Varicose Vein Laser Treatment Tips

Laser Treatment For Varicose Vein!

Dr.Tarwinder Singh Nagpal 86% (19ratings)
MS - General Surgery
Cosmetic/Plastic Surgeon, Bathinda
Laser Treatment For Varicose Vein!

Varicose veins are twisted, enlarged superficial veins that typically appear in the feet and legs.
For many people, the condition is simply a cosmetic concern while for others varicose veins include symptoms like swelling, discomfort and aching.

What Causes Varicose Veins?
Doctors believe that damaged or weak valves may cause varicose veins. Arteries carry oxygenated blood from your heart to other parts of the body and the veins send it back to your heart for recirculation. The veins of your lower body need to work against gravity in order to return the blood to your heart.
Muscle contractions in the extremities act as pumps while the elastic vein walls send blood back to the heart. Small valves open in your veins as blood flows to your heart, and then close again to prevent the blood from flowing back. If these valves become damaged or weak, blood may flow back and accumulate in the veins, causing it to twist or stretch.

Symptoms of Varicose Veins
You may experience the following signs if you have varicose veins –

• Discoloration of the veins – usually they appear blue or dark purple
• Legs feel heavy
Itching around the affected veins
Muscle cramps
• A throbbing, burning sensation
• Swelling and bruising
• Discomfort and pain the veins of the legs

The symptoms of varicose veins are quite prominent and require treatment. If the condition is not that severe, exercises and compression stockings may be prescribed to manage the symptoms. However, if you are looking for a long-term cure, laser treatment may be the best option for you.

Can Laser Treatment Cure Varicose Veins?
Your doctor may use highly focused laser beams to treat varicose veins. The laser emits heat, which forms scar tissues. The scar tissue closes the vein so it loses its source of blood and eventually dies. In a year or two, the vein is likely to disappear.

Here are the different types of laser treatment you can opt for –
• Simple Laser Treatment –
The laser beams are focused on the outer surface of the skin. It helps cure the tiny veins that are located just beneath the skin. Normally, more than one session of laser treatment is required. Your doctor may schedule you for a session every 6-12 weeks.

• Endovenous Laser Treatment – This type of laser treatment is directed towards treating larger varicose veins that appear in the legs. The doctor passes a laser fiber through a catheter (a long, thin tube) into the veins. While doing this, he/she keeps a close watch on the veins through a duplex ultrasound screen.

Laser treatment is less painful than other procedures like vein stripping and ligation. The entire procedure can be done while you are on local anesthesia or sedatives. Moreover, the time for recovery is relatively short. You can expect to get back to your routine activities in a week or two following laser treatment.

1022 people found this helpful

Laser Treatment For Varicose Veins!

Dr.Dilip S Rajpal 86% (13ratings)
MBBS, MS - General Surgery, Fellowship In Advanced Laparoscopic colo-rectal & Robotic Surgery, FICS - General Surgery, Fellowship in Minimal Access Surgery(FMAS) & Reproductive Medicine, Fellowship in Laser Varicose Vein Surgery
General Surgeon, Mumbai
Laser Treatment For Varicose Veins!

Varicose veins are superficial, swollen, enlarged and twisting veins, often appearing dark purple or blue on the feet and legs. The condition occurs when blood through the veins flow in the wrong direction and starts accumulating.

Although varicose veins is not a serious condition, you should seek treatment if it causes symptoms like swelling and pain in the extremities. In severe cases, where a varicose vein ruptures or develops to form skin ulcers, your doctor may recommend laser treatment.

Can laser treatment cure varicose veins?

Laser surgery can effectively treat varicose veins. The procedure involves using a high-intensity beam of light to reduce enlarged, bulging veins that are observed usually on the calves or thighs.

How does the procedure work?

The heat emitted from the laser damages a vein, which causes scar tissues to form. This scar tissue shrinks and closes the vein. A closed vein gradually loses its source of blood and dies. After some time, usually in a year or two, the vein disappears on its own.

Two types of laser surgery are performed, namely –

• Simple Laser Treatment – This is done on the outer layers of your skin. It can cure small varicose veins and spider veins under the skin surface. Normally, more than one session, scheduled every 6-12 weeks is needed.
• Endovenous Laser Treatment – This particular procedure is used to cure large varicose veins that appear on the legs.
The steps of the procedure are as follows –
• Your healthcare provider will administer local anaesthesia to numb the area. You may be provided with an eyeglass to protect your eyes
• The surgeon will make a small incision on the skin and pass a laser fibre through a catheter into the veins while closely monitoring the vein on a screen
• As he/she pulls out the catheter, the length of the vein will heat up and shrink, and eventually close

This outpatient procedure is less painful than stripping and litigation. It has a shorter recovery period and can be performed under local anaesthesia or mild sedatives.

What to Expect

After the laser treatment, you can walk around without much complication. The recovery period is typically brief. You can expect to return to your daily activities following simple laser surgery. However, you might need to wear a compression stocking for a week or so after the endovenous laser procedure.
You may notice redness, bruising or burns on the skin after the treatment. That is only normal, so you need not worry. Do follow up with your doctor to see if the vein has closed.
 

2061 people found this helpful

Varicose Veins - Knowing The Ayurvedic Treatment!

Dr.Jiva Ayurveda 91% (323ratings)
Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurvedic Doctor, Kanpur
Varicose Veins - Knowing The Ayurvedic Treatment!

Varicose Veins is a severe medical condition whereby the veins (mostly legs) become swollen, tortuous and dilated, i.e. the veins become varicosed. The Venous blood flows in an upward direction from the feet to the heart. There are special valves present in the veins that assist the upward flow of the blood. 

Fatigue, prolonged standing, menopause and a number of other factors can weaken the valves. This affects the movement of the blood flow. As a result, some of it leaks and flows back down. The affected veins turn bluish-brown, red or blue. There also occurs dryness, leading to unbearable itching. Redness or the Red Leg syndrome is very common in case of Varicose Veins.

A number of surgical and non-surgical options are available for Varicose Veins. The Ayurvedic treatment, with its effectiveness and negligible or zero side effects, is the most sought after option.

Identifying the root cause

Accurate diagnosis is very important for effective treatment. According to Ayurveda, an imbalance of the Vata (wind and space) plays a pivotal role in Varicose Veins. The role of Rakhta (blood) and Pitta (heat) cannot be neglected either. Thus, restoring the Vata balance becomes a very important part of the treatment.

The Vata balance can be easily restored by following a healthy lifestyle and having an equally healthy and nutritious diet:

  1. Citrus fruit like Amla works miraculously to revitalise the fatigued and Varicosed vein.
  2. Include fresh fruits, whole grains (oats, millets to name a few) and proteins (milk, eggs, fish and chicken) in your diet. Drink plenty of water.
  3. Red meat and spicy foods should be strictly avoided.
  4. Garliconion and ginger are very beneficial. Consume them regularly.
  5. Do not indulge in rigorous exercise or walking. Never soak your feet in cold water after exercise. It can prove to be detrimental for Varicose Veins.
  6. Do not compromise on your sleep. A rejuvenated body and a relaxed mind can enhance the healing process greatly.

Ayurvedic medicines and herbs for treating Varicose Veins

A number of Ayurvedic medicines are available that treats Varicose Veins very effectively:

  • Kaishora guggulu: Being a natural cleanser of blood, Kaishora guggulu is an obvious choice for Varicose Veins.
  • Sarivadyasava: It goes a long way to detoxify the blood naturally.
  • Chirabilvadi kashaya: It is very effective in case of haemorrhoids.

Sahacharadi: It is amazing herbal oil that provides great relief. Tender application of Sahacharadi over the varicosed vein/ veins can work wonders.

Herbs like AshwagandhaShatavari, Brhami go a long way to restore the Vata balance.

Do not lose sleep over Varicose Veins. The best and most effective Ayurvedic Treatment is just a click away.

PCOD or Polycystic Ovary disease is one of the most common hormonal disorders faced by women today. The trigger for PCOD varies from person to person, and can range from poor diet and stress to fluctuating insulin and hormonal disturbances. PCOD patients have an enlarged ovary with a number of small follicular cysts. If you or a loved one has PCOD, here are a few things you should know. 

Acknowledge the symptoms 
PCOD is hard to diagnose. Some of its symptoms are irregular periods, high insulin levels, abnormal hair growth, low thyroid, acne, obesity and high blood pressure. Checkups at regular intervals are needed to confirm a PCOD diagnosis. 
A change in lifestyle is the best form of medication 

Medication for PCOD addresses its symptoms. For example, you could take medication to correct Insulin resistance or pills to control acne and hair growth. However, a lifestyle change in the form of a well balanced diet and regular exercise is essential for PCOD patients. In terms of diet, PCOD sufferers should have lesser carbohydrates and sugars, and increased amounts of fiber and protein. Exercise helps control weight and the balance between male and female hormones. PCOD patients also need to find ways to lower their stress levels. Yoga and meditation can be very helpful to this effect. Without this, no medication will be effective. 
If left untreated PCOD can lead to many other problems 

Diagnosing PCOD is difficult and even when diagnosed, regular checkups are essential for PCOD. When left unchecked, PCOD can lead to many more problems such as diabeteshigh cholesterol, high blood pressure and even endometrial cancer. PCOD can also result in difficulties at the time of conception and lead to miscarriages if not treated properly. 

You can have a baby even if you have PCOD 
A PCOD diagnosis can make it hard to get pregnant, but does not limit your ability to conceive a healthy baby. If the patient has fertility problems because of PCOD, doctors often prescribe treatments to stimulate the ovaries into producing more eggs. Women with PCOD are often recommended to plan an early pregnancy, as advancing age adds to the limited capacity of the ovaries. 
Lastly, know that you aren't alone and PCOD should not embarrass you. Instead of bottling up your feelings and thoughts, find supportive friends and family members that you can talk to. You can also find support online through a number of discussion forums.

6941 people found this helpful

Varicose Veins - Homeopathic Remedies for it!

Dr.Pulak Mukherjee 91% (13243ratings)
BHMS
Homeopathy Doctor, Hooghly
Varicose Veins - Homeopathic Remedies for it!

Varicose veins are swollen and twisted veins that look blue and are close to the surface of the skin. A vein is said to be varicose when it is dilated, lengthened and tortuous. These twisted, swelled and bulging vessels are commonly found on the insides of the legs between the groin and the ankle, at the back of the calf and as hemorrhoids (veins around the anus).

They form because the blood flow is too slow and the veins get slowly dilated and tortuous in order to accomodate more blood in the lumen. Another possible reason is that the valve in the vein are not working properly so the blood drops down with gravity and collects in the veins of the legs. It is believed that upto 15% adults in the western world are affected by this condition. Varicose veins are more likely to occur in women than in men.

Symptoms
The list of signs and symptoms mentioned in various sources for Varicose veins includes the 17 symptoms listed below:

  1. Enlarged blue or dark purple veins - usually leg veins affected
  2. Enlarged leg veins
  3.  Legs swelling
  4.  Swollen feet
  5.  Swollen ankles
  6.  Weak leg muscles
  7.  Leg muscle cramps - usually at night
  8.  Inadequate leg circulation
  9.  Poor leg healing
  10.  Eczema on legs
  11.  Itchy skin on legs or ankles
  12.  Leg ulcers
  13.  Leg aches after standing still
  14.  Leg cramps
  15.  Spider veins on legs

Homeopathic Treatment for Varicose Veins

Homeopathic treatment for Varicose Veins offers a very gentle and a subtle way to cure varicose veins from its roots. The advanced stages too may very well be prevented with homeopathic medicines. The medicines are very easy to administer and are totally patient friendly. Homeopathic treatment for varicose veins has no side effects and focuses on the underlying cause of the disease. It takes care of the disease and its symptoms without any compromise on the other systems of the body. If you wish to discuss about any specific problem, you can consult a homeopath.

5663 people found this helpful

Osteoarthristis - How To Take Care Of It?

Dr.Jyoti Prakash 88% (39ratings)
MBBS Bachelor of Medicine and Bachelor of Surgery, MS - Orthopaedics
Orthopedic Doctor, Kolkata
Osteoarthristis - How To Take Care Of It?

Movement of the human body happens as a result of coordinated movement between the bones and the muscles. There are also cartilages that enable bones to move over and against each other, enabling body movement. Like other body parts, these are also prone to normal wear and tear. This causes bone movement to become less elastic, more rigid, and painful. This pain and inflammation of the bone joints is termed medically as osteoarthritis. It is one of the degenerative joint disease (DJD) of the bones and is a chronic condition.

Causes

As noted above, the main cause of osteoarthritis is aging. However, injuries with damage to the bones and muscles also cause osteoarthritis. With obesity on the rise, many patients are experiencing osteoarthritis as a result of increased weight gain also, as the bones are not able to take the excessive weight.

Symptoms

The most common symptoms include painful and stiff joints. When the movement becomes painful, there is lesser mobility, thereby leading to more weight gain. In severe cases, there could also be swelling of the joints. There could be a "crackling" sound that is typical of onset of osteoarthritis. The stiffness is more common during the later hours of the day and after prolonged period of inactivity, for instance, sitting for long hours.

Diagnosis

Though the symptoms associated with injury and/or old age can be quite diagnostic, a doctor can confirm with a formal checkup if it is indeed osteoarthritis. X-rays and test of the joint fluid can also be used for further confirmation.

Treatment

Osteoarthritis needs to be treated in a multi-pronged approach. As noted earlier, this condition leads to a vicious cycle leading to weight gain. Therefore, the treatment should be aimed at improving movement, reducing pain, reducing weight, and adapting a healthier lifestyle. Also, though it may not be completely prevented, the onset can be delayed by choosing a healthier lifestyle during the younger years of life. Exercise and weight control can definitely prolong the onset of the condition.

There is a strong genetic component that is mapped to this condition. So, if you are aware of an existing family history, it should trigger you to undertake preventive measures earlier in life. Adapting a healthy lifestyle definitely can be helpful in numerous way, prolonging and reducing the severity of osteoarthritis being one of them.

1434 people found this helpful

Tips Resulting Best Recovery After Hip Replacement!

MBBS, MS - Orthopaedics
Orthopedic Doctor, Pune

What aids in best results after your hip replacement?

Practising these recovery tips will help you to have a smooth and successful recovery.

1-get in a healthy exercise routine

Most hip replacement patients are able to walk within the same day or next day of surgery; most can resume normal routine activities within the first 3 to 6 weeks of their total hip replacement recovery. 
Once light activity becomes possible, it's important to incorporate healthy exercise into your recovery program. Recommended activities include gradually increased walking and light household activities (sitting, standing, climbing stairs). Movement is essential to a healthy recovery.

2-pay attention to diet and weight

Excess weight can put stress on your new hip prosthesis and increase wear and the risk of complication. 
Maintaining a healthy body weight before and after your surgery can help to improve your recovery process and the ultimate lifespan of your prosthesis. Additionally, make sure to maintain a balanced high protein diet during your recovery.

3-exercise to promote blood flow

Certain exercises can help to promote blood flow and prevent clots. These include:

  • Regularly squeezing the thigh and calf.
  • Motion exercises for the legs that utilize full range of leg motions
  • Walking with or without the assistance of supportive devices (such as walker/cane)
  • Avoid squating

4-make household preparations 

Your mobility and ability to accomplish normal, daily tasks following your surgery will be strongly reduced. Prior to your surgery, make practical modifications to your house like getting a western chair (commode) fitted.

5-alarming signs to be watched for

As you should be very well aware that prosthesis is a non living foreign body which now incorporated within your body to perform a proper function, such a body part is always susceptible to infection.

Any sort of fever or even respiratory tract infection should be well treated first hand to avoid infection around the prosthesis.

1 person found this helpful

Laser Treatment For Varicose Vein!

Dr.Tarwinder Singh Nagpal 86% (19ratings)
MS - General Surgery
Cosmetic/Plastic Surgeon, Bathinda
Laser Treatment For Varicose Vein!

Varicose veins are twisted, enlarged superficial veins that typically appear in the feet and legs.
For many people, the condition is simply a cosmetic concern while for others varicose veins include symptoms like swelling, discomfort and aching.

What Causes Varicose Veins?
Doctors believe that damaged or weak valves may cause varicose veins. Arteries carry oxygenated blood from your heart to other parts of the body and the veins send it back to your heart for recirculation. The veins of your lower body need to work against gravity in order to return the blood to your heart.
Muscle contractions in the extremities act as pumps while the elastic vein walls send blood back to the heart. Small valves open in your veins as blood flows to your heart, and then close again to prevent the blood from flowing back. If these valves become damaged or weak, blood may flow back and accumulate in the veins, causing it to twist or stretch.

Symptoms of Varicose Veins
You may experience the following signs if you have varicose veins –

• Discoloration of the veins – usually they appear blue or dark purple
• Legs feel heavy
Itching around the affected veins
Muscle cramps
• A throbbing, burning sensation
• Swelling and bruising
• Discomfort and pain the veins of the legs

The symptoms of varicose veins are quite prominent and require treatment. If the condition is not that severe, exercises and compression stockings may be prescribed to manage the symptoms. However, if you are looking for a long-term cure, laser treatment may be the best option for you.

Can Laser Treatment Cure Varicose Veins?
Your doctor may use highly focused laser beams to treat varicose veins. The laser emits heat, which forms scar tissues. The scar tissue closes the vein so it loses its source of blood and eventually dies. In a year or two, the vein is likely to disappear.

Here are the different types of laser treatment you can opt for –
• Simple Laser Treatment –
The laser beams are focused on the outer surface of the skin. It helps cure the tiny veins that are located just beneath the skin. Normally, more than one session of laser treatment is required. Your doctor may schedule you for a session every 6-12 weeks.

• Endovenous Laser Treatment – This type of laser treatment is directed towards treating larger varicose veins that appear in the legs. The doctor passes a laser fiber through a catheter (a long, thin tube) into the veins. While doing this, he/she keeps a close watch on the veins through a duplex ultrasound screen.

Laser treatment is less painful than other procedures like vein stripping and ligation. The entire procedure can be done while you are on local anesthesia or sedatives. Moreover, the time for recovery is relatively short. You can expect to get back to your routine activities in a week or two following laser treatment.

1022 people found this helpful

Cornea Transplant - What Should You Know?

Dr.Anurag Bansal 85% (14ratings)
DNB Ophtalmology, MBBS
Ophthalmologist, Ludhiana
Cornea Transplant - What Should You Know?

The cornea is the front layer of eyes that helps in focusing light to see objects clearly. In a cornea transplant surgery, the damaged cornea tissue is replaced by healthy donor tissue. In medical terms, it is known as keratoplasty for a corneal graft. The cornea needs to be clear, smooth, and healthy for a good vision.  An unhealthy cornea leads to blurry vision.

Before transplanting cornea, doctors also try to treat the problem with other methods. However, if the condition is not getting better, Corneal Transplantation is advised.

Causes:

A damaged Cornea leads to blurry and changed vision. The damage can affect the daily life of the sufferer. A cornea surgery may need for the following reasons:

  1. Change of shape of cornea (keratoconus)

  2. Swollen or cloudy cornea

  3. Bacterial, viral, or fungal infection in cornea

  4. Other refractive surgeries

  5. Eye injury

  6. Hereditary conditions (dystrophies)

  7. Thinning of cornea

Diagnosis:

The cornea can heal itself from minor infections and injuries during which itching, redness, pain, blurred vision, and sensitivity towards light are some common symptoms. But, if it continues for a long time, one should see an eye specialist to determine the severity of the condition and undergo some lab tests. The patients sometimes are prescribed with medications before the surgery depending on the severity of their corneal damage. 

Treatment:

Following are the Corneal Transplantation options depending upon the severity of the condition:

  1. Full Thickness Corneal Transplant: It is also known as Penetrating Keratoplasty (PK). This transplant is needed when both the inner and outer layers of the cornea are damaged. In this type of transplant, all the layers of the cornea are replaced by healthy tissues. The recovering period of this surgery can take more than a year, which is the longest as compared to the other types of corneal surgeries. It has a higher risk as the immune system of the patient can attack the donor’s cornea.

  2. Partial-Thickness Corneal Transplant: It is also known as Deep Anterior Lamellar Keratoplasty (DALK). In this type of surgery, only the outer and middle layers of the cornea are replaced by the new ones. It is done to treat the bulging of the cornea (keratoconus). The procedure and recovery from this surgery takes less time than the full thickness corneal transplant.

  3. Endothelial Keratoplasty: This transplant is used for post-cataract surgery complications. It is needed when the innermost layer (endothelium) of the cornea is damaged. With this surgery, the innermost layer of the cornea is replaced with the new and healthy one. In this surgery, most part of the cornea is left untouched lowering the chances of corneal rejection past surgery. The healing process of this type of surgery is quicker than the other two.

Post-surgery Prevention:

Some of the preventive measures one should follow after the surgery are:

  1. Avoid using electronics like mobile, television, laptop, etc.

  2. Avoid rubbing of eyes.

  3. Avoid exposure to sun or very bright light.

  4. Avoid exposure to dust.

  5. Do not use any eye-drops without doctor’s suggestion.

Take Away:

Corneal transplant is indeed a subject of concern and it is an important surgical transplant. The damaged cornea can lead to blindness or very close to blindness condition if not taken seriously. But with today’s technology, one can easily go through the surgery and taking certain precautions leads to a normal healthy life. However, consulting an experienced and skilled cornea consultant for the transplant-related queries is always advisable.

1900 people found this helpful

Laser & Skin Thinning - Is There A Link?

Dr.Ramanjanayalu 89% (11ratings)
MBBS, MD - Dermatology, Fellowship In Aesthetic Medicine
Dermatologist, Bangalore
Laser & Skin Thinning - Is There A Link?

Laser treatment is used for a variety of medical and cosmetic purposes. There are a number of hair and skin treatment methods that are conducted with the help of lasers. Most of the skin treatments using laser technology, are laser resurfacing for younger looking skin, employ light and sporadic bursts of beams. These beams are trained onto the skin of the patient to be absorbed by the chromophores, which contain water and other substances of the skin. This chromophore then turns this light energy into heat energy to destroy thin layers for the skin to heal and look younger. Many people have a misconception that this process may cause the skin to become extremely thin and fragile.

Yet, this is not true. Let us find out about the various kinds of laser methods and why they do not make the skin thin.

  1. Fractional laser skin resurfacing: This treatment method makes use of laser pulses in order to treat microscopic columns of the affected skin, which does not leave any visible scarring and bleeding. This kind of laser works only on the surface of the skin and does not cause any harm to the skin composition. In fact, it improves the skin quality by treating the skin which is damaged.
  2. Plasma skin resurfacing: In this laser treatment, the doctors will make use of lasers that let out plasma energy which destroys the lower layers of the skin. In this method, the top layers of the skin will not really be affected. The top layer forms a protective covering over the lowers layer as the latter heals. This ensures that the lasers do not cause any kind of thinning of the skin in the long run, as they penetrate just deep enough to fix the damage of the lower skin layer, without destroying the top layer of the skin.
  3. Infrared skin resurfacing: This kind of treatment involves the use of heat invoking laser beams that treat the deep layers of the skin. These kinds of laser beams do not affect the actual composition of the skin and its cells. This helps in retaining the quality of the skin without making it thin.
  4. Superficial erbium: Mild laser beams are employed in this form of treatment in order to smoothen the oncoming wrinkles. This kind of treatment also helps in treating other kinds of skin problems. These beams help in smoothening and tightening the skin without making it thin.
  5. Effect on skin: These kinds of lasers do not cause the skin to become thin because the pulses of energy and heat are merely passed over the skin instead of piercing through and changing the skin composition. Also, the skin is usually wiped with water between the laser pulses, which makes this a safe option.
2099 people found this helpful

Vascular Surgery - Can It Help For Dialysis?

Dr.Pravin Narkhede 91% (119ratings)
MBBS, DNB - Peripheral Vascular Surgery, DNB - General Surgery, MNAMS
Vascular Surgeon, Nashik
Vascular Surgery - Can It Help For Dialysis?

Dialysis is a very important and life-saving procedure. It is performed to replace kidney function in case of renal failure. Wastes and extra fluids in the blood are filtered out during this process. To be able to perform Dialysis, the connection between the patient’s bloodstream and the equipment for performing Dialysis (dialyzer) outside the body is established. This connection is created through Dialysis Access Surgery. It is a type of Vascular Surgery which forms the vascular opening for access during Dialysis. Thus, Dialysis Access Surgery is the lifeline for the survival of the patient.

Types of Vascular Access for Dialysis- 
There are three types of Vascular Access for Dialysis: Arteriovenous (AV) Fistula, Arteriovenous (AV) Graft, and Venous Catheter.

● Arteriovenous (AV) fistula is a surgical connection of an artery to a vein. An AV fistula is usually placed in the upper arm or in the forearm. It causes extra blood to flow into vein making it grow large. A larger vein hence provides easy access to blood vessels. An AV fistula is preferred over other methods as it lasts longer than other methods of access and provides a good flow of blood. Moreover, it is less prone to infection and blood clots than other methods. Before an AV Surgery, a Vessel Mapping Test is sometimes performed for assessing the blood vessels most suitable for Dialysis. An AV fistula is performed under local anaesthesia and requires two to three months for maturation before hemodialysis. If it fails to mature, the procedure is repeated.

● Arteriovenous (AV) graft is performed when AV fistula fails to mature. It is hence the second most preferred choice for long-lasting access to vascular tissues for Dialysis. An AV graft is a looped plastic tube which establishes a connection between an artery and a vein. Like AV fistula, AV graft is also performed under local anaesthesia. It is slightly more difficult to maintain than an AV fistula.

● A venous catheter is used for short- term hemodialysis. It is a tube which is inserted into chest, neck, leg, or near groin for vascular access. After exiting the body, the tube splits into two halves. In the case where a renal disease has made quick progression leaving little or no time for the AV fistula or AV graft to mature, a venous catheter is used to establish the required vascular connection. This procedure is also performed under local anaesthesia. It is a tool for emergencies but is not suited for long- term use. It can cause narrow vein due to an infection,
scarring, or blood clot. If long- term venous catheter is used, it is tunnelled under the skin which has fewer problems associated with it and is more comfortable. 

How to Care for a Vascular Access?
● Get checked for infections and other problems before each hemodialysis session;
● Use the operated site for access only for the intended use;
● Always keep the access clean;
● Prevent cutting or bumping the access;
● Check for thrill/ vibration in the access and inform the doctor if any;
● Do not put pressure on the access site;
● Do not put blood pressure cuff around the access arm;
● Do not wear jewellery or tight-fitting garments over the site;
● Do not lift a weight.

Take Away-
Vascular Surgery for Dialysis is performed to provide vascular access for the procedure. AV fistula is the most preferred type followed by an AV graft. A venous catheter is recommended to be used only in case of an emergency when there is not much time left for the other two options to mature.

1580 people found this helpful

CO2 Laser Treatment - Know Utility Of It In Acne Scars!

Dr.Kavita Mehndiratta 88% (37ratings)
MBBS Bachelor of Medicine and Bachelor of Surgery, DVD
Dermatologist, Faridabad
CO2 Laser Treatment - Know Utility Of It In Acne Scars!

People suffering from acne scars go through mental pressure as well as emotional problems. Studies have shown that people suffering from acne scars are more likely to suffer from anxiety, depression, low self-esteem, and low confidence. Typical causes of acne include bacteria, excess oil, and clogged hair follicles. The acne can get more severe due to some medications, stress, or diet.

Severe acne may be treated with proper medications but it leaves behind scars. These scars can be treated with the fractional CO2 laser. The method includes treatment of the scarred skin that results in healthy skin.

Benefits of Fractional CO2 Laser Treatment- 

This method is opted by those who suffer from acne. The benefits of this method are:

  • It not only reduces the scars but also reduces the sign of aging, smoking lines, wrinkles, and several other unwanted facial lines.

  • This treatment comes with minimal discomfort that too only when some topical cream is applied to the skin.

  • This treatment works even on darker skin types, including Asian skin.

  • The recovery period of this treatment is 4 days or less.

Fractional CO2 Laser Working

During the procedure, several rays of the CO2 laser will create miniature holes (microscopic holes) below the surface of the skin to help generate the new collagen. This new and healthy collagen keeps the skin very youthful. Fractional CO2 works only on the affected area leaving the unaffected ones and this helps in speeding up the recovery.

Method of Fractional CO2 Laser Treatment

The whole treatment is performed using topical anaesthesia and a topical numbing cream is applied on the screen before an hour of the treatment starts. Throughout the procedure, the patient would be awake and may feel a little discomfort.

A session would hardly take an hour. During the hour you will feel the peeling of the skin and a slight sunburned sensation of the skin. This sensation on the skin will last for 4-5 days.

The treatment is customized according to the needs of the customer. There are two types of treatment:

  • Shallow treatment: The recovery period lasts for only 2-3 days as the treatment is not very critical.

  • Deeper treatment: Requires the holes to go deeper down the skin and would take more time to recover for around seven to ten days. However, the result of the treatment depends on the depth of the treatment.

After the treatment, there might be less noticeable scars and less aging signs along with all other skin conditions. The skin will start getting clearer. However, the actual result of the treatment will start showing after a week and will continue to show till six months. It is always advisable to consult an experienced and skilled dermatologist.

1269 people found this helpful

Skin Tags - How To Get Rid Of Them!

Dr.Malini Patil 92% (1254ratings)
MBBS, Diploma in Venerology & Dermatology (DVD)
Dermatologist, Thane
Skin Tags - How To Get Rid Of Them!

A skin tag is a diminutive, harmless, extension of skin that is usually attached from beneath the skin by a tiny support stalk. These skin tags are seen in places which are exposed to frequent friction with clothes or areas that have more skin to skin friction. They hang out from the skin surface. They commonly occur in the neck, underarms, groin, and upper chest. Medically a skin tag is termed as an acrochordon. Often skin tags are also identified as soft warts, fibroma pendulum, pedunculated fibroma, or soft fibromas. 

Reasons why they happen
Skin tags comprise of blood vessels surrounded by skin and loose fibres of collagen. Collagen is a kind of protein located all through the body. Anybody can develop a skin tag irrespective of gender and age, but elder people are prone to skin tags especially those who have type 2 diabetes. 
Skin tags tend to evolve in the layers of the skin folds, where the skin rubs against itself as mentioned earlier, but it is also observed that few individuals get skin tags without any such reason. This is also a reason why skin tags occur more in overweight people as they have more skin folds that are susceptible to chafing. 

Why should you get them removed? 
Most skin tags don't need treatment as they are harmless, but at times people do tend to discard them for cosmetic purpose or may be out of discomfort when they rub against skin or clothing. Checking with your physician in case you doubt the shape of the skin tag and suspect a cancerous element. In such a scenario, you will be recommended biopsy for further proceedings if any. 

How is a skin tag removed?
A skin tag is removed through a few procedures. Your doctor can consider any of the procedures mentioned below: 

  1. ?Cryotherapy: Cryotherapy requires chilling the skin tag with nitrogen fluid. Your physician may spray or swab a little amount of liquid nitrogen onto the skin tag. After the treatment, you may have a small blister which will heal by itself. 
  2. Surgical removal: In the case of surgical removal, the skin tag is cut with a scalpel or scissors. The cut might sometimes be deeper in which case the cut will require stitches. Surgical removal has the advantage of obliterating the skin tag, but there is a risk of minor bleeding. Removal of skin tags doesn't require full anaesthesia. Local anaesthesia is sufficient. 
  3. Electro SurgeryElectro Surgery is another remedy where the skin tag is burned with electrical energy in high-frequency. The heat is applied through the narrow stem that holds the skin tag to the skin. 
  4. Ligation: Ligation is yet another method where a surgical thread is tied up to remove the tag. 

There are also natural remedies, such as using lotions or essential oils over a period or also over the counter medicines but then a doctor’s advice is always essential to prevent the scope of any scarring, to bleed or other such side effects.

3233 people found this helpful

Acne Scars - Know The Dermatological Ways Of Treating Them!

Dr.Himanshu Gupta 92% (237ratings)
Fellow of ACSI , Fellow of IADVL , MD - Dermatology, Venereology & Leprosy, MBBS
Dermatologist, Ghaziabad
Acne Scars - Know The Dermatological Ways Of Treating Them!

Acne scars are caused when a pimple or cyst is popped and broken leaving a layer of damaged skin behind. These scars are caused by the excess oil, dead skin, and bacteria blocking the skin pores causing it to swell.

Acne scars can be categorized into three types:

  1. Ice Pick scars which are small but have deep pits.
  2. Boxcar scars have sharp edges, these can be shallow or deep
  3. Rolling scar have a wavy look as they are wide and shallow. This type of scarring is usually caused by damage to the skin.

Causes of acne scars:

Acne and acne scars can be caused due to the following reasons:

  1. Hormonal imbalance during or after the onset of puberty
  2. Medicines that contains lithium, androgen or corticosteroids
  3. Oil and greasy food items and those rich in carbohydrates can trigger acne. In some cases, dairy products can worsen the condition.

Simple tips to prevent scarring:

Some acne scars fade with time. In the early stages, the scars might look pink as blood vessels in the damaged area of the skin provide it with nourishment. With time the collagen in the skin would fill the injured or damaged portion of the skin. In some cases, it might take up to a year for scars to fade.

  1. Don’t pick or squeeze pimples or acne as they can get inflamed. This inflammation can cause the bacteria to go further into the skin which would result in deeper scars.
  2. Use mild cosmetic products as some products can increase the risk of acne and scarring. Non-toxic, paraben-free products free from synthetic dyes and colours should be used sparingly.
  3. Getting enough sleep is important and necessary for the body to produce collagen which is a protein necessary for skin elasticity. Sleep also helps the body and skin to repair itself.

Treatment of acne scars:

In extreme cases, you might need proper treatment at a hospital. Most of these treatments can be performed as an outpatient procedure. Some of them are:

  1. Skin resurfacing: where the damaged skin is removed to help new skin to grow. The damaged skin can be removed by the use of a laserdermabrasionor a chemical peel.
  2. Laser Treatment: Lasers such as fractional CO2, MNRF, etc can help.
  3. FillersIn this procedure, the doctor would inject a filler such as a collagen or fat into the damaged area. This helps the skin to become smooth.
  4. Rolling: Rolling also known as needling, is a procedure where tiny needles are rolled over the skin to stimulate it to grow
  5. SurgeryIn a few very extreme cases the scars would need to be cut away and the area repaired with the use of skin grafts obtained from another part of the body.

Any scars and especially acne scars can be unsightly. A skin doctor or dermatologist would help you choose the right treatment plan depending on the type of damage done to the skin.

1436 people found this helpful

Energy Based Vaginal Rejuvenation Therapies - Know More About Them!

Dr.Inthu M 93% (5372ratings)
MBBS, M.S Obstetrics & Gynaecology, F.MAS FELLOWSHIP IN MINIMAL ACCESS SURGERY, D. MAS Dipolma in MINIMAL ACCESS SURGERY, FICRS, Fellowship in COSMETIC GYNAECOLOGY, Diploma in advanced Laparoscopy for Urogynaecology & Gynaec oncology, Basic training course in minimal invasive surgery in Gynaecology, Basics of Colposcopy, Fellowship in Cosmetic Gynaecology, Certificate course in diagnostic ultrasound imaging, Certificate of hands on training in hysteroscopy, Certificate course in diabetes, Fellowship in assisted reproductive technology, Certificate program in aesthetic Medicine, Certificate of operative Hysteroscopy, Certificate course in clinical embryology
Gynaecologist, Chennai
Energy Based Vaginal Rejuvenation Therapies - Know More About Them!

A woman’s body keeps undergoing changes all throughout her life. These changes become especially evident during childbearing, delivery, breastfeeding, pre-menopause, menopause and its aftermath. Aging too works in changes in her body. Her genitalia too may undergo changes in keeping with the rest of her body. However, sometimes women find these changes hard to accept. Some medical conditions too may necessitate genital rejuvenation.

Vaginal rejuvenation does not mean you have to go under the knife. There are minimally invasive ways of going about it.

When might a Woman need Vaginal Rejuvenation?

Here are some reasons a woman may opt for vaginal rejuvenation – 

  • Laxity of the vaginal canal caused by natural childbirth

  • Vaginal dryness

  • Sagging of the Labia Minora and the Labia Majora

  • Orgasm dysfunction and inability to enjoy sex

  • Vaginal atrophy

  • Urine leakage

Vaginal rejuvenation not only helps do away with all these medical issues but it also enhances the aesthetics of a woman’s private parts.

Non-surgical Means to Vaginal Rejuvenation -

Energy based Therapy -

As the name suggests, this treatment aims to undo vaginal damage by using heat. A beam of high-energy rays is aimed at the site that needs to be rejuvenated. It boosts the production of collagen, which is instrumental in healing scars and wrinkles and promotes the growth of new tissues. Moreover, it also makes the tissues of the vagina shrink and tighten.

There are a number of different treatments available that utilize energy-based therapy –

  • Radiofrequency treatment – Radiofrequency devices guide electromagnetic waves and the heat generated raises the temperature of the surrounding tissues.

  • Laser CO2 treatment – This treatment entails using carbon dioxide and laser technology to heat up the lowest layer of the tissues underneath the skin. This triggers the secretion of collagen. This tightens and makes the skin of the vagina taut.

If the damage done to the vagina is not extensive, then you may try exercises as an effective cure for your problems. Doctors might suggest Kegel exercises and pelvic floor work out to tighten the muscles of the vagina.

Non-surgical vaginal rejuvenation is effective in undoing any damage that might have been brought to a woman’s labia.

3169 people found this helpful
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