Veins that have enlarged and are twisted are called varicose veins. Although these veins occur elsewhere, the term commonly refer to the veins in the leg.
Veins have leaflet valves to prevent blood from flowing backwards. When veins become enlarged, the leaflets no longer close properly and the valves do not work causing the blood to stagnate and enlarge the veins.
Varicose veins are often painful while walking or standing. They also itch, and scratching them leads to ulcers.
The symptoms of varicose veins can be controlled, to an extent, with a few natural remedies like elevating the legs, regular exercising or by using compression stockings. Various surgical and non surgical treatments are available to fix varicose veins. The non surgical treatments include:
- Sclerotherapy where medicine is injected into the veins to make them shrink. This treatment is 150 years old and is used when the varicose veins persist or recur even after vein stripping.
- Endovenous Heat Ablation or the endovenous Laser Ablation for varicose veins has proved to be more effective in the short term when compared to vein stripping.
Surgical treatments include:
- Saphenous stripping which consists of removal of the entire saphena vein main trunk from the groin down the ankle. However, this includes complications like deep vein thrombosis, pulmonary embolism or wound complications including infection.
- CHIVA, the acronym for Conservation and Hemodynamic cure of Incompetent Varicose veins in Ambulatory patients relies on hemodynamic impairment assessed by data and evidences depicted through Ultrasound dynamic venous investigations. It consists in 1 to 4 small incisions under local anesthesia in order to disconnect the varicose veins from the abnormal flow due to vulvular incompetence which dilates them.
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