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Endovenous surgery is a minimally invasive procedure used to treat venous insufficiency and varicose veins. Using ultrasound guidance, a catheter is used to seal off a damaged vein using heat or medical glue, redirecting blood flow to healthier veins. This technique effectively reduces discomfort, swelling, and pain caused by problematic veins. Compared to traditional vein-stripping surgery, Endovenous surgery has numerous benefits, including less scarring, a quicker healing process, and a lower risk of complications. Since the procedure is performed under local anaesthesia and as an outpatient surgery, patients have a convenient option. Overall, Endovenous surgery is a successful and minimally invasive approach to treating varicose veins and improving vascular health.
Consult our vascular surgery hospital if you need Endovenous Surgery in Broadway, Kolkata.
Visit Manipal Hospitals to learn more about Endovenous Surgery in Broadway, Kolkata. Consult with our experts regarding open surgery for varicose veins.
Varicose veins are swollen and twisted veins that occur in the legs. Pregnancy and prolonged standing may worsen varicose veins, which typically run in families. There are two types of veins in each leg, a system of superficial veins that run just beneath the skin's surface and a system of deep veins that are hidden within the muscles. The superficial veins may expand due to abnormalities in their walls. Pressure builds up in the veins as a result, causing them to protrude as varicose veins.
Anaesthesia is administered throughout the procedure using either a spinal, local, or general anaesthetic. Typically, the procedure takes forty-five minutes to complete.
Utilising lasers
During the procedure, your surgeon will place a catheter or tube into either the great or small saphenous vein. Through this catheter, a laser fibre will be inserted and directed towards the point where the deep and saphenous veins meet. As the laser emits pulses of energy through the fibre, the surgeon will slowly remove both the catheter and the laser fibre. This process causes the saphenous vein to close due to the energy from the laser.
Radiofrequency ablation
During the procedure, your surgeon will use a radiofrequency ablation catheter to puncture either the great or small saphenous vein. The catheter will emit radiofrequency energy through an electrode, causing the vein to gradually close as the catheter is removed.
Advantages of the surgery may include:
There is just a small puncture in the skin that doesn't require stitches—no surgical incision is required
Ablation is a far less painful recovery procedure and is associated with fewer complications and increased effectiveness when compared to standard vein-stripping treatments
Endovenous Ablation is generally safe and smooth procedure
The placement of the catheter involves extremely small skin openings rather than huge incisions; therefore, there are almost no scars from this treatment
Compared to conventional surgery, ablation involves less invasive procedures
After a year, treated veins are very hard to see, even with an ultrasound.
Many patients have symptom relief and are quickly able to resume their regular daily activities with little to no pain
Following the procedure, individuals are instructed to commence walking immediately. However, they should avoid engaging in strenuous leg exercises (such as weightlifting) for a period of two to three weeks to allow for proper recovery and wound closure. During the two to four weeks following the treatment, there may be bruising and discomfort in the treated limb.
There are dangers associated with any surgery. Following laser varicose vein surgery, some concerns include:
Infection
Pain around the vein
Persistent bleeding
Bruising
Injury to the nerves
Vein redness or swelling (inflammation)
Coagulation of blood
Skin tone variations near the treated vein
Burns
Other dangers could apply to you based on your overall health. Before your surgery, make sure to discuss any concerns you may have with your healthcare professional.
Veins with numerous twists and bends are difficult for ablation catheters to navigate. Because of this, doctors usually treat superficial veins that develop into varicose veins via ablation. The great saphenous vein, which runs from the groin and inside the thigh to the ankle, maybe one of them.
About 100% of the time, ablation is effective in sealing the abnormal target vein, however, extra care is often needed for small, dilated branches that continue to protrude through the skin. Sclerotherapy and Phlebectomy are two possible treatments. After an ablation operation, your doctor will often arrange for follow-up therapies. However, if necessary, Phlebectomy can be done simultaneously with endovenous ablation.
Support stockings can usually relieve varicose vein symptoms and lower the possibility of complications from the veins. A related procedure called Foam Sclerotherapy treats veins by injecting chemicals. During varicose vein surgery, a cut in your groin or the back of your knee is used to separate and remove the superficial veins from the deep veins.
There is still research going on to determine the long-term effectiveness of the following treatments.
Occlusion with cyanoacrylate glue
High-intensity focused ultrasound
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