The physical examination findings of the patients are not very striking. Patients may experience pain or feel distension when pressed on the lower abdomen.
In some patients, varicose veins are noticeable in areas that are not normally seen, such as the groin, genital area, inner thighs, and buttocks.
Tags: pelvic congestion syndrome, inguinal pain, pelvic pain, inguinal varicose vein, chronic pelvic pain, what is pcs, pelvic cavity and inguinal pain, pcs treatment
The reason for the development of the disease is the varicose veins in the abdomen, where the blood of the female reproductive organs accumulates, for various reasons such as pregnancy and obesity.
Similar to the varicose veins on the legs, the deformation of the veins in the lower abdomen leads to irreversible structural disorders and later to flow problems.
Vasodilation of the vessels and deterioration of the valves play an important role in the disease process.
The negative effects of estrogen on these veins also play a role in the development and progression of the disease.
Tags: pelvic congestion syndrome, inguinal pain, pelvic pain, inguinal varicose vein, chronic pelvic pain, what is pcs, pelvic cavity and inguinal pain, pcs treatment
Non-invasive treatment methods can be divided into two main groups: thermal and non-thermal. Thermal methods are radiofrequency and laser ablation, while non-thermal methods are classical foam (sclerotherapy) and new generation bioadhesive (glue) methods.
How are Endovenous Laser (EVLA) and Radiofrequency (RF) Ablation Procedures Performed?
Both applications are performed in the operating room. Sedation + local anesthesia or spinal anesthesia is preferred. In the EVLA and RF ablation methods, a laser or RF fiber is inserted into the great saphenous vein from the ankle or knee under ultrasound guidance. After the position of this fiber is confirmed by ultrasound, local anesthesia is administered throughout the vessel. The laser or RF fiber is withdrawn and the entire vessel is occluded using laser or RF energy. The occluded vessel is gradually shrunk and destroyed by the body.
Endovenous Treatment of Varicose Veins
What are the Characteristics of Non-thermal Methods?
In the non-thermal methods, as in the thermal methods, a catheter is inserted under ultrasound control from the ankle or knee into the main vein to be treated and the position of the catheter is confirmed by ultrasound. In contrast to the thermal methods, it is not necessary to anesthetize the vein in the non-thermal methods. In the classical foam method, which we call sclerotherapy, a foam sclerosing agent is injected into the vein. In adhesive methods, new generation bio-adhesives are injected into the vein, which glue and seal the vein walls.
What are the Advantages of Endovenous Techniques over Classical Surgery?
• The patient has no incisions and scars, only a needle puncture.
• The process after the procedure is less painful than with the classical method.
• Patients can walk the same day.
• Patients return to their normal lives in less time.
• Since non-thermal methods do not use heat, recovery is much faster and discomfort after the procedure is much less compared to thermal methods.
What is the Hospital Process and Recovery Process for Endovenous Techniques?
The patient comes to the hospital in the morning of the procedure and is discharged 3-5 hours after. The procedure takes 20-30 minutes for each leg under standard conditions and is performed with either superficial general anesthesia (sedation) or local anesthesia. Patients walk immediately after the procedure.
Depending on the thermal effect of the thermal methods, there may be a slight burning and tingling sensation along the procedure area for 1-2 days.
With non-thermal methods, there is almost no discomfort after the procedure.
Both methods should be followed by medical treatment with compression stocks of appropriate pressure and size for 1 month to accelerate the healing process.
Endovenous Treatment of Varicose Veins
Tags: endovenous treatment of varicose veins, treatment of varicose veins with laser, treatment of varicose veins with radiofrequency, treatment of varicose veins with adhesives, treatment of varicose veins with foam, sclerotherapy, foam treatment, local anesthesia, endovenous treatment, endovenous ablation, ultrasound, doppler
How are Cosmetic Interventions Applied?
Cosmetic interventions are performed on an outpatient basis. The patient is not hospitalized in any way. They can resume their normal life immediately after the treatment.
What is Sclerotherapy?
Sclerotherapy is a method of treating small and sometimes medium-sized varicose veins. It involves injecting a sclerosing agent (a vasoconstrictor) into the vein with a fine insulin injector, which stops the blood flow in the vein and closes the vein. It is recommended that the treatment be performed outside of the summer months to ensure greater treatment success and minimize some side effects.
How is Cosmetic Treatment Performed with Laser and RF?
1. Superficial (transdermal) laser: using a pen-shaped probe, laser energy is transmitted through the skin to the capillary varicose veins. This is an effective method that has been used for years. However, because the laser beam must penetrate the skin to reach the vein, side effects such as color changes of the skin may occur. It is also necessary to avoid the sun for several weeks after the procedure. Therefore, it is not recommended to perform the procedure in summer.
2. Superficial RF: Capillary varicose veins are accessed through the skin with a hair-thin needle and RF energy is supplied. It is a new and effective method that has been widely used in recent years.
Since the RF energy is given directly to the capillary varicose veins after passing through the skin, the skin is protected. Therefore, side effects of the laser are less frequent with this method. Moreover, since it is not necessary to avoid the sun after the treatment, it can be used even on the hottest days of summer, and the patient can go to the sea the next day.
Are the procedures painful?
The procedures are not very painful, yet local anesthetic creams are applied to the skin 15 minutes before the interventions in order to minimize the possible pain.
Can Cosmetic Interventions Be Done by Anyone?
No. Since the procedures have a low risk of complications, they should be performed by doctors who are experts in this field. In our clinic all procedures are performed by our experienced and specialist doctors.
Cosmetic Treatment Options for Varicose Veins
Tags: cosmetic treatment for varicose veins, laser, foam treatment, sclerotherapy, radiofrequency, capillary varicose, aesthetics, leg aesthetics
Can You Give Information on Surgical Treatment in Varicose Veins?
Classical varicose vein surgery, which was used on almost every patient until 10 years ago, has now begun to give its place to new methods such as EVLA, RF ablation and sclerotherapy.
However, it is still used in some advanced cases and in cases unsuitable for RF and EVLA.
What Type of Procedures are Performed in Classic Varicose Vein Surgery and How Large are the Incisions?
Depending on the characteristics of the patient and the disease, one or more procedures such as stripping of the main superficial vein, valve repair, or ligation of the perforating veins may be used.
The patient has 2 small incisions of 1-2 cm in the ankle region and 2-4 cm in the groin region. In addition, to remove the varicose vein packs visible from the outside, incisions of half a cm in size can be made on each pack. Also, if perforating vein ligation is performed, there may be 3-5 cm incisions in some areas of the leg. Information about the procedures and incisions that will be made should be obtained from your doctor prior to surgery.
Are varicose vein surgeries performed under general anesthesia?
Although classic varicose vein surgery can be performed under general anesthesia, it can also be performed under spinal anesthesia.
How Long Do I Have to Stay in the Hospital and How Soon can I Return to Work or Daily Life?
It is necessary to stay in the hospital for 1 night after the surgery. Under normal conditions, you can be discharged the next day after surgery. For operations performed early in the morning, it is possible to be discharged in the evening of the same day.
After surgery, a rest period of 5-7 days is recommended for reasons such as pain and swelling, but this period may vary from person to person. It is best to check with your doctor about this issue and then make a decision.
Surgical Treatment in Varicose Veins
Tags: surgical treatment in varicose veins, surgery, vein removal, varicose vein surgery, varicosity, valve repair, stripping, anesthesia