Sclerotherapy

Sclerotherapy can be used to treat visible purple and green veins that appear as spider webs. Sclerotherapy is the process of closing a vein with a drug injected into it.

The drug acts on the vessel wall, and the pressure in the applied area stimulates the vessel's closure and disappearance. There are two types of applications: liquid and foam applications.

The use of liquid and foam sclerotherapy, which is applied with very fine diameter (30G) needle tips to which vessels patients should be under the doctor's supervision. It is usually a painless procedure. The drug is injected directly in liquid form during liquid sclerotherapy, whereas the drug is applied after mixing with air during foam sclerotherapy. In larger vessels, foam form is used.

The number of sessions required varies according to the severity of the existing varicose veins. Following the session, it is recommended that you engage in daily activities. It is advised to walk while wearing compression socks. It should not be used during pregnancy or breastfeeding.

Sclerotherapy is a safe and effective treatment option. While some varicose veins may vanish immediately, others may vanish within weeks or months due to the ongoing reaction on the vessel wall.

Laser - Radiofrequency

It's a technique used on capillaries. In 2-3 weeks, the applied area develops crusting. It can be applied once more after 3-4 weeks if necessary.

It is applied to telangiectasia, red blood vessels. Thin veins are destroyed using a fine special needle. It is repeated after 3-4 weeks if necessary.

Your legs should not be exposed to direct sunlight for two weeks following the laser session. Therefore, radiofrequency is more advantageous.

Treatment Methods For Internal Varicose

There are a number of methods we use.

The methods we employ on varicose veins identified by ultrasound are;
• Varicose treatment using radiofrequency
• Varicose treatment using laser
• Varicose treatment using glue
• Perforant vein ligation, laser, radiofrequency
• Mini-phlebectomy
• Classical surgical approach (stripping)

Radiofrequency - Laser

The vessels are reduced by applying high heat in the treatment of varicose veins with radiofrequency. Ultrasound is required for this procedure. The vein is damaged during laser treatment of varicose veins. The tumescent technique is used in both methods to increase the procedure's efficiency, and avoid affecting the skin surface, and pain.

Sedation and local anesthesia are both adequate. In cases where the patient's pain threshold is too low or panic attacks occur, the patient and doctor can choose between spinal anesthesia and general anesthesia.

No incisions are made on the skin in either the radiofrequency or laser methods. The sheath is placed after a guide with a needle is placed under ultrasound guidance. The radiofrequency or laser catheter is advanced by ultrasound to approximately 1 cm behind the valve point located at the vascular junction in the inguinal region via the sheath. Following the placement, the tumescent technique with ultrasound guidance is used around the vein, and the operation of a laser or radiofrequency begins. As the catheter is withdrawn, high-energy waves are injected into the vein, causing vascular damage.

Patients can be discharged from the hospital the same day and return to their daily life the following day. Compression socks should be worn for about 2 weeks after surgery. The risk of pain, bleeding and infection is very low. They are extremely comfortable procedures with a success rate of 95-98%.

Glue

It is possible to perform it under local anesthesia. A sheat is inserted through a needle guided by ultrasound, just like in laser and radiofrequency procedures. The special catheter is placed. The glue is injected into the vessel as the catheter is withdrawn under ultrasound guidance, allowing the vessel walls to approach each other. As a result, enlarged varicose veins cease to function. Unlike laser and radiofrequency methods, no tumescent technique is required around the vessel. After the procedure, compression socks are not required. After 1-2 hours, the patients can be discharged and continue their normal daily activities.

Perforating Vein Approach

Perforating veins connect many superficial and deep veins upwards, particularly beginning at the ankle. The most common cause of wounds, particularly around the ankle, is the insufficiency of these perforating veins.

The perforating vein is found using a mini-incision and its function is terminated by ligation in the perforating vein ligation procedure. The vein can be rendered ineffective with an ultrasound-guided radiofrequency or laser catheter. The effective use of ultrasound in these methods is crucial.

Mini-Phlebectomy

Mini-phlebectomy is a technique for removing visible varicose veins on the skin's surface. This procedure is performed under local anesthesia and is aided by ultrasound. Small incisions are used to remove abnormal vascular formations. There are no operation scars since no stitches are used.

Stripping (Classical Surgical Method)

This method, which has a history of about 100 years, is used in very few special cases. An incision is made in the knee at the junction of the groin scapula. There is a varicose vein at the junction (where the valve is), and the lateral branches surrounding it are tied and cut as close to the junction as possible. After inserting a special steel wire called stripping wire into it, it is advanced through the varicose vein up to the knee or as far as decided before the operation. The vessel's tip is removed, and an olive-shaped nozzle is placed, and the vessel's tip is cut and connected to the steel wire. The ends are released on both sides (inguinal and knee areas), and the vein connected to the stripping wire is physically pulled and removed.

The risk of pain, skin irritation, and infection is higher than with other techniques. It takes more time after surgery to apply elastic bandages, socks, and medical dressings. It takes 1-2 weeks to resume normal daily activities. As the incision is used, it may leave scars.