varicose veins -laser treatment
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Transcript of varicose veins -laser treatment
WHAT IS VARICOSE VEINS
Varicose veins are abnormally dilated, tortuous, superficial veins caused by incompetent venous valves. Most commonly seen in lower extremities
LOWER LIMB VENOUS ANATOMY
VALVES
Maintain unidirectional flow.
Extremity to heart.
Superficial to deep.
PERFORATORS
Connects deep and superficial systems
Flow normally from superficial
to deep
MUSCLE PUMP
Contractions propel blood toward heart
Relaxation draws blood from superficial veins and pour into deep veins
ETIOLOGY
HERIDITARY LACK OF EXCERCISE
HORMONAL MEDICATIO
NSURGERY/ TRAUMA
ETIOLOGY
OBESITY
PREGNANCY
ETIOLOGY
AGE OVER 40
JOBS REQ LONG STANDING/SITTING
HOURS
STAGES OF VARICOSE VEINS
0.No visible venous disease1.Telangiectasias or reticular veins2.Visible Varicose veins
3.Oedema4.Skin changes5.Healed ulceration6.Active ulceration
STAGE 0 NO VISIBLE DISEASE
STAGE 1 TELENGECTASIA / RETICULAR VEINS
STAGE 2 VISIBLE VARICOSE VEINS
STAGE 3 OEDEMA
STAGE 4 SKIN CHANGES
STAGE 5 HEALED ULCERATION
STAGE 6 ACTIVE ULCERATION
SIGNS AND SYMPTOMS
Aching, heavy legs
• Often worse at night and after exercise
SIGNS AND SYMPTOMS
Brownish-Blue shiny skin discoloration near the affected veins
Statis dermatitis or venous eczema
Redness, dryness and itchiness
SIGNS AND SYMPTOMS
CrampsRestless leg syndrome
Atrophie blanche• Whitened, irregular scar-like
patches on the ankles
SIGNS AND SYMPTOMS
Minor injuries to the area may bleed more than normal and/or take a long time to heal.
Lipodermatosclerosis• Skin above the ankle may shrink• Due to hardening of the fat underneath the
skin
DIAGNOSTICS
Venous doppler examination of both legs
Superficial and deep venous system evaluated
TRADITIONAL TREATMENT
Surgical ligation and stripping
High ligation
Injection sclerotherapy
Phlebectomy
Only treats the visible varicosities with out treating the actual problem
MODERN ADVANCED TREATMENT
Hybrid technique
Endovenous laser treatment plus
Foam sclerotherapy
ENDOVENOUS LASER TREATMENT
Simple procedure
Safer• Performed under local anesthetic/
sedation• Immediate relief of symptomsNo ugly scar• Minimally invasive, so minimal risk of
scarring and postoperative infection
ENDOVENOUS LASER TREATMENTLess than one hour examination and treatment time.
Rapid recovery with reduced postoperative pain.
Normal activities can be resumed immediately
Excellent clinical and aesthetic results.
ENDOVENOUS LASER TREATMENT
Less reocurrence (surgery Vs EVLT: 25% Vs 5%)
Accepted by insurance providers.
EVLT is an American FDA approved treatment for varicose veins.
FOAM SCLEROTHERAPY
DIFFERENCE BETWEEN SURGERY / EVLT
Req- general anaestheis
Pain, bruising and scarring
Req -Hospital admission
Req only sedationNo pain, bruising, scarringDay care procedure
DIFFERENCE BETWEEN SURGERY / EVLT
Reoccurance 25%
Not suitable for every pt
Long healing time
Reoccurance 5%
No age limit, almost suitable for every ptCan return to work the next day
SURGERY / EVLT
BEFORE AND AFTER
BEFORE AND AFTER
BEFORE AND AFTER
BEFORE AND AFTER
PREVENTION
PREVENTION
Elevate legs while sleeping
Regular exercise daily
Wear stockings regularlyNo continuos sitting/ standingfor more than 30 minutes
THANK YOU
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