Treating varicose veins - which methods
Varicose veins are enlarged, tortuous and nodular veins that are usually visible on the legs. They are caused by weakness of the venous valves, which are supposed to prevent blood from flowing back into the legs. If the venous valves no longer close properly, the blood accumulates in the veins and leads to increased pressure. This unnatural pressure then calls for treatment options for varicose veins and without conservative or surgical treatment of varicose veins then causes the typical symptoms and secondary diseases of varicose veins such as phlebitis, thrombosis, swelling, heavy and open legs. Varicose veins have genetic or occupational causes. The symptoms of varicose veins can vary in severity.
Relieve the symptoms of varicose veins without surgery
There are various ways in which the symptoms of varicose veins can be alleviated using home remedies without surgery, as follows:
- Exercise regularly to promote blood circulation in the legs. Avoid standing or sitting for long periods of time.
- Elevate your legs more often, especially at night. This helps drain blood from the veins.
- Wear compression stockings, which apply gentle pressure to the veins and push blood back to the heart.
- Cool your legs with kaletem Water or ice packs to reduce swelling.
- Gently massage your legs from bottom to top to relieve strain on the veins
Some methods aim to preserve the veins as a whole while still alleviating the symptoms of varicose veins. Such vein-preserving measures include sclerotherapy, foam sclerotherapy, and bonding with vein glue, as follows:
sclerotherapy of varicose veins
Sclerotherapy of varicose veins is a method of closing and eliminating enlarged and damaged veins. A special medication that causes inflammation of the vein wall is injected directly into the affected vein. The medication can be administered either as a liquid or as a foam. The liquid form is suitable for smaller veins, such as spider veins or reticular varices. The foam can fill larger veins and displaces the blood in the vein. The inflammation causes the vein to stick together and is broken down by the body. The sclerotherapy of varicose veins is usually carried out under ultrasound control in order to determine the exact location of the vein and to inject the medication in a targeted manner. The drug used to treat varicose veins is from the German manufacturer Kreussler, which has been the most proven drug on the market for decades. The agent causes mild, sterile and therefore harmless and barely noticeable irritation of the vein wall, which then leads to the closure of the varicose veins. The sclerosing agent can be mixed with air to produce a foam. Foam sclerotherapy of veins has the advantage that the refilling of the vein under strong venous pressure is much less likely than with liquid sclerotherapy. This makes the sustainability of the desertification better.
Vein-preserving varicose vein operations
Because the preservation of healthy veins is important, because the preserved veins may be necessary for a bypass, the HeumarktClinic has been offering special vein-preserving operations for decades, such as the CHIVA vein operation according to Franceschi or the Varico laser therapy for the pathologically tortuous veins Side branch varicose veins and the EVP - external valvuloplasty according to Tavaghofi, which is a method of restoring the defective venous valves of the guiding veins. In the stripping method, Endo-Vascular Laser Ablatio (EVLA), the conducting veins are completely or partially removed. The choice of the appropriate method depends on various factors, such as the type and stage of varicose veins, the presence of concomitant diseases and the patient's desire. Although conservative measures are sometimes sufficient to alleviate the symptoms, in today's minimally invasive era of varicose vein removal, the risks of varicose vein treatment are very low, and recovery and social ability take place quickly.
Vein-sparing EPP
The HeumarktClinic specializes in the vein-sparing EVP (external valvuloplasty) after Dr. Tavaghofi:
External valvuloplasty (EVP) - in German: external vein valves plastic surgery - is a varicose vein surgery, where the healthy veins remain. The EVP of the venous valves was first introduced in Germany by the Düsseldorf specialist Dr. medical Alex Tavaghofi developed. After his retirement, the care of EVP patients and the further development of vein-preserving varicose vein surgery was taken over by Dr. Haffner taken over. The repair of the venous valves works best in the early stage of varicose vein formation, if the damaged venous valves are recognized in good time through preventive examinations. Varicose veins and heavy legs with leg swelling are caused by defective venous valves that are hardly noticed by the patient at the beginning. When varicose veins are already thick, many phlebologists use knives or lasers: Not only diseased but also healthy veins are often destroyed, pulled, lasered, sclerosed, or closed with radio waves.
In external valvuloplasty, the previously worn out vein is covered in such a way that it regains its original shape, stability and function. The Vein repair by suture rings restores the function of damaged vein valves. dr medical Tavaghofi could over 40.000 successful external valvuloplasties to report. External valvuloplasty repairs the main vein in the leg, allowing blood to flow in the right direction towards the heart again. Unnecessary tearing out (stripping) or destruction of the veins with a laser can thus be avoided.
process of an EVP
dr Haffner first determined with one high-resolution ultrasound, where the varicose vein started: in the groin or in the smaller branches. Then he locates the greatly dilated veins with a high-resolution color duplex sonography and mark the routes. In the EVP varicose vein operation, the vein is exposed where the defective valves are located. The stretched vein is then given the special thread sheathing and is thus narrowed to the normal size. The exposure requires a small incision in the groin, which is later closed almost invisibly. Other areas are treated with mini incisions or with suture loops without incisions. The normally wide vein works again and prevents backflow and congestion in the leg. The leg becomes thinner and lighter. The varicose veins surgery EVP works in both the thigh and lower leg area. Calf veins can also be treated with this method.
Advantages of the EVP varicose vein surgery
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Preservation of the vein as a bypass material for the heart and legs, for dialysis in kidney disease
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Preservation of the vein as a "leg rescue vein" in the event of deep vein thrombosis
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Progression of varicose disease stopped
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The important inner deep main veins are prevented from stretching out
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Existing varicose veins in the side branches are removed scar-free with the mini-phlebectomy according to Várady
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Cardiac care through vein preservation
- Thrombosis prophylaxis through healthy veins
The Enormous Gain by preserving the veins most patients and doctors are not even aware of the EVP varicose veins surgery. Your own vein remains as Bypass material for potential heart surgery very important. Heart disease is the number one cause of death in Germany. Today, heart disease can be successfully treated with a vein bypass, so maintaining the veins is extremely important for everyone. The modern laser "sclerotherapy" are also offered in the HeumarktClinic - but only in exceptional cases and only for unimportant varicose side branches that can no longer be saved.
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Of course, we would be happy to advise you and answer your questions in detail about the individual and other treatment methods. Call us at: 0221 257 2976, use our Online appointment booking or send us an email: info@heumarkt.clinic