There is no choice, people with venous insufficiency must act quickly before the issue progresses. But, there is good news: managing varicose veins has been dramatically simplified in recent years. Instead of removing the central vein (the saphenous vein) and its small collateral veins through surgery, specialists and vascular surgeons remove only the bare minimum (smaller veins). Not only is it more straightforward, but it is also more effective.
Surgery consists of removing superficial varicose veins and spares superficial veins that are not incontinent, which means the preservation of venous capital. To know where the pathological veins are, the vascular doctor will perform a venous mapping of the lower limbs: that is to say, an echo-marking to determine the veins to be removed. Thus, the surgeon will perform insufficient vein stripping and vanishing points and leave the superficial veins healthy.
Things to contemplate before having surgery to repair venous insufficiencies
Complications are residual pigmentations, telangiectasia, neuro-sensory disorders, and recurrence. The follow-up is simple: prevention of venous thrombosis by subcutaneous injection is sometimes recommended. For most people, venous surgery is taken care of by their health insurance.
After surgical varicose vein treatment, it is essential to follow the rules of venous hygiene: veins that have not been removed can become varicose. It is, therefore, necessary to follow these rules and continue to wear compression stockings even after surgery. To detect recurrences and limit the complications of venous insufficiency, it is advisable to follow up with a vascular doctor.
Other options to consider
Sclerotherapy is the one technique most often performed using ultrasound (echocardiography) which allows doctors to observe incontinent vein spasms where the product is injected. Like surgery, this technique requires venous mapping beforehand. It does not cause the person to be out of work or to undergo anesthesia.
Endovenous involves two techniques that are based on thermal effects within the varicose vein, thus, leading to its obstruction. These techniques are performed in the operating room after local anesthesia. Veinotonics prevent the hyper-distensitivity of the venous wall, reduce edema, improve lymphatic circulation, and fight against inflammation. The majority of veinotonics are plant extracts (flavonoid) sometimes associated with antioxidant substances (vitamin E, vitamin C).