Varicose varicose disease affects more than 20% of people and affects women four times as much as men.
This disease affects the veins of the surface of the legs causing their expansion and lags and appear in different forms on the legs, which causes deformity of the legs with the possibility of emergence of a combination of symptoms and complications.
- Distortions caused by the appearance of venous veins in multiple forms and blue colors and a little red ones with a change in color and texture in some of the most congested areas.
- Feeling heavier in the feet at the end of the day after standing or sitting long
- The appearance of itching in the legs may develop into something similar to eczema.
- Light pain in multiple legs.
- Tears and sore sores appear to be the most difficult treatment in the legs.
- Thrombosis in the surface veins causing stiffness, redness and local pain.
- The possibility of deep venous thrombosis increases the risk of life.
- There is a congenital weakness in the venous wall that expands under the influence of normal blood pressure in the veins.
- There is a defect in the venous valves where all the veins are superficial or deep
Or piercing with dual valves that direct the blood in the legs from the surface towards the depth and from the bottom up to the heart and one direction and work to divide the column of blood while standing so that the pressure in the veins is low. If these valves are damaged and for several reasons can not be mentioned, the blood moves in both directions causing congestion in the veins and increase the pressure causing expansion and laziness and appearance
- The presence of deep vein blockage for a variety of reasons including deep venous thrombosis causing secondary varicose veins. Thrombotic syndrome
Patients with varicose veins who have been treated often suffer from unsatisfactory results. Especially if treated by conventional methods of conservative treatment or surgical treatment or injection or laser injection without evaluation and good examination, as each patient is different treatment for the other even for the same patient may need a specific treatment in one of the legs and another treatment for the other leg.
The first step The varicose veins and secondary varicose veins should be distinguished from deep vein insufficiency. Varicose veins caused by deep vein insufficiency are treated with conservative methods and as far away as possible from any surgical procedure or injection by injection because it exacerbates and increases the severity of the disease and may lead to leg loss.
As for primary varicose veins, regardless of the above-mentioned causes, the physician should:
1 – careful examination taking the pathological and general examination of the patient.
2 – A thorough examination of the problem is done by clinical examination of the legs and complete the examination using the optical detector to determine the prevalence of varicose veins invisible in the eye and then the examination and evaluation of the patient using acoustophar colored voice so that the distinction is made between:
- Primary Varicose Varicose Veins
- Primary varicose veins caused by varicose veins from primary varicose veins caused by damage to the venous valves mentioned above
- Identify the damaged veins where the blood is going in both directions.
- Identification of damaged valves, especially the main ones at the end of the long and short sap and the valves of the veins piercing damaged.
- Identifying the help veins and hyphenation between the different regions of the body
This examination should be carried out by the treating physician in person and should not depend on the examination reports from others so as to work a therapeutic road map and draw varicose veins, veins and damaged valves and multiple venous expansions and determine in light of that the best way for treatment, if carried out on the assets, It is satisfactory, but pleasing to the patient and to the treating physician, as opposed to conventional blind treatment, which results in unsatisfactory results neither for the patient nor for the treating physician.
All of the above is outlined in medical language
Good evaluation – good mapping – selective phlebology
After this assessment and planning, treatment is done in the following ways:
Conservative treatment :
Including weight loss, light sports, permanent movement, non-standing and long sitting, non-use of hormonal contraceptives for women, non-wear of high heels, non-use of tight clothes, upper legs, keeping away from sauna, hot tubs and exposure to sun, use original compression socks by size, It is appropriate to consult your doctor with what is recommended by the doctor of the medication for strengthening the veins and blood dilutions, according to what the doctor sees fit.
Surgical treatment :
Whether it is traditional surgery after the map of treatment or plastic surgery for varicose legs and these features the closure of the main valves damaged and the removal of damaged veins through wounds are very small and may not even require most of them even to micro amlatory phlebectomy threads)
Thermal Therapy :
Where the thermal energy is used to dry and seal damaged veins and valves, whether by internal laser, internal thermoelectric and internal steam
EVLA + RFITT + envascular steam ablation
As all these methods lead to a high cure rate of more than 90% if used in the right way and appropriate for the right person after the process of assessment and planning and make a sound decision.
Injection by injection :
This is done by injecting the damaged veins with the material of the lawn so that it closes and cements and may disappear completely. This method can be used to inject the damaged visual veins directly and by using the optical detector and the invisible source damaged by direct injection using the voice color Doppler.
This method is the best method of treatment provided that it is used with the appropriate patient and the right way and the appropriate concentration according to the size of varicose and may be used in the form of liquid and foam and each of the need and impediments, according to the evaluation of the physician and the patient’s health.
Use of external laser :
This is confined to soft surface veins (soft capillary and spider veins), which have no veins or damaged valves and must be checked before using the outer laser.
Some or all of these methods may be necessary for a single patient until a satisfactory and high result of healing is achieved. It is not true that the treatment of varicose veins has failed
The most important step in treatment is careful examination, correct assessment and proper planning.
All these methods of screening, evaluation and planning for treatment require great knowledge and training to reach satisfactory results for both the patient and the doctor.
Dr.. Ibrahim Jafra