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Varicose Veins

Written and reviewed by
Dr. Vaibhav Kapoor 90% (612 ratings)
MBBS, MS - General Surgery, FIAGES
General Surgeon, Gurgaon  •  9 years experience
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Hi,

I am Dr. Vaibhav Kapoor. I am a consultant laparoscopic and Laser surgeon at Max Hospital Gurgaon.

Today I will be discussing about varicose veins and what are the new modalities in the treatment of varicose veins. So what are basically varicose veins, they are nothing but dilated tortuous veins over the lower leg, these veins are generally overfilling with blood. So what are the symptoms what do complete patients complaint of in varicose veins patient either complaint of dilated chord-like structure in the lower leg or they complain of pain when they stand for long or they might have itching in the lower half, some patients main complaint of skin pigmentation, in extreme cases it can lead to ulcer formation in the lower half of the leg and it can also cause bleeding. So why do they happen we need to understand the certain physiology behind it leg veins are generally anti-gravity veins they have from a lower part of the body towards the heart. So they have perforators in these which are unidirectional and which aid them taking the blood up. Now damage to these perforators leads to stasis of blood in the lower half of the vein. So these things, later on, lead to varicose veins. Now in extreme cases, we don't treat Varicose veins so what they can do they can either lead to the formation of ulcers in the lower half or patient might have started bleeding from the lower half of the body. So how do you diagnose it, Varicose veins is a clinical diagnosis one sees a surgeon and after clinical examination can confirm the diagnosis, you will take a need of ultrasound doppler which will confirm all perforator damage. Now how do you treat it in the initial studies we just tell the patient to avoid standing for long hours and to wear some compression stockings but the definitive treatment for Varicose veins is surgery. So conventionally or traditionally we have been doing open surgery which is being used to cut open at the upper part of the leg and strip the entire vein, nowadays the latest modality is laser treatment it is a pinhole surgery we generally make a small hole in a lower half of the skin on the lower leg and we enter the vein through that area, with the lasers fibre we reach to entire vein and specific amount of laser energy is delivered every cm of the vein and it is ablated. So advantages of a laser, its 10 minutes to 20 minutes surgery and it is almost painless, treatment is permanent it leads to minimal blood loss, minimal bleeding patients are able to tell out to went for the very next day and resume the normal activities in 3 days time. So we compare conventional surgery with laser surgery, so what are the advantages the conventional surgery in the conventional surgery used to tell patients to avoid walking, avoid standing for 2 to 3 months Hospital stay used to 3 to 5 days but with the help of laser surgery the surgical time is reduced to 20 to 25 minutes, patient goes home the same day, in 3 days he can start to work, the results are excellent and it's almost become painless, so these are the greatest advantages. So if you are facing these problems you can get in touch with me through my website which is drvaibhavkapoor.com at my website you will get complete information on laser treatment and on Varicose veins and proctology. If you want to visit me you can visit me at Pristyn Care, Pristyn Care is the only dedicated center in North India right now which are doing laser surgery for Varicose veins and as well as for proctology.

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