NoniInvasive Varicose Vein Treatment Techniques
The treatment method to be applied is determined by the doctor based on the tests performed, the individual's health history and general health condition.
➢ ENDOVENOUS LASER ABLATION (EVLA)
This procedure is to close varicose veins by heating them with laser beams. Before this procedure, individuals undergo ultrasound and doppler and a map of the veins to be operated on is determined. First, the area to be penetrated under the skin is anesthetized with local anesthesia, then anesthesia is administered to the veins to be treated with a thin needle. After anesthesia is completed, the needles are removed and a wire with a small catheter at the end is inserted into the vein. Then, laser application begins and the varicose vein is burned. The patient does not feel any pain during this procedure. The purpose of this procedure is to close varicose veins by burning them with laser. It is a treatment method that takes 20 to 30 minutes. After the treatment is completed, the catheter is taken out and the procedure is finished by medical dressing.
➢ VANESEAL SEALING (MEDICAL SUPERGLUE)
In this method, varicose veins are closed with medical adhesive applied intravenously. Before applying this method, patients must have a Doppler and ultrasound scan. In this way, a vein map is created. At the beginning, local anesthesia is applied to the area where the procedure will begin and it is anesthetized. Then, a thin wire with a catheter at the end is advanced into the varicose vein. A medical adhesive is injected into the veins along with this wire. These medical adhesives are called biological adhesives. In this way, the veins are closed by gluing them from the inside. After the intervention is completed, the wire is removed from the body and the procedure is terminated by dressing. This treatment method usually takes between 10 and 20 minutes.
➢ RADIOFREQUENCY ABLATION (RFA)
Radiofrequency ablation aims to destroy the veins by heating them. Before the procedure, Doppler and ultrasound are applied to individuals to obtain a vascular map. It is usually performed through a millimetric incision in the knee. First, local anesthesia is applied to the knee area. After anesthesia, a catheter is inserted into the vein with a thin needle with the help of ultrasound. Heat (radiofrequency waves) is applied to the vein entered with a thin needle. The aim here is to dissolve varicose veins. The vein exposed to heat begins to shrink and shrink over time, and the remaining small pieces are usually absorbed by the body, providing treatment for varicose veins. After the procedures are completed, the needle and catheter are removed from the body and the procedure is finished by dressing. Radiofrequency ablation lasts between 15 minutes and 45 minutes, and the duration is determined by the length of the vessel and the number of vessels to be treated.
➢ ULTRASOUND- GUIDED FOAM SCHLEOTHERAPY (UGFS)
In this treatment method, a substance called sclerosant, which is turned into foam before application, is used. Before the procedure, Doppler and ultrasound are performed on individuals and a vascular map is determined. Applied sclerozone is a substance that causes tissue destruction. There is no need for anesthesia in this procedure. It is performed by injecting sclerozone into varicose veins. The vessels into which the sclerozone is injected are injured and destroyed. This procedure takes between 15 and 45 minutes, depending on the number of veins to be applied.
➢ AMBULATORY PHLEBECTOMY
Ambulatory phlebectomy is performed in the operating room environment. First, Doppler and ultrasound are performed on the patient and the vascular map is determined. Before the procedure, the veins to be treated are drawn and the area where the varicose veins are located is anesthetized with local anesthesia. 1 to 3 mm incisions are made over the varicose veins. The number of incisions to be made varies depending on the varicose vein. Special microhooks are sent through these incisions. With the help of these hooks, varicose veins are removed from the body. After the treatment is completed, the incisions are not stitched, only closed with medical dressing. This procedure takes approximately 1 hour.