Spider and Varicose Veins Info
| Naturale Clinic I - São Paulo
Av. Moema , 87 cj 51-52
Moema – São Paulo
Parking : Al. dos Jurupis 452
phone: 55 11 50511075
|Naturale Clinic II -Limeira
Avenida Antonio Ometto, 525
Limeira – São Paulo
Phone 55 19 34538490
It is a procedure that is accomplished at the Day Hospital or in a General Hospital, for patients with varicose veins of medium and thick caliber: Types 2, Type 3 and Type 4. The need of hospitalization will depend on the extension of the procedure, and it may vary from patient to patient. The time of rest is longer, from 7 up to 30 days.
procedure will treat the visible veins and their causes. The Saphenous
Veins, the collateral ones, the perforating, and the reticular
veins will be removed if they are sick. Therefore, the "roots" (Saphenous
Veins ), the "trunks" (collateral branches) and the "branches" (microvarices)
are treated. The "leaves" (the vases) will be treated
later with cryosclerotherapy. ltados
de Cirurgia de Varizes
The choice of the veins to be removed
During the pre-surgery procedures, the patient goes through a phase that we call "demarcation" of the varicose veins. In this phase, the surgeon draws lines on the patient's legs that identify the sick veins.
The veins that should be treated in the surgery were identified in advance in clinical exams or through ultrasound, showing the doctor the points that present flow in the inverted direction or stasis.
During the surgery, the surgeon will follow the previous demarcation, as if it was a project, so that the results are the best possible.
The issue of the Saphenous Veins
The decision of extracting or not the Saphenous Veins is a very important one. We have 4 Saphenous Veins . The 4 Saphenous Veins most of the time are not visible, but the signs of problems with them are identifiable by specialists. When they are sick, they should be removed. If the Saphenous Veins are extracted or not, the immediate result is not going to vary much. But in a long term, the varicose veins can reappear more easily if the sick Saphenous Vein wasn't removed. The healthy Saphenous Veins, as "roots" of a tree, do not appear. But if the tree is removed in the level of the earth, without the roots, it will sprout again.
Then, to really control the problem and make the solution work longer, the "roots" - Saphenous Veins - , should be eliminated, if necessary. On the other hand, the Saphenous Veins although they aren't important for the circulation of the blood, they can be used as substitutes or steppes, for the coronary arteries that are the vases of the heart, or for the arteries of members, when these are attacked. But the patient doesn't need to worry; the surgeon will always take the best decision, and only remove the sick Saphenous Veins that are useless as substitute. In some cases, only 1 or 2 that present more alterations may be removed, leaving the other ones that are normal or with small alterations, preserved for eventualities. In certain situations, the Saphenous Veins are so altered and cause so many problems that all of them have to be removed. But in these cases, they would be useless as substitutes and they can be eliminated. If they are not removed, the surgery will fail. If they are necessary for a substitution in the future and they are not available, then other techniques can be used, such as the use of mammary arteries and the angioplasties.
The Surgeon, using his common sense, always takes all these factors into account and chooses the best for the patient.
The New Technique of Endovenous Laser Treatment - EVLT
A new technique was described for the treatment of the varicose veins of lower limbs with larger caliber, it is Endovenous Laser Treatment, or EVLT.
In this technique is used a LASER, that is transmitted by an optic fiber, that passed inside of the veins, treats them and eliminates the veins from the circulation.
The main advantage is a substantial improvement of therecovery time in the postoperative period , because the surgery becomes smaller.
For more details on EVLT clicks in the link below.
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