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MainLaser coagulation of the veins of lower extremities

Laser coagulation of the veins of lower extremities

This is a modern method designed to eliminate pathological blood flow in the surface and perforating veins with the help of thermal energy of laser radiation.
Endovasal (endovenous) laser coagulation (obliteration) of varicose veins (EVLC, EVLO) is a modern method designed to eliminate pathological blood flow in surface and perforating veins with the help of thermal energy of laser radiation. EVLC allows to refuse from implementation of incisions and does not require hospitalization of the patient in the hospital. International term - EVLA (endovenous laser ablation).
Mechanism of action of laser radiation on the vessel wall
•    The principle of EVLC is based on the thermal effect of laser radiation energy on the inner surface of the vein
•    Anesthesia - local anesthesia - no anesthesia is required.
Surgical technique:
•    does not require incisions (punctures up to 2 mm)
•    does not require suturing (cosmetic effect)
•    if necessary, supplemented with mini-phlebectomy without incisions (punctures)
•    performed under ultrasound control
Particularities of the postoperative period
Immediately after putting on the compression knitwear, the patient is recommended to walk around during 40 minutes. Continuous (round-the-clock) compression makes up 3 days. In the future, the patient wears the compression knitwear only in the daytime. The total duration of wearing the compression knitwear is about a month. The first examination is carried out for 1 day. Ultrasound angioscanning with evaluation of the state of the sapheno-femoral (popliteal) anastomosis is necessarily performed.
Like any surgical intervention, EVLC has its own postoperative period. The normal manifestations of the postoperative period include:
•    Rarely, mainly in patients with low pain threshold, in the first day after EVLC, there is soreness in the operated limb.
•    Appearance of bruises along the coagulated vein.
•    Feeling of "chord" along the thigh (with EVLC GSV). On full stretching of the limb in the knee joint, the patient feels tension at the location of the GSV, which prevents the limb from fully stretching. As a rule, this feeling disappears in terms of up to 1.5 months.
•    Short-term rise of temperature to subfebrile values after EVLC. If necessary, it is stopped by use of non-steroidal anti-inflammatory drugs (NSAIDs).
•    Approximately 20% of patients, on the 4th - 6th  day after EVLC, may experience a drawing sensation along the coagulated vein. Unpleasant sensations are stopped by intake of NSAIDs.
NB! The decision on the method of surgical intervention is to be made by an  expert after consultation and examination of the patient.


 

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