Non-Surgical Treatment of Varicose Veins
In the community, 30-40% of varicose veins are accompanied by superficial capillary and small-scale varicose veins.
This picture creates problems in the comfort of life and difficulties in working in people. In a study conducted in Scandinavia in 1988, complications that prevented them from going to work were found in 10% of the people in this picture. Considering that 80 000 varicose operations are performed annually in England, the prevalence of this disease can be easily understood.
One of the interesting aspects of the subject is that the first varicose surgery techniques were defined by Şerafettin Sabuncuoğlu in the book “Cerrahiyyetu”l Haniyye” Imperial Surgery published in the Ottoman period (1465), which is one of the oldest texts in history. ( Surgery on varicose veins in the early Ottoman period performed by Serafeddin Sabuncuoğlu. Darçin OT, Andaç MH.Ann Vasc Surg. 2003 Jul;17(4):468-72 )
The originals of this book are in Fatih Millet Library, Capa Faculty of Medicine, Department of History of Medicine and the National Library of France.
After this book by Şerafeddin Sabuncuoğlu, Andreas Vesalius at the University of Padua, in his first anatomy and surgery book published in 1546, “De humani corporis fabrica” was the first person to explain varicose surgery in the west.
CLASSIC VARICOSE SURGERY
Varicose veins surgery was founded in 1891 by Trendelenburg. Since the 1950s, the technique that can be simply defined as the removal of the insufficiency superficial vein and the ligation of its branches in the inguinal region has survived to the present day.
With this technique, surgery is performed with a day or overnight stay. As anesthesia, regional anesthesia technique is used, not general.
The superficial vein is removed through incisions made in the groin and ankle. If the enlarged branches of the superficial main vein are accompanied by the lap or below the knee, these varicose veins can be removed with microphlebectomy technique with small incisions. Mobilization is recommended as early as possible in the postoperative period. Patients are usually discharged the next day, at the latest the next day. They can return to their daily lives with varicose stockings. After a week, the stitches are removed. It is necessary to use compression stockings for a while.
MODERN VARICOSE SURGERY TECHNIQUES
ENDOVENOUS LASER AND RADIOFREQUENCY TECHNIQUES
In the 2000s, the treatment of varicose veins with electromagnetic sources began to take the place of classical surgery. Technique using laser as electromagnetic source: EndoVenous Laser Therapy: It is called EVLT. With a catheter placed in the knee region, the relevant vein is burned, starting from the groin and up to the knee, and its walls are adhered and taken out of the circulation. There is nothing wrong with that. Treatment results are much better and more comfortable than conventional surgery.
As an electromagnetic source, the same principle is applied to the vein, which shows insufficiency similar to the laser technique with radiofrequency sound waves and has developed varicose veins.
Apart from laser and radiofrequency, the “adhesive” technique, which is more advantageous in terms of harvesting, is applied today.
These procedures performed under ultrasound for the endovenous vein allow the patient to be discharged on the same day and go home.
Similar to the classical surgical technique, other varicose veins can be removed with microphlebectomy.
These techniques have started to be used more frequently in recent years because they give better results, reduce the recurrence rate of varicose veins, and return to work in a short time (sometimes discharged daily). Both techniques are more expensive than conventional surgery.
heir:
laser, radiofrequency, serdar akgun,
