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Phlebosclerotherapy

Phlebosclerotherapy

Phlebosclerotherapy is one of the non-surgical methods of treating varicose veins, which consists in injecting a special drug into the dilated veins with injections, which causes them to "stick together". How effective and safe is this method of treatment? Getting the right answer to this question is often hindered by a considerable number of myths about phlebosclerotherapy, which we will try to debunk.

Phlebosclerotherapy is advisable to apply only at the initial stage of the development of the disease. Nowadays, a skilled specialist successfully heals 90% of patients through phlebosclerotherapy.

Veins, "glued" during phlebosclerotherapy, can open again after a while. Indeed, during sclerotherapy, there is a chemical burn that destroys the endothelium of the veins. At the same time, the veins turn into cicatricial cords, which over time can only dissolve, and not recanalize.

Surgical vein removal provides a more permanent effect. No, the clinical efficacy of phlebosclerotherapy and operative phlebectomy is absolutely identical.

Varicose veins occur when deep vein valves are not working properly. Misconception. At first, the superficial veins increase in diameter, as a result of which the closing function of the valves located in them is disrupted. The cause of the stretching of the venous wall of superficial veins is hereditary insufficiency of elastic fibers. It is because of this that varicose veins occur. The deep veins in the muscles are not affected in the normal course of varicose veins. Only with post-thrombophlebitic syndrome can deep vein valve failure develop, leading to the development of permanent edema of the lower extremities (elephantiasis).

Phlebosclerotherapy is not recommended for certain diseases (diabetes, obliterating atherosclerosis), as well as during pregnancy and lactation. It should be noted that phlebosclerotherapy, unlike a conventional operation, is not carried out in a hospital at one time, but on an outpatient basis in parts, therefore, this type of treatment is not a stress factor for the body and is not able to worsen the condition of patients with severe concomitant diseases. Also phlebosclerotherapy is not contraindicated for pregnant women and nursing mothers.

"Thrombovar" and "Fibrovayne" used for phlebosclerotherapy are completely different drugs. The fact is that both drugs are sodium tetradecyl sulfate with the addition of 5% alcohol, and, therefore, are completely identical.

Laser treatment is much easier and better tolerated by the body. It should be noted that the removal of veins with a laser includes elements of a conventional operation: anesthesia and incisions on the legs, followed by the introduction of a laser into the opened veins, through which a thermal effect is produced on the inner wall of the veins. Such an operation leads to the fact that the veins grow together and the blood flow through them stops. Laser treatment is technically much more traumatic and more complicated than phlebosclerotherapy, and in terms of cosmetic effects it is at the level of a conventional operation. In addition, with laser removal (as with any operation), complications can develop, which are practically absent with phleboscleroscopy.

After phlebosclerotherapy, you can eat anything you want. Completely wrong opinion. A person prone to varicose veins needs a special diet. First of all, you should avoid foods that promote blood stagnation in the pelvic area and in the intestines. You will also have to limit the use of salt and sugar, flour products, canned food, smoked meats, alcoholic beverages.

People with swelling of the legs do not have varicose veins. Quite the opposite, it happens. Most often, it is varicose veins that cause swelling of the legs, just with edema varicose veins are often not noticeable.

After completing a course of phlebosclerotherapy, you should not go to the gym, sauna, bath, or take too hot a bath. This opinion is not entirely correct. Moderate physical activity and sports should not be abandoned. You just need to properly distribute the load, giving preference to athletics, cycling or exercise on stationary bikes, and swimming is an ideal option for patients with varicose veins. But visiting a bath, sauna and taking hot baths really should not be abused. A contrast shower can be of much greater benefit, especially in the hot season.

Varicose veins are a disease of athletes. No, just athletes are extremely rarely susceptible to this disease. The exception is basketball and football players.

Watch the video: 4. From sclerotherapy and ablative surgery to phlebotherapy TRAP (October 2020).