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Vascular surgery

Varicose veins surgery
Varicose veins are very common among vein diseases. It is diagnosed for more than 20 percent of the population of Europe. The most obvious symptoms of this disease are the visibility of veins through the skin, they become enlarged and knotted. This occurs when blood flow is disrupted and venous valves are incapable of normal functioning. As a result, blood starts to collect in the lower limbs, instead of flowing towards the heart.

1. Phlebectomy is a common varicose veins surgery, which is done by mechanically removing enlarged veins with dysfunctional venous valves. During this procedure, a tiny incision is made in the groin or in the hollow of the knee, which is stitched up after the surgery. Knots in the veins are removed separately by doing small incisions in calf or thigh. Afterwards, special strips are placed over the wounds. For a surgery like this, a higher level of anaesthesia (spinal or general) is needed.

POSTOPERATIVE PERIOD:
After phlebectomy, a patient must stay at a stationary care for at least twenty four hours; because of the anaesthesia and incisions, a patient cannot stand up and walk straight after the surgery, he may feel pain for a short period of time. A patient should not lift any heavy items, do any hard manual work during the first week after surgery. Standing and sitting for a long time is limited, however walking with the compression stocking as much as possible is often recommended. A patient should avoid long flights (lasting more than three or four hours) or travelling by bus, when sitting in the same position for a long time is a must.

2. Laser surgery is one of the most progressive treatments for the enlarged veins. Laser surgery treatment is unique because of a special laser beam, which breaks the walls of veins from the inside. During procedure, a catheter is guided into the varicose vein and inserted in the skin. A laser fiber is put into the catheter by using an ultrasound device. Ultrasound allows to see where the laser is directed and thus, to successfully remove the damaged parts of the vein and leave the healthy ones. Clinical improvement is achieved with only one laser surgery. The procedure does not leave any scars, although, minimal bruises or swelling can occur. It is not painful (local anaesthesia is applied) and lasts about 45 minutes. Laser surgery is considered as the safest treatment and can be applied to 95% of all patients (even the ones, who have other diseases)

POSTOPERATIVE PERIOD:
A patient is allowed to go home on the same day after surgery, thus their daily routine is not disrupted. However, a patient should not go to sauna, take hot baths or do any heavy physical activity for three weeks. Compression therapy (wearing compression stockings) is recommended for two weeks.

3. Vein closure with bio glue is the newest technique, which has become more and more popular in the whole world. It is a fast, non-painful and minimally invasive treatment. During intervention, a small amount of medical adhesive is injected into the vein through a catheter. These adhesives strongly stick the walls of varicose vein and gradually melt. Blood returns to the heart through healthy veins.
This procedure does not require anaesthesia (although, it is possible to apply anaesthesia on the place where catheter is inserted) or surgical incisions, thus it does not leave any scaring.
Blood vessel is instantly closed and additional pressure or compression therapy are not needed. Afterwards, a patient can stand up and get back to daily routine.