. The method consists in using two syringes. Thus one containing 1 ml of liquid sclerosant and the second - 5 Outside cubes. syringes outputs attached to the three-way stopcock and injected in different directions about 20 times. Thus sclerosant foam takes form.
• Foam Tessar / DSS. The formation of the foam material occurs in a proportion of 1 ml of liquid sclerosant and 4 parts air. Stirring of the solution takes place under pressure.
• Foam Monfreks. The method allows to obtain a concentrated low foam which is formed using glass syringes.

To prepare foam sklerozanata use only physiologically compatible with human organism gases. When administered active foam into the vessel occurs its complete dissolution in 50% blood volume of an adult.

Foam causes vasoconstriction of the vessel, which is an indicator of the effectiveness of the procedure. If it has not occurred, the additional introduction of foam solution for manipulation is not recommended.

Preparation before the procedure

During the consultation, the doctor finds phlebologist existence of varicose veins pathologies, the extent of the disease and the lack of its complications.

Special preparation of the patient is short in nature and includes:

• Doppler study of blood vessels;
• keeping hormonal or anti-inflammatory medications;
• ban tobacco and alcohol;
• avoiding the use of creams, lotions and various medicinal ointments.

Sclerotherapy vein requires several preliminary actions, required for rapid recovery vessels of the legs after the operation:

• Buy elastic bandage or underwear with the necessary compression level.
• You can not do hair removal in the proposed areas of future sclerotherapy.
• Buy loose clothing and comfortable shoes.
• 2 hours before the manipulations is recommended to eat.

After some time the need to go through several consultations phlebologist, namely, on the expiration of a week, two months and six months after surgery. During the reception held ultrasound diagnostics of blood vessels and assessment of sclerosed areas. In the presence of coagulant needed their puncture.

Features of the procedure

Sclerotherapy leg veins, despite her little invasive, is performed exclusively within the walls of the medical institution. Session procedure takes an average of about 20 minutes. To achieve a good result, depending on the defeat of leg veins, you need to go from 1 to 5 sclerotherapy.

This operation is in the lower limbs refers to the painless, so anesthesia for her conduct is not required.

Is the procedure in several stages:

1. The doctor handles place for subsequent injection antiseptic.
2. Introduction to pathological vein portion of the active substance. At this stage and using an elongate serrated needle which prevents puncture the opposite wall of the vessel. The most common material for sclerotherapy is sodium tetradecyl.
3. At the end of manipulation of the foot is put on underwear or used bandages with the necessary compression level. Also, your doctor may prescribe an ointment Troksevazinovuyu.

Contrary to the high-tech method of sclerotherapy, no doctor can give a lifetime guarantee in the absence of recurrence.

There are several recommendations for the solution of foam sclerotherapy active character:

• introduction of the foam must occur immediately after its preparation;
• depending on the dimensional characteristics of venous pathologies introduce a certain amount of sclerosant foam;
• do not use a single manipulation of the dose exceeding the therapeutic indications;
• for enhanced removal of foam sclerosant from the deep leg veins need to flexion and extension of the foot.

Recovery after sclerotherapy

Regenerative patient stage will be much lower in comparison with other methods of curing, vascular problems.

During the recovery period after the procedure you need to follow certain rules:

• To live an active lifestyle. Especially important are walking.
• The first few days, do not remove the laundry with the desired level of compression. That it avoids run-off, or a feeling of heaviness in the legs.
• The presence of alcohol in the working preparation eliminates driving a car for a few hours after the procedure.

In addition to the readings after sclerotherapy there are contra-indications, that should be followed in order to avoid complications, these include:

• ban on sporting activities;
• you should not immediately take a shower;
• you can not go to a bath, sauna or swimming pool for the first week;
• resuming use of previously used hormonal preparations and ointments can phlebologist after consultation.

Despite the safety and speed of manipulation, veins, sclerotherapy is not acting panacea against all vascular pathologies feet. Complex cases of venous diseases and complex must be addressed include the treatment venotonics, sclerotherapy and surgical treatment, if necessary.

Registration of the article: Vladimir the Great

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