Treatment of enlarged and dilated veins on the lower legs (varicose veins)

Indications

Varicose veins are veins that have become enlarged and twisted. The term commonly refers to the veins on the lower leg. They represent the II stage of the Chronic Venous Disease.

They can cause disorders as heavy legs, ankle swelling, Restless legs syndrome, itchiness, tingling, pain, burning and cramps in the night. Severe varicosis can lead to thrombophlebites, eczema (redness and itchiness of areas of skin), a brownish-yellow shiny skin discoloration near the affected veins due to the shrinking (lipodermatosclerosis) because the fat underneath the skin becomes hard. In worse cases ulcers may appear.

Before starting any treatment, it is important to undergo a specific medical examination which requires a Color Doppler ultrasonography to define the origin, the reason that caused the developing of varicose veins and the best method to eliminate them.

Traditional Surgery

Traditional Surgery is appropriate for patients who are at an advanced stage of the illness with dilation of the saphenous vein or who present anomalies in the course of the saphenous vein and they can’t undergo any endovascular treatments (LASER or Radio frequency).

Endovascular Surgery (LASER or Radio frequency)

Endovascular Surgery is appropriate for patients who aren’t at an advanced stage of the illness and their saphenous vein doesn’t show any specific ultrasound features.

Sclerotherapy

Every patient can undergo this treatment. It is often addressed to whom than can’t undergo surgeries because of related or indipendent diseases.

Haemodynamic Treatment (CHIVA or ASVAL)

Every patient can undergo this treatment.

Description

Traditional Surgery

We make an incision (4-5 cm) in the groin area and remove the pathological part of the saphenous vein. The operation ends with the removal of the small varicoses by micro-incisions (2-3 mm).

Endovascular Surgery (LASER or Radio frequency)

We make a micro-incision (2-3 mm) on the thigh or on the leg (it depends from each case), and insert a fibre laser inside the vein, then we perform an ultrasound-guided tumescent anestesia and occlude the vein. The operation ends with the removal of the small varicoses by micro-incisions (2-3 mm).

Sclerotherapy

We inject a chemical substance in liquid or foam form (Scleromousse o Sclerofoam) which occlude the vein.

Haemodynamic Treatment (CHIVA or ASVAL)

This technique needs different surgeries planned every few months to help the blood flow from the superficial and damaged veins to the deep ones. We make small incisions (from 2-3 mm to 4-5 mm) in one or more areas on the thigh or on the leg by which some tipes of veins are linked. We don’t remove the small varicoses because they disappear over time.

Hospital Stay

Traditional Surgery

The operation is carried out under local anesthetic in day hospital

Endovascular Surgery (LASER or Radio frequency)

The procedure is carried out under local anesthetic as an outpatient

Sclerotherapy

The procedure is carried out as an outpatient without any anesthetic

Haemodynamic Treatment (CHIVA or ASVAL)

The procedure is carried out as an outpatient under local anesthetic or with the presence of the anesthesiologist

Recovery time

Traditional Surgery

After 15 minutes from the surgery the patient can move and after 2 hours he can be discharged. He has to wear elastic stockings for 2 weeks.

Endovascular Surgery (LASER or Radio frequency)

After 10 minutes from the procedure the patient can move and after 30 minutes he can be discharged. He has to wear elastic stockings for 2 weeks

Sclerotherapy

The patient can move right after the procedure and after 30 minutes he can be discharged. He has to wear elastic stockings for 2 weeks

Haemodynamic Treatment (CHIVA or ASVAL)

According to the level of the procedure, the patient can move right after the procedure or after 20 minutes. After 30 minutes he can be discharged. He has to wear elastic stockings for 2 weeks.

Trattamento delle varici (spider vein)
Trattamento delle varici (laser removal)