Arteries-Lymphatics-Veins-Haemorrhoids

The vascular plastic surgery or vasculo-plastic surgery means a new pillar to the four pillars of plastic surgery. Traditional plastic surgery is interdisciplinary and previously consisted of:aesthetic surgery, Reconstructive Surgery, Burn Surgery, Hand Surgery.

These old focal points must now be supplemented in the 21st century because of the rapid development of microsurgical operating techniques. Vascular surgery and vascular microsurgery are added to the new main pillar of plastic surgery. In the past, reconstructions, skin transplants, and defect coverage were carried out by transferring pieces of skin and tissue without an independent supply of blood vessels and nerves. The lack of blood flow and the lack of a vascular pedicle only made it possible to cover the defects in a lengthy, cumbersome and uncertain manner. New microsurgical techniques create new ways for reconstructions in plastic surgery and create safe blood circulation. Microsurgical vascular connections are thus the new cornerstones of plastic surgery. Good blood circulation paves the way for the recovery of organs such as the breast. Larger skin and muscle defects can be covered by transplantation of the tissue with its own vascular supply. Lymph node transplantation and lympho-venous anastomosis enable effective treatment of lymphedema, which previously required lifelong massage. Reconstruction in plastic surgery in the 21st century means the restoration of arteries, veins, lymph vessels, lymphatic edema, lip edema, lipomatosis, fat deposits. The interdisciplinary vascular plastic surgery of arterio-venous vascular bundles in the genital area, on the mons pubis, in the perianal and anal areas creates immediate social ability and freedom from pain even after genital surgery. The vascular plastic surgery of veins, varicose veins on the legs, arms, and hands embodies both medical and aesthetic desires and continues into aesthetic surgery. Below we give the reader an overview of the treatment focuses of the new pillar of plastic surgery, vascular plastic surgery as follows:

Lympho-vascular Plastic Surgery

Lymphatic vessels, lympho-vascular anastomoses are reconstructed in modern plastic surgery, and lymph nodes are transplanted. Lymphedema, elephantiasis ("elephant legs") are treated by vascular plastic surgery using microsurgical techniques. Annoying massages used to be the only and insufficient treatment. These are eliminated after the lymphatic channels and lymph nodes have been restored. Millions of desperate patients worldwide can be freed from swelling congestion through lymphovascular plastic surgery. Swollen legs, the previously incurable foot swelling are now curable.

Lymphatic liposuction for lipoedema

A big problem is obesity, the local and general increase in fat in the body worldwide. This results in swelling and lymphatic circulatory disorders in the fatty tissue, which is called lipoedema. Massive sagging fat aprons and being overweight impair the return transport of tissue fluid and lipoedema develops. The swollen fat keeps getting bigger and heavier. A vicious circle is formed, in which the accumulation of fat – lipomatosis – worsens the edema of fat, causing lipedema. In turn, increasing lipedema worsens lipomatosis, the spread and proliferation of fat deposits.

Liposuction of fat aprons and lipomatosis

Liposuction used to be a purely cosmetic - aesthetic procedure. Thanks to new knowledge about the lymphatic circulation, about the treatment of lymphatic congestion, we already know the connection between lipoedema and lipomatosis, which mutually reinforce each other, as described in the chapter "Lipoedema". That is why liposuction is increasingly being carried out because of lymphatic circulation disorders or lipoedema, and in some cases lymphatic liposuction is reimbursed by health insurance.

Laser plastic surgery of the perianal veins

The perianal veins are satellites of hemorrhoids, engorged venous branches of arterially fed hemorrhoidal vessels.  Laser plastic surgeries, vascular plastic surgery are innovations that Dr. Haffner are operated as a focus. Until 2018, laser surgery for varicose veins was only described for the legs. From 2018, the incision-free, completely painless and scar-free laser surgery of perianal varicose veins, the so-called external hemorrhoids, was developed by Dr. Haffner in Cologne. This keeps the rectum smooth and dry instead of wrinkled and weeping. The intimate anal entrance remains unnoticed instead of painfully itching. Perianal thrombosis is prevented instead of being cut open too late and painfully. Unexpected thrombosis of the stretched out perianal varicose veins no longer occurs if there are no more perianal varicose veins if they have previously been closed with a laser as a precaution.

Haemorrhoids: anastomoses of arteries and veins

In proctology, according to the ancient teachings of Stelzner, hemorrhoids are referred to as pure arterial vascular bundles or arterial cavernous bodies. After 35 years of experience and several thousand hemorrhoid examinations by Dr. Haffner, partly with high-resolution ultrasound, the plastic vascular surgeon, phlebologist and proctologist found that Stelzner's thesis about hemorrhoids had to be revised. According to Haffner's principles, hemorrhoids are not just arteries, but rather a vascular conglomerate of arteries and veins. The mass of haemorrhoids consists of massively inflated, swollen arterial cavernous bodies which also merge into bulging, distended vein convolutes. dr Haffner has clearly demonstrated so-called arterio-venous short circuits - AV shunts - within the arterial and venous convolutes. The new finding from Dr. Haffner that hemorrhoids are not only arteries but also veins changes the tactics and treatment strategy of hemorrhoids. A new achievement, the Laser Hemorrhoid Plastic – LHPC – Surgery is emerging, which is cut-free and Pain-free laser artery and vein procedures with immediate social and employability means. Weeks of wound healing, pain and suppuration - as is still common in hospitals today - are therefore part of the traditional, old proctology, which is no longer practiced in the HeumarktClinic.

Vein-sparing varicose op-s

The veins should be destroyed, pulled out or boiled away with a laser - that's what varicose vein surgery teaches. When the patient with varicose veins goes to the doctor, the doctor offers destructive interventions such as stripping, laser sclerotherapy, vein extraction, mini-phlebectomy, etc. Is it really impossible to heal the diseased veins? Here we present the new ways of vascular plastic surgery.

EVP – External Venous Valve Plastic

The EVP * vascular plastic surgery of the vein valves was first introduced in Germany by the Düsseldorf Dr.med. Developed by Alex Tavaghofi*. After his retirement, the care of EVP patients and the development of vein-sparing varicose vein surgery by EVP - Venous Valve Plastic - by Dr. Haffner – Heumarkt Clinic – taken over. The success of Tavaghofi's EVP* method, his unique experience after 40.000 venous valve plasties nationally and internationally are shown by the patients he has taken on and are supported by Dr. Haffner fully confirmed. Patients with EVP* external vein valve surgery keep their main vein, the vena saphena magna. The repair of the venous valves works best in the early stages of varicose vein formation when the damaged venous valves are detected in the early stages through preventive examinations. Varicose veins and heavy legs with leg swelling are clearly caused by defective venous valves. Nobody feels it at first. But if thick varicose veins have already formed, then conventional phlebologists use a knife or laser and destroy pretty much everything: diseased and healthy veins are often pulled out, lasered, desolate and closed with radio waves.

1st varicose vein = stretched vein 2nd sheath 3rd functional vein with vein manjette

 Repair veins instead of removing them: But you need the healthy veins, not only because of the healthy vein flow but also as a reserve bypass material. Because coronary artery disease affects everyone over the age of 50, many of whom need heart bypasses. Calcifications of the leg vessels also often require the transplantation of the patient's own veins for therapy. Kidney patients and dyalysis patients also need veins. That is why healthy veins should never be carelessly thrown away. One thing is certain: if you selectively remove only the diseased varicose veins that cannot be repaired, the main guiding veins, the Vena Saphena magna, will recover. If you reinforce the vena saphena with the Tavaghofi rings, then the venous valves will also recover and the Varicose vein disease treated with vein preservation.

We will advise you on further new developments, vein sheathing with vein patches, laser rings Appointment dr Haffner personally.

The good closability of the venous valves EPP is international too approved.

* Source: http://tavaghofi.de/dienstleistungen/evp/