SCLEROTHERAPY VARICOSE VEINS SURGERY
Sclerotherapy, which takes its name from a Greek word meaning “hardening,” is a method of treating enlarged veins by injecting an irritating chemical called a sclerosing agent into the vein. The chemical causes the vein to become inflamed, which leads to the formation of fibrous tissue and closing of the lumen, or central channel of the vein.
Sclerotherapy in the legs is performed for several reasons. It is most often done to improve the appearance of the legs, and is accomplished by closing down spider veins small veins in the legs that have dilated under increased venous blood pressure. A spider vein is one type of telangiectasia, which is the medical term for a reddish-colored lesion produced by the permanent enlargement of the capillaries and other small blood vessels. The word telangiectasia comes from three Greek words that mean “end,” “blood vessel,” and “stretch out.” In a spider vein, also called a “sunburst varicosity” there is a central reddish area that is visible to the eye because it lies close to the surface of the skin; smaller veins spread outward from it in the shape of a spider’s legs. Spider veins may also appear in two other common patterns they may look like tiny tree branches or like extra-fine separate lines.
Candidates for Sclerotherapy Surgery in india
Prior to the procedure, you will have an initial consultation with a dermatologist or vascular medicine specialist who will decide if you’re a good candidate for sclerotherapy.
You are not eligible if you are pregnant or bedridden. You can have sclerotherapy if you take birth control pills. If you have had a blood clot in the past, your eligibility will be decided on an individual basis, and will depend on the overall health of the area needing treatment as well as the reason for the clot.
Veins that are potentially usable for future surgical bypass procedures (i.e. use of the saphenous vein, a large vein in the leg used for coronary artery bypass graft surgery) will generally not be considered for sclerotherapy, unless they are already deemed unusable.
Side Effects of Sclerotherapy
You may experience certain side effects after sclerotherapy. There are milder effects, such as itching, which can last for one or two days after the procedure. Also, you may experience raised, red areas at the injection site. These should disappear within a few days. Bruising may also occur around the injection side and can last several days or weeks.
Other risks of sclerotherapy include : –
- Venous thrombosis. A potentially serious complication, thrombosis refers to the formation of blood clots in the veins.
- Severe inflammation.
- Pain after the procedure lasting several hours or days. This discomfort can be eased by wearing medical compression stockings and by walking briskly.
- Allergic reactions to the sclerosing solution or foam.
- Permanent scarring.
- Loss of feeling resulting from damage to the nerves in the treated area.
- Edema (swelling) of the foot or ankle. This problem is most likely to occur when the foot or ankle is treated for spider veins. The edema usually resolves within a few days or weeks.
- Brownish spots or discoloration in the skin around the treated area. These changes in skin color are caused by deposits of hemosiderin, which is a form of iron that is stored within tissue cells. The spots usually fade after several months.
What are the limitations of Sclerotherapy?
Large varicose veins do not respond as well as small ones to sclerotherapy. A few (less than 10 percent) of people who have sclerotherapy do not respond to the injections at all. In these instances, different solutions or a different method, such as laser therapy, may be attempted.
You will not be able to undergo sclerotherapy treatment if you are pregnant, breastfeeding, or are bedridden. You must wait at least three months after giving birth before you can be considered for this procedure.