Archive for June, 2011

Getting Vein Treatment Done

Among the very common problems on human’s skin is the presence of veins. Furthermore, whenever these are bulging or twisted so people look for the help of specialists for vein management. Your best option is to go to vein centers whereby they specialize in vein treatment. You’ll find three (3) kinds of veins, the greenish colored veins that are found in the legs, the reticular veins that are a smaller version of varicose veins and lastly, the spider veins which often appear on the face area with red or sometimes purple in color.

There are 2 methods to treat vein problems, the first is surgical treatment and the other one is through laser ablation. Usually people who undergo surgical procedure are those that have a really large or thick varicose vein, stripping as what they refer to it as the best choice. This process may remove some of the enlarged and unwanted veins. Undergoing these kinds of surgical process will need the patient to have a small level of anesthesia and patients would possibly stay in a healthcare facility overnight. Surgery treatment usually takes a little while based on how significant the vein problem.

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Non-surgical treatment of Varicose Veins

Sclerotherapy

A commonly performed non-surgical treatment for varicose and “spider” leg veins is sclerotherapy in which medicine is injected into the veins to make them shrink. The medicines that are commonly used as sclerosants are polidocanol (POL), sodium tetradecyl sulphate (STS), Sclerodex (Canada), Hypertonic Saline, Glycerin and Chromated Glycerin. STS and Polidocanol(branded Asclera in the United States) liquids can be mixed with air or CO2 or O2 to create foams. Sclerotherapy has been used in the treatment of varicose veins for over 150 years. Sclerotherapy is often used for telangiectasias (spider veins) and varicose veins that persist or recur after vein stripping. Sclerotherapy can also be performed using foamed sclerosants under ultrasound guidance to treat larger varicose veins, including the great saphenous and small saphenous veins. A study by Kanter and Thibault in 1996 reported a 76% success rate at 24 months in treating saphenofemoral junction and great saphenous vein incompetence with STS 3% solution.

A Cochrane Collaboration review concluded sclerotherapy was better than surgery in the short term (1 year) for its treatment success, complication rate and cost, but surgery was better after 5 years, although the research is weak. A Health Technology Assessment found that sclerotherapy provided less benefit than surgery, but is likely to provide a small benefit in varicose veins without reflux. This Health Technology Assessment monograph includes reviews of the epidemiology, assessment, and treatment of varicose veins, as well as a study on clinical and cost effectiveness of surgery and sclerotherapy. Complications of sclerotherapy are rare but can include blood clots and ulceration. Anaphylacticreactions are “extraordinarily rare but can be life-threatening,” and doctors should have resuscitation equipment ready. There has been one reported case of stroke after ultrasound guided sclerotherapy when an unusually large dose of sclerosant foam was injected.

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