Varicose veins (varices) are abnormalities of the veins. Veins are the blood vessels responsible for the drainage of the blood. The veins are located from the leg to the heart. The larger veins contain valves. These valves usually stop the blood flowing backwards but if they become weakened or damaged then blood can collect in the vein, resulting in varicose veins.
Sclerotherapy for spider veins defacing the legs
Sclerotherapy is injecting the veins with a fluid (ethoxysclerol). This fluid causes adhesion of the vascular wall. The spider vein transforms into a string, not allowing any blood to circulate. The purpose of this vein has lifted, and its function is taken over by other, surrounding veins. The rests of the destroyed vein are removed by the body.
This treatment is basically the same as sclerotherapy, but before the treatment, the active ingredient (ethoxysclerol) is mixed into foam. This is easily done by mixing air ans ethoxysclerol into the injection needle. This way, the adhesion effect is somewhat stronger. Therefore, this treatment is suitable for larger veins. For broaching the vein we use a duplex machine so that we can aim very precisely for the deeper laying veins and inject them with foam. The foam treatment has the same side effects as the regular sclerotherapy. After treatment, surgical stockings are worn.
With the Muller procedure, the veins are hooked on a small hook via small incisions and pulled out under the skin. This happens under local anesthesia. Before sedation is injected, the doctor marks the vein with a marker on the skin. After that, you lay down on the treatment bed and sterile towels are placed on your leg. The anesthesia is placed with a small pump and the vein is removed piece by piece. Afterwards, the small openings are patched up with a plaster. Normally, the surgical stocking is worn 5-7 days after the treatment, followed by a follow up appointment. Directly after the treatment we keep you in our clinic for an hour or so, to see how you are doing. It is advised to be accompanied by another person because of the anesthesia. The first hours after the procedure, it is legally not allowed to drive a car.
With the EVLT procedure a large vein, often at the inner thigh or near the calf, is cauterized with a catheter. This procedure is accompanied by an ultrasound machine, so that the catheter can be localized properly. At this procedure the vein is marked when the patient is in a standing position, after which the patient lays down on the bed for treatment. Sterile towels are placed upon the leg and the vein is broached in order to place the catheter. The anesthetic fluid is applied around the vein via a small pump. Next, the catheter can be heated so that the vein is cauterized from the inside. The catheter is removed and the incision on your leg is patched up. For the period of one week, a surgical stocking is worn. Directly after the treatment we keep you in our clinic for an hour or so, to see how you are doing. It is advised to be accompanied by another person because of the anesthesia. The first hours after the procedure, it is legally not allowed to drive a car.
With compression therapy, bandages are wrapped around the leg, to remove the fluid from your leg and potentially facilitate healing wounds on the legs. Often a surgical stocking is measured on after compression therapy, but sometimes compression therapy suffices as a treatment on its own.
If your leg needs more support, sometimes a treatment with surgical stockings is advised. Not only do these compress the entire skin, they also compress the veins which have trouble circulating the blood back to the heart. By wearing these stockings, you can prevent fluid retention (edema) and subsequently a heavy and tired sensation in the legs. Cramps will decline as well. Nowadays, the stockings are available in fashionable colors, and very well-adjustable to daily fashion. We collaborate closely with surgical truss makers, who can measure you for tailored stockings.