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25.May.2021 What Are Varicose Veins

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Varicose veins are a very common problem, appearing as twisting, bulging, rope like cords on the legs. They are the result of problems with the valves within the venous system of the leg. All the veins in the leg contain one -way valves that keep blood flowing from the legs up towards the heart. When the valves become faulty, the blood gets accumulated in the vein, making it en large and swollen, called varicose veins.

The veins become weak and twisted, and the lumps bulge out from just under the surface of the skin. Varicose veins usually occur in the legs but they can also be Formed in other parts of the body.

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Traditional treatment that we have been using since ages is antibiotics, vaginal pessaries and cryotherapy (or controlled destruction of tissue by freezing). But this causes a lot of post-operative discharge for 2-3 weeks which is trouble some.

We now use a New Modality – Platelet Rich Plasma. PRP is a new concept which is being used for tissue repair and regeneration. Platelets from patients own blood releases growth factors which have been found to promote natural healing and attracts stem cells to the site of injury, which help in regeneration of tissue.

PRP is a new concept which is being used for tissue repair and regeneration. Platelets from patients own blood releases growth factors which have been found to promote natural healing and attracts stem cells to the site of injury, which help in regeneration of tissue.

Blood is collected from patient in our laboratory and PRP is prepared in 30-40 minutes time. This PRP is applied on the cervical erosion. There is no need of any anaesthesia, and this can therefore be done on OPD basis, so patient can be sent home within 1 – 2 hour. There was a remarkable relief from symptoms within a week or even earlier in some patients. This was a significant advantage which was of great benefit to patients, because with cryotherapy white discharge postoperative for 2- 3 weeks was very difficult to handle.

So PRP offers a promising modality for treatment of cervical erosion, an economical option, generated from patient’s own blood (so no chance of any reaction) & provides early relief from symptoms without any side effects.

What causes varicose veins?
  • Heredity
  • Pregnancy
  • Prolonged standing
  • Hormonal factors
  • Obesity
  • Idiopathic
What are the complications of varicose veins?
  • Hard, black skin
  • Ulcer
  • Bleeding
  • Pain, tenderness, swelling
What are the complications of varicose veins?
  • Hard, black skin
  • Ulcer
  • Bleeding
  • Pain, tenderness, swelling
Additional treatments for more-severe varicose veins

If you don’t respond to self-care, compression stockings, or if your condition is more severe, your doctor may suggest one of these varicose vein treatments:

Sclerotherapy

This procedure is suitable for smaller varicose veins or as an additional treatment in which your vascular specialist will inject a chemical directly in the varicose veins to block them.

Laser Surgeries

Doctors are using new technology in laser treatments to close off smaller varicose veins and spider veins. Laser surgery works by sending strong bursts of light onto the vein, which makes the vein slowly fade and disappear. No incisions or needles are used.

Catheter-assisted Procedures

In one of these treatments, your doctor inserts a thin tube (catheter) into an enlarged vein and heats the tip of the catheter. As the catheter is pulled out, the heat destroys the vein by causing it to collapse and seal shut. This procedure is usually done for larger varicose veins.

Vein Stripping

This procedure involves removing a long vein through small incisions. This is an outpatient procedure for most people. Removing the vein won’t adversely affect circulation in your leg because veins deeper in the leg take care of the larger volumes of blood.

Ambulatory Phlebectomy

Your doctor removes smaller varicose veins through a series of tiny skin punctures. Only the parts of your leg that are being pricked are numbed in this outpatient procedure. Scarring is generally minimal.

Endoscopic Vein Surgery

You might need this operation only in an advanced case involving leg ulcers. Your surgeon uses a thin video camera inserted in your leg to visualize and close varicose veins, and then removes the veins through small incisions. This procedure is performed on an outpatient basis.

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