In what cases is sclerotherapy of veins of the lower extremities carried out

What is the peculiarity of sclerotherapy of veins in the legs, what is it? First of all, it is these issues that begin to excite people who are faced with varicose veins and are interested in such treatment.

This is a special procedure not related to surgery. It helps to get rid of varicose veins.

To do this, a specific medicine is injected into the vessel that has been defeated. To carry out the procedure, the specialist uses a syringe with a thin needle.

After the introduction of the drug, gluing of the vascular walls is observed. Further, the drug resolves without provoking side effects.

If the disease is at the initial stages of development, then with the help of sclerosis a remarkable result can be achieved. This procedure can easily compete with laser treatment, surgery.

In advanced cases, treatment should be comprehensively. For this, do not forget about the use of tonic gels, gymnastics. In addition, surgery may be required.

But even in such situations, sclerotherapy significantly improves the state of the vessels.

For the procedure, the doctor uses certain means. They come in different shapes, each of them has its own characteristics:

  • Liquid. Often there is alcohol in its composition. Quite often, doctors use ethoxysclerol.
  • Foamy. After the introduction of the foam, blood is expelled from the diseased vein. The product does not dissolve, it remains in the part of the skin that has been affected.

With the help of such drugs, superficial veins are treated. Treatment does not harm the body. There are situations when such drugs are injected into the deep veins, but this also does no harm.

A bit of history

Sclerotherapy is a fairly young method of treatment, but the first unsuccessful attempts were made back in the XNUMXth century. At that time, doctors, in order to achieve thrombosis (blockage) of the vessel, injected acid into it.

Later in the XNUMXth century, the procedure was performed using the Perchlor drug. But such attempts caused severe side effects in patients, so they did not resort to this method of treatment for a longer time.

In 1946, scientists discovered Tetradecyl Sulfate, a substance still in use today. But nowadays, the procedure is performed using the latest equipment and research methods, for example, ultrasound of blood vessels.

Противопоказания

Not everyone can carry out sclerotherapy of veins on the lower extremities, since there are certain contraindications for performing such therapy:

  • reception of oral contraceptives;
  • pregnancy and lactation;
  • sclerotherapy for thrombophlebitis and thrombosis is not carried out;
  • allergy to medicines used during the manipulation;
  • heart defects;
  • diabetic angiopathy or obliterating atherosclerosis;
  • obesity;
  • severe atherosclerotic disorder;
  • local or general infection;
  • inflammatory disorders of the skin over a pathological vein.

In order to finally determine whether it is possible to make such an intervention for a specific person, it is necessary to identify his medical indications. Despite the fact that an exact list on the question does not exist, since all applicants are diagnosed with different degrees of damage, there is a generalized list. It covers:

  • vascular networks, asterisks;
  • varicosity;
  • vascular subcutaneous neoplasms.

The last point is not cysts. We are talking about lymphangiomas and hemangiomas. If such an indication is found in the victim, then he is first sent to a surgical hospital. This will reduce complications, because the patient will be under the constant supervision of medical personnel.

Most often, the method is prescribed as an effective tool, ready to fight against small vascular manifestations, which are also called rosacea. Such interventions are usually carried out in centers of aesthetic medicine, since they are cosmetological in nature.

But if you consider that it is the stars and other branches of the brightly showing capillaries that are almost always the first sign of developing varicose veins, then it will be more logical to get rid of its manifestation immediately. And then you should pay special attention to the source of the lesion, working on the prevention of relapse.

In most cases, sclerotherapy is positioned as a productive tool for the treatment of lower extremities, but even here it is not allowed to attract in all cases. The final word remains with the attending phlebologist and the results of the clinical trial.

But what if the doctor refused to carry out the manipulation due to the increased risk of side effects? Experts suggest looking for an alternative. A laser technique or classic surgery can help.

A preliminary examination with the mandatory delivery of tests is carried out for a reason. It is designed to mitigate the risks of side effects due to previously undetected latent contraindications.

Relative and absolute prohibitions include:

  • pregnancy;
  • lactation period;
  • allergies
  • atherosclerotic lesions of the vessels of the lower extremities;
  • thrombophlebitis;
  • thrombosis of the lower extremities.

Moreover, the last diagnosis is included in the list of prohibitions even after it has been successfully cured. Situations are considered separately when the victim has some heart defects, and also became a victim of an infectious lesion. In the inflammatory process of any localization, first local treatment is required, and only then proceed with the implementation of sclerotherapy of the appropriate type.

Sclerotherapy can be used both independently as the main method of treatment of vascular pathology, and in combination with other methods – surgical removal of large varicose stems, radiofrequency treatment, laser coagulation.

One of the main conditions for sclerotherapy of the veins of the lower extremities is an early stage of pathology. Such patients can limit themselves to sclerosis and recover without surgery and pain. In other cases, surgical treatment is supplemented by sclerotherapy of the veins to achieve the best cosmetic result.

A phlebologist or vascular surgeon should be consulted if a venous “net” appears on the legs, and if heaviness, a feeling of bursting, swelling after a day spent on the legs appear, the veins begin to swell above the surface of the skin, and the skin itself has turned bluish shade, then a visit to a specialist cannot be delayed.

Vascular sclerosis is of independent importance for:

  1. Superficial reticular varicose veins;
  2. Teleangiectasias (“spider veins”);
  3. Hemorrhoids.

With superficial vascular changes, the main complaint of patients is a cosmetic defect, while other signs of pathology may not be expressed. In this case, aesthetic sclerotherapy is carried out, which, if not forever, then will very long relieve the patient of the existing problem.

As an additional treatment method, sclerotherapy is indicated for severe varicose veins, when large venous nodes are removed through surgery, and small perforating vessels and venous tributaries are sclerotic. This approach reduces the overall invasiveness of the intervention, and the result makes it more aesthetically beneficial.

A big problem, especially for the elderly, are trophic ulcers that appear due to the discharge of venous blood through perforating vessels and its stagnation in the superficial bed. Even in such severe cases, targeted sclerotherapy provides excellent results with minimal trauma.

Despite the safety of the method, there are contraindications to sclerotherapy of veins on the legs. Among them:

  • Pregnancy and breastfeeding, since the effect of sclerosants on the developing fetus and the baby is not studied, which can receive the drug from the blood of mother or breast milk;
  • Allergy to sclerosing agents;
  • Severe concomitant pathology (diabetes, arterial hypertension, heart defects);
  • Eczematous and infectious inflammatory processes on the skin at the sites of the alleged injection of sclerosing solutions;
  • Atherosclerosis of the arteries of the legs of an advanced stage;
  • Thrombosis and phlebitis of the venous system of the legs.

There is no complete list of indications for the procedure.

Doctors prescribe sclerotherapy based on practice, focus on the main list of pathologies:

  • vascular network – an early manifestation of varicose veins;
  • superficial capillary stars resulting from hormone imbalance;
  • varicose veins and hemorrhoids at all stages, but with different treatment plans;
  • vascular neoplasms.

Sclerotherapy is prescribed only after thorough research with the permission of a phlebologist.

An operation is prescribed based on the absence of any contraindication from the list.

The primary causes of failure in the procedure are chronic diseases, as well as the patient’s current condition:

  • period of bearing, lactation;
  • severe heart failure;
  • heart defects;
  • atherosclerosis (clogged arteries with cholesterol plaques);
  • thrombophlebitis (blockage of arteries with blood clots – blood clots);
  • thrombosis at the time of surgery and even several years before it;
  • inflammatory skin diseases;
  • allergy to drugs for the procedure.

Contraindications may include certain medications. The doctor takes the disease into account over the past year.

In what cases can I choose this type of correction?

Sclerotherapy is carried out with varicose veins. A prerequisite is that the diameter of the affected vessel should not exceed one centimeter. Otherwise, a combination with a surgical correction method is necessary.

Also, with the help of sclerotherapy, you can get rid of vascular “stars” on the legs. In this case, more injections can be made in one session.

Also, treatment of hemorrhoids can be carried out by this method, provided that the varicose disease is not started and does not affect the deep veins.

Who absolutely can not carry out such a procedure?

It is worth abandoning the procedure for people suffering from various heart diseases and diabetes. Also, sclerosants can not be administered to pregnant women and nursing mothers. If blood clots are found, it is worthwhile to refrain from the procedure until they completely disappear.

You can achieve an excellent effect using the procedure for various forms of varicose veins, patient reviews are confirmation of this fact. Sclerosis is carried out in specific cases.

  • with the appearance of a loose form of varicose veins;
  • when a varicose net or asterisk occurs.

In some situations, treatment with sclerotherapy is prohibited. It has contraindications.

  1. diabetes;
  2. venous obstruction;
  3. diseases of the liver, kidneys, heart, which are in a chronic form;
  4. an allergic reaction to anesthetics;
  5. gestation, lactation;
  6. serious vascular pathology.

At the doctor’s appointment, it is necessary to talk about all concomitant diseases, the use of drugs. This will help determine the right treatment.

If there are contraindications, sclerosis is replaced by drug therapy or surgery, during which the diseased veins are removed.

Vascular sclerosis on the legs is a non-surgical method during which gluing of varicose veins takes place. After a certain period of time, these vessels disappear, and small fibrous formations remain in place of the dilated veins. This method of therapy is relevant for thrombophlebitis and varicose veins beginning. Sclerosis is also done in order to:

  • remove reticular vein nets and spider veins on the lower extremities, arms, near the eyes;
  • rid of hemangiomas, lymphangiomas, hemorrhagic nodes;
  • restore trophism of damaged tissue structures;
  • eliminate trophic wounds in the area of ​​dilated veins on the arms and legs.

If the patient has atherosclerotic plaques on the walls of the arteries of the legs, then such an intervention is contraindicated.

The operation of bonding capillaries with varicose veins is contraindicated in such conditions of the patient:

  • pregnancy and lactation;
  • an allergic reaction to sclerosant drugs;
  • severe atherosclerosis of the arteries of the lower extremities;
  • progressive thrombophlebitis of deeply located varicose veins;
  • thrombosis;
  • purulent wounds, ulcers formed on the skin at the injection site;
  • decompensated heart disease, congenital malformations.

Description of the procedure

Sclerotherapy is performed on an outpatient basis using local anesthesia or without analgesia. The average duration of an operation is 20 minutes. Prior to the manipulation, the phlebologist conducts a thorough examination, prescribes mandatory tests and the necessary diagnostic tests.

Any special preparation before sclerotherapy is not needed, but there are some general recommendations that the attending physician should warn about. In individual cases, an anti-inflammatory, contraceptive, antihypertensive and other drugs may be prescribed before surgery.

The day before sclerotherapy, it is better to abandon any means of getting rid of leg hair (hair removal, shaving). Right before the procedure, you can take a warm shower and have breakfast.

During sclerotherapy, the patient is laid on a couch, the doctor, after antiseptic treatment of the skin, injects special preparations for sclerotherapy (fibro-vein, thrombovar, ethoxylerol) with a syringe and a thin needle into the affected veins.

There can be no more than 12 such injections in one session, their number is due to the severity of the problem. In some cases, the procedure is carried out using the Venovizor apparatus. It helps the specialist to better see small intradermal vessels.

After the operation, the doctor immediately puts compression garments on to the patient so that active superficial blood circulation does not interfere with the vein wall sticking together. Instead, you can use an elastic bandage.

The doctor will tell you exactly how much to wear compression stockings after the procedure, it depends on which vessels the intervention was performed on. Usually, even after a recovery period, compression garments must be worn for another month.

After sclerotherapy, the patient can immediately go home, but you should take a half-hour walk to avoid deep vein thrombosis. One session, most often, is not enough to completely get rid of the disease. The full course of treatment includes about 2-6 sessions.

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Показания

The indications for the procedure still still cause discussion among experts. Most doctors believe that sclerotherapy is effective in the following conditions:

  • Reticular veins are small, saphenous veins, usually protruding in the form of vascular networks. Often are the initial symptom of varicose veins. Sclerotherapy at this stage is the most effective.
  • Treatment of “spider veins”, which are the smallest, subcutaneous vessels that look like a spider line, red or blue lines. This stage of the disease received the name due to the fact that the capillary network diverges from the center in the form of star rays. Often the cause of such formations is endocrine disruption in the body.
  • Varicose veins of the major, major veins of the extremities are carried out, for example, sclerotherapy of the large saphenous vein. Not all stages lend themselves to this type of treatment. The feasibility of therapy is determined by the phlebologist.
  • Hemorrhoids
  • Hemangiomas and lymphangiomas (vascular neoplasms under the skin).

How to prepare for the procedure?

Before the procedure, the patient’s body is fully examined. Sclerosis is carried out only after the approval of the doctor. Preparation for the procedure includes the following rules:

  • The patient informs the doctor about taking all drugs, indicates their dosage. It is important that the patient talks about the use of anti-inflammatory and hormonal drugs. Do not hide this information, as you can worsen your own condition.
  • A couple of days before the procedure, it is recommended to refrain from nicotine and alcohol.
  • It is worth getting special underwear and elastic bandages.
  • It is necessary to postpone shaving of areas of the skin where sclerotherapy will be carried out.
  • A few days before the procedure, it is better not to apply various lotions, ointments or creams.
  • A couple of hours before the scheduled session is worth a snack, but the dishes should be light.

The procedure lasts no more than a third of an hour. A maximum of 10 injections are given at a time. In case of severe damage, the session is repeated the next day. When the doctor completes the procedure, it is recommended to use an elastic bandage with which the legs are wrapped, or special stockings.

Sclerotherapy Benefits

Sclerotherapy of the veins of the lower extremities in comparison with other methods of therapy has a number of irrefutable advantages:

  • The manipulation is painless, only a slight burning sensation is possible (a lot depends on the level of pain sensitivity).
  • Absolute safety – modern equipment used for the procedure does not have a harmful effect on the body.
  • Sclerotherapy is performed on an outpatient basis and inpatient therapy is not required. A positive result can be felt after the first procedure.
  • The course of treatment requires a fairly short period of time.
  • The procedure does not leave scars on the skin.

Sclerotherapy is a common method of treatment of vascular pathologies in medicine, which is carried out as an independent set of procedures. It can also complement drug and surgical treatment. The method does not involve surgical intervention.

It is a safe alternative to earlier approaches to cure the disease. The technique is not painful; it helps to recover quickly after therapy.

Sclerotization of leg veins is prescribed to patients with almost any form of varicose veins, hemorrhoids, and as a method of preventing relapse after surgery. Sometimes sclerosis is prescribed along with drug treatment. If the disease is at the last stage and does not respond to any treatment, the last step is surgery.

Depending on the stage of the disease and the degree of vascular damage, the method of correction is selected. It can have the following types:

  • conservative treatment;
  • foam sclerotherapy;
  • surgical removal of the affected vein.

Recently, the method of phlebosclerosing treatment has gained particular popularity.

There are some advantages of sclerotherapy, if we compare it with different methods of surgical intervention.

OperationSclerotherapy
Scars remainNo trace
Affected veins are removed completely.The doctor does not clean the vessels, does not cut out their parts. The procedure involves joining their walls in the place where they suffered. As a result, the vessels and veins remain holistic
The patient’s body receives stress, after which time is needed for rehabilitationSclerosis does not apply to operations, the procedure itself does not injure the body. After it is not required to recover for a long time

With the help of sclerosis, you can protect a person from recurrence of varicose veins. The procedure can act as a complement to other treatment methods.

If the patient has no contraindications, then sclerotherapy is an excellent option for those who are afraid of painful and unaesthetic consequences in the future. During the administration of the medicine, a person can only feel a slight burning sensation, which is a normal reaction of the body to an injection.

The very introduction of the pharmacological composition is carried out using a particularly thin needle. This allows you to block any significant discomfort, even for those who complain of a low pain threshold. The only problem here may be allergies. To avoid such a situation, the doctor must first conduct an allergic test. Otherwise, the ward will have to face:

  • headache;
  • severe burning sensation;
  • nausea

With the development of the most sad scenario, even anaphylactic shock is possible. It is good here that an allergy to drugs is a very rare occurrence. All medicines are tested and have a certificate of quality, which confirms their safety for the body.

Due to the fact that the solution affects exclusively the affected area, it is possible to leave healthy tissues completely intact. For the same reason, postoperative bruises, if they have a place to be, take up a small area.

Many patients like that to complete even the entire course you do not need to take a sick leave and stay in the inpatient department of the hospital for several weeks. Modern private clinics offer victims to go home immediately after a successful injection.

The patient will be able to see the first results already in the first few days. Also, the protocol of manipulation is allowed to inject the solution into several zones at once in one session, which is designed to reduce recovery time. The achieved visible effect will be fixed for a long time and at the same time it will not overshadow the appearance of the skin with traces of cuts, scars and scars.

Your appointment is not affected by your period. A contraindication can only be some chronic diseases or inflammatory processes in full swing.

Despite these advantages, the method is still not ideal. Its main drawback is the inability to save the victim from the primary source of pathology. Instead of influencing the cause of the disease, it will only mask its external manifestations.

It is worthwhile to prepare in advance for the fact that:

  1. With weak elasticity of the venous walls, the disease will return, but with a different location.
  2. If heart failure is ignored, getting rid of swollen veins and the spider veins surrounding them is a waste of time and money.
  3. With the continuation of a sedentary lifestyle, increased physical exertion or in the absence of gymnastics during a long stay in a standing position, the operation will have a temporary effect. Then the pain and unsightly appearance will return again.

Because of this, experts insist on finding the root cause of the anomaly, and then eliminating the accompanying manifestations. So even rehabilitation will go much more calmly.

How is sclerosis performed?

Before deciding to carry out the procedure, most people want to know detailed information about what actions the doctor will perform.

To know more about leg vein sclerosis, you can watch the video below. It will help to get an idea about the upcoming procedure.

Initially, a puncture of the vessel that has suffered defeat is done. Often for such manipulation, for example, ultrasound or a transilluminator is used. With their help, the doctor will be able to clearly get to the right place.

For this procedure, a very thin needle is used, it resembles the needles of an insulin syringe. In this way, the risk of bleeding from a punctured site is reduced.

After this, the introduction of a special tool. The doctor selects the appropriate dosage, taking into account the individual characteristics of the person, the course of the disease, damage to the vessel.

In addition, the doctor decides which form of the drug to choose. If he believes that a foamy agent is needed, then sclerotherapy in the form of foam is carried out.

This method has some advantages. Using the foam, it turns out faster to achieve a result, since it is in better contact with the vascular walls.

Many people hesitate to perform the procedure because of the fear of pain. There is no need to be afraid, because modern medicine offers various methods to reduce pain.

When sclerosis is often carried out cooling the place where injections will be made. As a result, the skin becomes less sensitive, the risk of hematomas is reduced.

After the procedure, a compression bandage is applied. If a slight vascular lesion was eliminated, then you can do without it. Experts advise wearing compression for a couple of days.

To get the desired effect of the procedure, you must definitely arrange slow walks. Walking on the street takes about 40-60 minutes. If a person has survived sclerosis, physical activity will benefit him, but you should not heavily load your body.

It is better to follow all the recommendations after the procedure, which the doctor talks about. After sclerosis, specialists often prescribe non-steroidal anti-inflammatory drugs or antihistamines.

The procedure is preceded by a thorough examination of the problem vessels.

Before starting phlebosclerosis, the doctor carefully examines the affected vessels requiring treatment. The patient at this time takes the required position – sitting or lying down, depending on which area the sclerosing of the veins will be carried out. Further, the doctor designates areas requiring correction, after which he prepares sclerosants – drugs that glue vessels affected by the disease. Medicines are divided into 3 main groups:

  • coagulation protein;
  • thrombogenic;
  • contributing to dehydration of vascular tissues.

Then the doctor proceeds directly to the injection. A sterile fleece is applied to the puncture site, after which the limb is fixed with compression clothing or an elastic bandage. During the procedure, the patient is not at all hurt, and sclerosants within 1-1,5 days are independently excreted from the body. As soon as the sclerotherapy of the veins of the lower extremities is completed, the patient needs to lie down, actively making ankle movements counterclockwise and clockwise. In 10 minutes. half hour walking is recommended. This will help prevent stagnation and the formation of blood clots, which is especially true for thrombophlebitis beginning.

A reliable and safer method is echosclerotherapy of varicose veins. This technique involves injecting the drug into a vein under the control of an ultrasound scanner. Another type of surgery is microsclerotherapy. It is prescribed in the initial stages of varicose veins, when the limbs are dotted with small varicose nets and asterisks.

Before sclerotherapy, the patient must pass a number of standard tests. In the event that there are no contraindications, an operation is prescribed.

A patient with varicose veins is placed in a horizontal position, after which the doctor introduces the medicine into the vessel. Five to twenty injections can be made in one procedure. It all depends on which vein is changed.

In a similar way, sclerotherapy of hemorrhoidal nodes can be carried out. If earlier a patient with varicose veins in the rectum was doomed to surgery, now everything has become much simpler. Many people, fearing surgery, simply avoided visiting a doctor.

Sclerotherapy of hemorrhoids or veins in the legs is performed without pain relief. In rare cases, local anesthesia is possible. The procedure is not painful. You will only feel the penetration of the finest needle through the skin.

Possible complications after the procedure

After carrying out sclerotherapy, various consequences are sometimes noted, they are not pathological and pass quickly enough, these are:

  • bruising, bruising;
  • short itching at the injection site;
  • sucrose after sclerotherapy;
  • pigmentation of the skin over a sclerotic vein;
  • legs after sclerotherapy;
  • peeling or swelling;
  • lymphostasis (impaired lymph circulation);
  • small vascular mesh (recurrent telangiectasias);
  • pain in the injection area and pain in the vein after sclerotherapy.

More serious, but rather rare complications of the procedure are burns, deep vein inflammation, thrombosis, which form when the drug penetrates beyond the borders of the vessel. Thrombophlebitis after sclerotherapy is also possible – it is an inflammation of the vein wall that occurs in large vessels when the phlebologist’s recommendations are not followed after the intervention.

As with any other format of treatment for varicose veins, here there are some complications. Some of them are the norm for a certain period, but exceeding the allowable time frame indicates the beginning of a pathological deviation.

So, during the very introduction of the drug, a sensation of a slight burning sensation is a natural reaction, which suggests that the mechanism of action on the venous wall has started. If successful, the vein under the skin almost immediately turns into a cord, which is felt when pressed, representing a dense cluster. It resolves in about six months. With good rehabilitation care, it is possible to shorten the time interval to three months.

Itching in the puncture area is also considered quite normal. It should go in about a couple of hours. Among other functional complications, a discoloration of the vein along the bloodstream is noted. A dark shade occurs approximately once every twenty clinical cases, but also disappears in the first year after the procedure.

But the burn marks are already a sign of the doctor’s lack of professionalism. This happens if a certain amount of sclerosing medication gets directly under the skin. Despite the fact that the burn goes off on its own without the need to apply special ointments, a true professional will not allow this.

Sometimes, due to the individual characteristics of the human body, peeling or a small wound occurs at the injection site. They pass within two weeks, like soreness. The latter exacerbates during physical exertion. It is not for nothing that doctors forbid attending training sessions and conducting too active activities in the first few weeks.

The risks of complications after surgery are low, but increase with improper preparation for the sessions and non-compliance with the rules for its conduct.

  • Hyperpigmentation – the appearance of brown spots at the injection site. May occur from a specific drug for injection. Often, this phenomenon is short-lived and disappears by itself. Otherwise, a Q-switched laser is used to remove pigment.
  • Swelling – may develop during the first day. Passes by itself.
  • Pain. During the procedure, special cooling agents are used for anesthesia.
  • Redness. Lasts for half an hour. If itching occurs, use a corticosteroid ointment.
  • Relapse. It arises from many factors. An integrated approach to treatment or the use of other methods of therapy is required.

Sclerosis can be accompanied by such complications:

  • necrosis;
  • superficial thrombophlebitis;
  • allergic reaction.

These pathologies can be the result of improper diagnostics, treatment and non-compliance with the rules of preparation and rehabilitation.

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Adverse reactions after sclerotherapy of the vessels of the legs are considered rare, and most often they are associated either with the initially severe course of the pathology or with the patient’s non-compliance with the doctor’s recommendations, in particular, with regard to wearing special compression clothes.

Side effects that occur in the first hours and days after treatment include itching and peeling of the skin along sclerotic veins. As a rule, they only bother in the first hours after the procedure, and then pass on their own. Occasionally recurring short-term itching for more than a day after treatment is not considered a complication, but if such anxiety arose, then consult your doctor will not be superfluous.

For 2-3 months, there may be skin tightening in the projection of sclerotic vessels, and pigmentation in the form of light brown stripes or redness can last up to a year after treatment. A very rare complication is skin necrosis, which may be associated with individual sensitivity to the components of the drugs or a violation of the procedure.

During the first 7-9 days, a feeling of soreness at the sites of skin puncture is possible. Such pain often occurs against the background of physical effort and eventually passes independently.

When sclerosing veins of the ankle region as a consequence, swelling and redness of the skin are possible, which are short-term and do not cause significant discomfort. Such changes can be triggered by wearing tight shoes or high heels, which, for obvious reasons, it is better to refuse.

Inflammation of the vein wall after the introduction of sclerosant develops extremely rarely, and the blame for this complication lies in most cases with the patient himself, who does not follow the doctor’s instructions regarding some restrictions or prematurely removes the elastic bandage.

The key to a favorable completion of the treatment of varicose veins of the legs can be compliance with certain rules:

  1. The use of high-quality sclerosant drugs recommended by a doctor, self-replacement of one drug with another without consulting a phlebologist is unacceptable;
  2. A thorough examination of the patient before the sclerotherapy procedure to exclude all possible obstacles to treatment;
  3. Observance by the doctor of the manipulation technique, and by the patient – all the instructions of the surgeon, even if they do not seem very useful.

Most patients undergo vascular sclerotherapy in paid centers, however, when choosing a clinic, you should focus not on cost and discounts, but on staff qualifications and experience. The price of sclerotherapy depends on the drug used and the complexity of the upcoming procedure, and therefore it is calculated individually and may not be the same for everyone.

What should not be done after the procedure

Sclerosis of the veins on the legs gives the first positive results within 2 hours after therapy. Traces of pigmentation on the skin disappear, veins protruding earlier also become less noticeable. After a month, solid inclusions remain at the injection site, but this is not a pathology. Over the course of 3-4 months, these residual effects disappear, the patient is not bothered by an unpleasant sensation or discomfort.

Often, patients requiring cure for varicose veins are interested in what is better – sclerobliteration or laser treatment, because both methods can be beneficial and harmful. Scleroplasty surgery still has more limitations than a laser. However, laser therapy will cost more than vein sclerotherapy, but it is better to entrust the choice of the appropriate technique to the doctor. If there is at least one contraindication to scleroplasty, the doctor will be able to choose an alternative and safer method.

Sclerosis of the veins on the legs is a young method of therapy, a less radical, but also less effective analogue of surgical removal of veins.

The procedure has many advantages over the standard operation:

  • safe, almost never causes side effects;
  • the duration of the procedure is no more than 40 minutes;
  • in the process of treatment, the vessels are not removed, but restore their functions;
  • sessions are practically not accompanied by painful sensations;
  • there are no visible signs of interference during the procedures;
  • does not require intensive and long recovery;
  • helps with relapses of the disease;
  • eliminates the side effects caused by surgery.

The main advantage of sclerotherapy is a short and almost asymptomatic rehabilitation. The patient does not need to be in the hospital room during the entire course of treatment.

The experience from the use of sclerotherapy in each patient is purely individual. Of the negative reviews, complaints about relapse of the pathology in other places, an allergy to substances introduced into the vein, predominate.

  • painlessness;
  • short duration of sessions;
  • lack of external consequences after a course of treatment.

Sclerosis of the veins on the legs is a procedure that requires a strict approach to the diagnosis of the disease. In the process of preparation, conduct and rehabilitation it is necessary to strictly follow all the rules. In order for sclerotherapy to give a positive result, it is necessary to carefully choose a specialist.

After sclerotherapy, you can not sit or stand in one place for a long time. It is recommended to regularly move and change position. Walking half an hour helps to avoid complications after the procedure. All appointments should be observed until the body gets used to the changes that have occurred and normalizes its functions.

Also, many active patients have the question of whether it is possible to engage in sports after sclerotherapy. Any doctor will advise you to postpone physical activity (training, gym, dancing, etc.) for 4 days after the operation. Those who regularly visit saunas and baths, it is better to wait 2 months until the full rehabilitation of the body.

When to wash

When to wash after sclerotherapy depends on which vessels the sclerotherapy was carried out on. If on small ones, then it is possible to start water procedures for 3 days, in other cases it is better to wait 5 days.

If you consider what you can not do after sclerotherapy, then you can include alcohol intake, smoking, sunbathing and much more. Therefore, in order to avoid the negative consequences of the recommendations after sclerotherapy, the doctor can supplement them and they need to be accurately performed.

Negative consequences

As mentioned above, sclerotherapy reviews are only positive. After such treatment, your legs will become beautiful and get rid of terrifying protruding venous nodes.

When the affected vein is “sealed”, all work is transferred to neighboring vessels. In order to avoid complications and varicose veins of these veins, it is necessary to take special medications, for example: Detralex, Venarus, Antistax. Also, for prophylaxis, venotonic ointments can be used.

If you neglect healthy veins and skip the necessary courses of drugs, then you may face repeated varicose veins. Of course, it can also be cured with sclerosants, but in some cases, surgical treatment may be necessary. Repeated removal or gluing of veins may result in leg amputation.

Any treatment method has a risk of undesirable consequences. This also applies to sclerosis. The result that was obtained after the procedure remains for life. This is a huge advantage of this technique.

But there are situations when pigmentation appears on the skin at the puncture site. This consequence is temporary, so do not despair. Sometimes you have to wait several years for the pigmentation to disappear.

Quite often, age spots appear after prolonged exposure to the sun. Therefore, doctors do not recommend sunbathing for a period after sclerosis of the veins in the legs. It is better not to visit the beach for 1-3 months.

Sometimes after the procedure, inflammation develops in the area of ​​compaction, which appears after the introduction of the drug. Often they encounter this effect when sclerosing large veins.

In this case, patients have to wear compression underwear for a long period, take the necessary drugs that the doctor will prescribe.

If the procedure was carried out on large veins, then without fail a person needs to regularly visit a doctor to monitor the situation.

Another unpleasant side effect may be an allergic reaction to anesthesia or a drug. People who are prone to allergies should inform their doctor about this.

If this technique is not suitable, then the doctor will begin to search for an alternative.

These phenomena disappear within 2-3 months and are not considered pathological, requiring special treatment:

  • itching, redness, and burns;
  • microtrauma, peeling of the dermis at the injection site;
  • mild soreness;
  • vascular mesh;
  • puffiness

Many women care about whether sclerotherapy can be done for free. Unfortunately, in hospitals and clinics this procedure is not practiced. The very cost is due to the type of manipulation and the amount of work, that is, the diameter of the vein, which should be sclerotized.

Approximately foam-form therapy costs 5-10 thousand rubles. in one session. A full course of therapy can cost 30 or more thousand rubles. The price in Moscow is slightly higher than in other cities of Russia. Echosclerotherapy of large saphenous veins is from 8000 to 20000 rubles, and with “spider veins” from 1 to 10 thousand rubles per session.

Postoperative Restrictions

Sclerosis of the veins on the legs requires compliance with several simple rules for preparing for the sessions. Before the appointment of the operation, the doctor should be informed about the drugs being taken so that he can determine which ones cannot be taken at the time of treatment and rehabilitation.

From the prohibited means:

  • hormonal;
  • anti-inflammatory;
  • venotonic;
  • medicines for the treatment of the cardiovascular system.

The remaining restrictions apply to all patients:

  • 2-3 days before sclerosis, you should stop smoking, drinking alcohol.
  • You need to eat food no later than 2-3 hours before sclerotherapy.
  • Wash your feet before the procedure.
  • In advance you need to purchase compression underwear, an elastic bandage. It is better to come to the procedure in tight clothes for better fastening the bandage.
  • You can not carry out any cosmetic procedures before and between sessions. This includes the use of scrubs, masks, creams, as well as all types of hair removal. For allergies to hygiene products, sclerosis is not carried out.

At the end of the operation, the patient puts on compression clothing and takes a walk. A hospital stay is not required.

On the legs veins appear most often. In order for the sclerosis of the veins to have a result, the maximum aesthetic effect is observed, for some time you need to limit yourself to some actions.

It is impossible during the recovery period:

  • About 3 weeks it is forb />
  • You can’t fly on airplanes.
  • Limit mobility to the standards recommended by your doctor and avoid heavy physical exertion.
  • Heparin ointments should not be applied to venous correction sites.
  • Repeated procedure is forbidden to be carried out earlier than 1-2 weeks.
  • The skin color will first change to yellow. This is the norm and does not serve as a reason to go to the doctor.
  • Do not wear compression clothing while you sleep.

It is important to understand in advance the level of available load after the procedure. Sclerotherapy does not require bed rest, but not all types of exercise are acceptable.

Depending on the venue, prices for sclerotherapy may vary.

MoscowSt. PetersburgOther regions
Echosclerotherapy15000 (for 1 vein)7000 (for 1 vein)5000-6000 (for 1 vein)
Microsclerotherapy30000 (5 sessions)15000 (5 sessions)10000 (5 sessions)
Foam sclerotherapy8000 (1 session)4000 (1 session)3000-4000 (1 session)

In addition to average prices, you need to focus on the choice of clinic. In different institutions, prices for counseling and therapy may vary depending on the neglect of the disease.

With the help of sclerotherapy, you can improve your veins, this is a really effective procedure. But what is the price of such a service, because not all people are able to afford to pay for expensive treatment?

The cost of this treatment is at an average level. The total price may vary for each patient. This will depend on the course of the pathology, the size of the intervention zone.

Postoperative sclerosis is considered to be the cheapest, with the help of which small veins are healed after the elimination of lesion sites.

The price in Moscow and other cities of Russia is approximately 14 thousand rubles. When using foam preparations, you need to pay up to 20 thousand rubles.

If a person needs to undergo comprehensive treatment, then the cost increases. When combining sclerotherapy and microsclerotherapy, you will have to pay up to 40 thousand rubles.

Sclerotherapy reviews

When people understand that varicose veins do not disappear on their own, they begin to search for a suitable treatment method. Often their choice dwells on sclerotherapy, because this is an effective and safe procedure, which most patients respond positively to.

MARINA, 35 YEARS:

“When I gave birth to a child, there were problems with the veins. She did not attach much importance, she continued to engage in familiar affairs. When the decree was over, I went to work, after which the problem only worsened.

At first, it was only cosmetic discomfort, but later there were painful sensations, heaviness in the legs. The doctor prescribed sclerotherapy. I am glad that I agreed to such a procedure. The disappearance of the problem went about a month.

Now I can calmly put on skirts, without embarrassing my legs. I live in Omsk, I did the procedure in my city. The result justifies the money spent. ”

LYUDMILA, 37 years old:

“When the symptoms of varicose veins appeared, I began to worry, stopped wearing heels. At first I used folk recipes, then – ointments, bought in a pharmacy. But she did not notice much effect.

I went to a good clinic in Novosibirsk, where they advised me to sclerotize veins on my legs. The doctor quickly performed the procedure, did not feel pain. At first I had to wear compression underwear.

After a short period of time I did not recognize my legs. I recommend this procedure to everyone. ”

MARGARITA, 30 YEARS:

“A few years ago I noticed the appearance of varicose stars on my legs. Decided on sclerotherapy. About a month later, a little pigmentation appeared, but it quickly disappeared.

There are no more stars on my feet that scared me a lot. This is a great method that helped restore the health of my legs. ”

Sclerosis is a great method that can help with varicose veins. This is an advanced procedure that does not injure the body. Recently, phlebologists have begun to use it more and more often.

It should be understood that sclerosis will not be able to get rid of varicose veins in an advanced form, because in this case the patient needs a comprehensive treatment.

Having realized that this can no longer continue and varicose veins on their legs will not disappear, people begin to look for optimal treatment methods. The most flattering reviews of the treatment of the disease received sclerotherapy.

This is due to the fact that just such a method of therapy is considered the most effective and fastest. Now even among friends and colleagues you can hear more than one positive impression of patients who underwent sclerotherapy of veins of the lower extremities.

Galina 29 years: Problems with veins in my legs started after the birth. Work on the legs only exacerbated the existing problem. The appeared cosmetic defect hit my self-esteem very hard, I had to change my wardrobe, only jeans and trousers began to be purchased. Pain along the vein and heaviness in the legs also appeared.

Sclerotherapy was advised by a doctor. I decided right away. Not a moment regretted. Of course, the problem did not go away right away, I had to wait a month. But now I follow the doctor’s recommendation and walk in dresses. The only negative is the cost of the procedure, but beauty requires sacrifice and financial investment.

Svetlana 34 years: About a year ago, I started having problems with my right leg, the symptoms of varicose veins became on my face. She knew the manifestations of the disease perfectly, since in the family all along the female line suffered from varicose veins. Refused from heels. Ointments, pills and folk recipes did not help.

I understood that it would not be better. I did not want to let things go by themselves. I went to the clinic, where the doctor advised me to do foam sclerotherapy. The procedure was quick and painless. The only thing that fettered me in the first few days was the constant wearing of compression stockings. But you can put up with it.

Catherine 31 years: Varicose disease began to suffer after about 27 years. Even at the stage of the “vascular cobweb” she did sclerotherapy. But since I inattentively listened to the doctor when he told what should be done after sclerotherapy.

First there were bruises, pigmentation and bruising. After additional local treatment, they quickly passed. Now it has been more than one year after the procedure. I have already heard many opinions for and against the procedure, but personally I did not have any negative memories, only positive points.

Sclerotherapy reviews are different. Depending on the individual reaction of the body to the drug substance, a patient may develop one or another complication. That is why some women who underwent sclerotherapy of the veins of the lower extremities, only positive reviews leave, while others were dissatisfied with the treatment.

Due to the fact that during the operation there is no need to use anesthesia, the patient can get up and go home in a few minutes.

Many women who have been shown sclerotherapy for veins leave positive reviews. The result is noticeable after a few weeks. The area of ​​the vein protruding above the skin decreases, and heaviness and pain in the legs pass. The patient no longer has to hide her legs under long skirts and trousers.

Also, sclerotherapy reviews are positive due to the fact that there is no need to stay in the hospital and go on sick leave. A person can continue to lead a normal lifestyle.

Varicose veins that occurred after pregnancy and the birth of a baby cause a lot of discomfort. What a surprise the representatives of the fair sex are when, after several courses of injections, the wreaths and little stars completely disappear and the legs acquire their former beauty and attractiveness!

Sclerotherapy of the veins of the lower extremities is negative only in those cases when an unforeseen reaction of the body to the administered drug occurred. It can be expressed in the following:

  • inflammation of the treated vessel;
  • allergy to the drug;
  • pain along the vein;
  • the appearance of “stars” from the vessels;
  • darkening of the skin and the formation of bruises.

However, it is worth noting that all these phenomena cannot be called serious. They take place from one week to two months. After this, the patient who underwent sclerotherapy, negative reviews are often changed to positive opinions, since the effect becomes obvious.

Why develop problems with the vessels on the legs?

Daily habits that negatively affect the cardiovascular system and blood flow lead to vein depletion.

The causes of pathologies include several main factors:

  • strong physical, and especially static loads on the lower extremities;
  • sedentary lifestyle;
  • bad habits;
  • improper nutrition.

With physical activity, blood supply increases, and tense muscles pinch the blood vessels. This creates an increased pressure at which the walls of the vessels expand to push blood through. During this process, veins lose their elasticity and ability to function normally.

Due to the dysfunction of the blood circulation system, cholesterol rises, which forms plaques that clog vessels and provoke them to be deformed. The negative effect is complemented by smoking, drinking alcohol. Once in the blood, harmful substances make it circulate intensely in order to quickly remove toxins.

It also increases the risk of occurrence and complicates the course of diseases by heredity.

This sclerotherapy technique is used on parts of the body located below the level of the heart. It is used to remove neoplasms that reach a diameter of not more than 2 mm. Sessions of sclerotherapy are related more to a cosmetic procedure and their aesthetic phlebologist conducts them.

The medicine is injected into the lumen of the vessel with a needle or catheter. A thin instrument blade, not larger than the diameter of the capillary, allows you to work with microscopic elements of the venous system. A doctor may conduct a session using equipment that increases the treatment area.

In the treatment of vascular diseases, sclerotherapy has long been considered the “gold standard” for getting rid of many venous defects. During the procedure, a chemical solution is introduced into the pathological sections of the vessel. As a result of sclerotherapy, veins are glued together, and blood is moved through the deeper veins.

Later, lasers were developed that had the necessary wavelength sufficient to penetrate and damage the entire necessary region of the vessel, without affecting the skin.

According to statistics, long-pulse lasers can also effectively treat diseases of the veins of the lower extremities, as well as sclerotherapy. But laser treatment has a minimal likelihood of side effects and the procedure is completely painless.

In addition, with the help of laser therapy, more lasting and faster results can be achieved. But manipulation also has negative aspects, such as the high price, insufficient qualifications of many specialists, etc.

Sclerotherapy and alcohol are completely incompatible. You should refrain from drinking alcohol at least 3 days before and after the operation. The same recommendations should be followed with smoking. Ideally, for people suffering from vascular diseases, the “hot” is contraindicated in principle. This is due to the fact that ethanol worsens the blood supply to the limbs and promotes thrombosis.

The procedure can be performed at any time of the year. But in the hot period it will probably be difficult constantly, without taking off wearing compression underwear.

Pregnancy after sclerotherapy can be planned at any time, but it is recommended to wait six months. In an interesting position, sclerotherapy is not performed, although the decisive word remains with the attending physician.

Sclerotherapy for menstruation is not performed, it is associated with increased bleeding during this period.

Can I sunbathe?

After the procedure, to avoid complications such as pigmentation, sunbathing is not recommended for 1 to 3 months.

Many people wonder how long the veins disappear. Of course, this period is individual, but usually it is up to 2 months. If you take Detralex and use ointments to quickly absorb hematomas and bruises, then this time interval can be significantly reduced. It is also very important to wear compression underwear and attend pneumocompression and cold wraps.

Your doctor can give an answer to this question, but the general recommendations include:

  • wear compression stockings;
  • smear legs with venotonics (troxevasin, venolife);
  • take detralex, venus, vasoket.

Also, if you do not know how to smear your legs after sclerotherapy, you can use lyoton, troxevasin, lavenum, heparin without a phlebologist. These same tools save you if you do not know how to remove bruises. Venotonics also contribute to recovery – antistax, anavenol, ginkor fort.

On average, in 15% of cases after sclerotherapy, matting appears. This complication is manifested by the formation on the skin of a new network of spider veins. This is due to the fact that at the site of sclerosis, varicose expansion is no longer possible, but the procedure can not hedge against damage to neighboring vessels.

Pigmentation usually takes place on its own within a few months, this process can drag on for up to a year. If you want to speed up the process, then it is better to contact a cosmetologist. You can use skin whitening products and folk recipes, such as lotions with lemon juice.

Injections can be made 1-2 times a week. But it all depends on the amount of intervention. Only a phlebologist can set a specific date.

Sclerotherapy itself is absolutely harmless. An exception is the manipulation in the presence of contraindications.

After sclerotherapy, seals may appear. If they form at the injection site, this indicates a compaction, and later on, a vein sagging, which is quite normal.

Lyoton and other similar means will help to speed up this process a little. But if the seals do not resolve on their own, are hot to the touch, hyperemic, then you should consult a doctor.

Sclerotherapy of veins of the lower extremities: the essence of the technique

Removing veins affected by varicose veins, without the need to use the traditional scheme of damage to the skin, has long been a dream of physicians. After the researchers developed a special composition that is injected, the victims of the disease got a chance not to suffer from the consequences of radical methods.

The scheme of manipulation covers the introduction of a drug into the affected vessel, which is designed to first destroy the diseased venous wall, and then heal it again. As a result, the venous lumen will begin to slowly overgrow, and the vessel will become a fibrous cord.

A similar mechanism of exposure opened up a second chance for many victims, since not all of them can remove varicose lesions with a surgical measure due to a number of medical contraindications. The modern analogue of the prohibitions on the conduct of an order of magnitude less.

Also, it does not provide for the need to carry out general anesthesia, which negatively affects the health status of the cardiovascular system as a whole. Everyone who doubts about the productivity of the method can evaluate the progress on thematic forums where before and after photos are presented.

Many patients are additionally attracted by the price. Unlike alternative versions of assistance, a long recovery phase is not provided here, which in itself is a significant budget gap. The specific cost is calculated by the doctor individually after the initial examination.

To calculate how much the procedure costs, you need to immediately find out whether local anesthesia will be performed and which main drug the phlebologist will use. Compression clothing, which is purchased according to the doctor’s testimony, is taken into account separately. It is designed to help you get the desired result faster.

The essence of the correction is that a special substance is injected into the vein, which glues the affected vessel. There are several types of sclerosants. Some of them, after introduction into a vein, clog it forever, and after a while the vessel completely dissolves. Others have a less powerful effect. They fill and glue the vein, however, with the use of such drugs, relapse is possible, as a result of which repeated correction will be necessary.

General principles of sclerotherapy

Before the appointment of sclerotherapy, the doctor diagnoses and interrogates the patient, then sends him for additional studies: ultrasound of the vessels, contrast examination, etc. Having collected and examined all the data, the specialist develops a treatment plan, determines the number of sessions and injections.

During the procedure, the doctor injects a syringe with a thin needle into the affected vein of the medicine, which glues its walls. The treated areas are covered with an elastic bandage. This is necessary so that the veins remain in a compressed state, and the blood flow does not stretch their walls even more.

Blood from diseased vessels is redirected through healthy areas. The injected medicine gradually resolves, and the deformed elements of the venous system are contracted to their original size and restore elasticity.

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Indications for the procedure

When the doctor finishes administering the medicine, he will let you know if there is a need for a second course. In some cases, a single session is sufficient. In more severe situations, repeated injections are prescribed after 3-5 days.

Also, after the procedure, you will need to use compression. It can be special stockings or tights. In the absence of such funds, purchase ordinary elastic bandages.

After sclerotherapy, it is necessary to continuously move from one to two hours. Better if it is a classic walk. The doctor will give you the necessary recommendations and select the time, given the severity of the disease.

You will also need to use compression in the first days after the procedure constantly. Next, use bandages or special stockings with a break at night.

Preparing for an operation

In order for sclerotherapy of varicose veins of the arms and legs to go away without complications and unforeseen circumstances, you must first prepare for the procedure. First of all, the patient is given a direction to undergo a full-fledged diagnostic study, which will help to eliminate contraindications and identify concomitant pathologies. Dopplerography is mandatory, with the help of which it is possible to identify varicose disease and other vascular pathologies.

2 days before the procedure, you can not take alcoholic beverages, smoking is also prohibited. The day before the procedure, it is better to epilate the problem area, it is forbidden to use emollient lotions, ointments, creams. 2–2,5 hours before the manipulations, a light meal is allowed. The preparation ends with a refreshing shower, after which the doctor begins to treat the problem.

Since varicose veins tend to worsen in the summer, legs become more swollen and, in general, the disease causes more discomfort, it is better to plan treatment at a different time of the year, and in summer it will be possible to barely bare your legs, swim and be in the sun. In addition, in the heat, it is unlikely that anyone would even want to spend several days in tight bandages without the ability to take a shower.

Preparation for sclerosis of the veins on the legs includes a comprehensive examination of the patient, drawing up a treatment plan, choosing the most effective sclerosing method and drug, as well as calculating the approximate number of sessions depending on the prevalence of the pathology.

  1. General and biochemical blood tests, general urinalysis;
  2. Blood coagulation test;
  3. Fluorography;
  4. Tests for syphilis, HIV, hepatitis, which are included in the standard list of examinations before any treatment;
  5. Ultrasound examination of the vessels of the legs to determine the stage of the disease and the scope of the upcoming treatment.

Before the sclerosis procedure, a physician should be visited to exclude a number of concomitant diseases that may become an obstacle to the procedure, or undergo their appropriate treatment.

Preparation for sclerotherapy of “stars” and veins immediately before the operation is extremely simple and consists in hygienic washing of the legs, while it is impossible to carry out epilation or shaving that injures the skin. Lotions and creams are better to be postponed until the moment of full recovery, they should not be processed skin before manipulation.

Sclerotherapy of varicose veins is carried out on an outpatient basis, there is no need to hospitalize the patient, this is another significant advantage of the method compared to surgical treatment. You need to come to the clinic in spacious, comfortable clothes and shoes, taking care of how to get home later. Most sclerosants include alcohol, so driving after treatment is not recommended, and it is unlikely that the patient himself will want to do this.

Sclerotherapy does not cause pain, so there is no need for anesthesia and, especially, general anesthesia. Moreover, the composition of modern drugs already includes painkillers, so the most that a patient can experience is a slight, quite tolerable burning sensation at the injection site of needles or microcatheters. Painlessness significantly narrows the range of contraindications and facilitates the course of both the operation and the recovery period.

Sclerotherapy technique and drugs used

The multiplicity of venous sclerotherapy sessions on the legs depends on the prevalence of pathology according to the results of visual examination and ultrasound examination. On average, two to three sessions are enough, for which the doctor makes from several to 10 injections of sclerosant.

Depending on the nature of the sclerosing agent used, there are:

  • Liquid;
  • Foam sclerotherapy technique (foam-form).

In the first case, a liquid substance, usually based on alcohol, is injected into the vessel with a syringe. Foam sclerotherapy involves the introduction of a substance in the form of a foam, which is obtained immediately before administration, that is, the drug itself is initially liquid.

The advantage of foam sclerosis can be considered a smaller dose of the drug, because the foam can occupy a larger space than a liquid substance, which means that the risk of adverse reactions to sclerosant is reduced. Another advantage of foam sclerotherapy is the ability to fill a vessel with a larger caliber than with a liquid technique. Foam, as it were, swells in the lumen of a vein, reaching all its walls.

Foam sclerotherapy (foam-form method) is considered the most modern and promising area of ​​treatment for varicose veins. Foam, which is a mixture of the active substance with gas bubbles, uniformly fills the vessel, “squeezing out” the blood from it, and its damaging effect causes a strong spasm, in which immediately after administration of the drug the vein lumen can be reduced up to five times.

The addition of sclerotherapy with ultrasound (echosclerotherapy) allows the surgeon to evaluate the effectiveness of the procedure directly during the procedure, which reduces the number of relapses and repeated operations, and also allows the treatment of varicose veins of large venous arteries. Among the drugs capable of foaming, ethoxysclerol is recognized as the leader – it is not only highly effective, but also safe.

The sclerosing manipulation itself is quite simple: with the help of special small needles or microcatheters, the doctor makes punctures in the place of the dilated veins, introducing a sclerosing agent into them. When sclerosing large vessels, manipulation is carried out under the control of ultrasound so that the active substance fills even those areas that are not visible to the eye.

Once inside the vessel, the drug causes aseptic inflammation of the walls of the veins, like any other foreign substance that has entered the body, as a result of which the vessels fall, their lumen grows with connective tissue, which gradually dissolves over time, and the external defect in the form of a venous network disappears.

Sclerotherapy of asterisks occurs in the same way as larger vessels. The cryosclerotherapy technique can be used when the vascular inflows of telangiectasia are determined with a thermal imager, and the foam preparation is administered under the action of a stream of cold air.

After the introduction of sclerosant, the leg is tightly bandaged, and compression garments are put on top, which cannot be removed for at least the first day. On the second day, the doctor usually allows you to unblock the leg, but the knitwear is worn for at least 10 days, more often about two weeks. Compression immediately after the introduction of the sclerosant is necessary so that the vein does not straighten, and its walls are firmly “glued” together. In addition, compression therapy helps to avoid thrombosis, bruising and recurrence of varicose veins in the future.

The drugs used for sclerotherapy are divided into 3 categories.

  1. Detergents are surface active agents. They are sodium tetradecyl sulfate, Thrombovar, Sotradecol, Polydocanol and Fibro-Vane. As a result of their use, the protein coagulates, forming a clot in the hole, which leads to gluing of the walls of blood vessels and veins.
  2. Hyperosmotic agents. This includes 40% sodium salicitate and 10–24% sodium chloride. The effect of their introduction is due to dehydration of the endothelium.
  3. Corrosion preparations. Varicocide (solution), Variglobin, Shotin iodide solution, Ethoxysclerol are used. These substances provide unilateral deformation of the walls with the appearance of blood clots.

These funds are highly effective and absolutely safe for the body, with the exception of the possible intolerance of a particular type of medicine. Detergents are suitable for eliminating large veins, and corrosive agents are suitable for small vessels.

Sclerotherapy technique

Sclerosis is carried out in a sterile room under local anesthesia. During the session, anesthetics are administered in the vein area of ​​the legs. By cooling the treated area, tissue sensitivity and the likelihood of traces of interference (wounds and bruises) are reduced.

Leg vein sclerotherapy technique

The procedure consists of the following steps:

  1. Using a short thin needle of a syringe, a puncture is performed to the desired site. The small size of the needle eliminates the appearance of bleeding. To accurately enter the drug, an ultrasound scan of the veins is performed in parallel.
  2. A sclerosing agent is administered. The dosage is determined individually depending on the stage of the disease, the location of the vessel and the area of ​​the lesion.
  3. When a specialist has made sure that the drug has begun to act, they are given an elastic bandage or compression clothing. You need to wear it 2 days after the session.

At the end of the procedure, the patient must walk for an hour under the supervision of a health care provider.

Foam sclerotherapy

This type of intervention is used to treat large saphenous veins with advanced stages of varicose veins. Foam sclerotherapy is used in cases where it is impossible to produce sclerotherapy with the introduction of soluble drugs due to the high likelihood of thrombosis.

In this situation, the injection is fine foam. The replacement is due to the fact that the injected medicine does not mix with the blood, but pushes it. Therefore, foam sclerotherapy prevents blood clots from forming. This method is superior to others in efficiency, and doctors evaluate the result as instant.

Echosclerotherapy

Sclerosis is performed with drugs from the group of sclerosants. They glue the walls of the arteries, completely clogging their gaps. In the course of such manipulations, the vein turns into a connected cord, the drug in which resolves up to six months and is excreted naturally. The procedure is accompanied by a vascular examination with an ultrasound preparation.

The protocol of the echosclerosis procedure is slightly different from other species. It is configured to work with deeply hidden veins that are not available for visual inspection. A special ultrasound control is also used to work with a fine vascular network, but a more accurate apparatus with multiple magnification is used.

Recovery period: terms, rules

The main aspect of successful rehabilitation after sclerotherapy is compliance with all the rules of the recovery period.

  • After the procedure, the first half hour is necessary to walk around. The walk is carried out under the supervision of a doctor.
  • During the course of treatment you need to play sports. For this, enough physical activity in the form of a walk for 3-4 km per day.
  • Periodic headaches need to be weakened by taking only medications prescribed by your doctor.
  • After a week, you need to come to the first inspection. Scheduled visits to the doctor are made once every 2 weeks, but the frequency of visits can also be pre-agreed.
  • Compression clothing should be worn for the first 14 days of rehabilitation. An elastic bandage is needed on the first day after the session.

It is important to focus on your own feelings. Pain and swelling are the reason for an unscheduled visit to a medical institution. Untimely provision of measures for side effects of treatment will lead to their aggravation.

Tatyana Jakowenko

Editor-in-chief of the Detonic online magazine, cardiologist Yakovenko-Plahotnaya Tatyana. Author of more than 950 scientific articles, including in foreign medical journals. He has been working as a cardiologist in a clinical hospital for over 12 years. He owns modern methods of diagnosis and treatment of cardiovascular diseases and implements them in his professional activities. For example, it uses methods of resuscitation of the heart, decoding of ECG, functional tests, cyclic ergometry and knows echocardiography very well.

For 10 years, she has been an active participant in numerous medical symposia and workshops for doctors - families, therapists and cardiologists. He has many publications on a healthy lifestyle, diagnosis and treatment of heart and vascular diseases.

He regularly monitors new publications of European and American cardiology journals, writes scientific articles, prepares reports at scientific conferences and participates in European cardiology congresses.

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