More of 9000 casos exitosos!
In a large group of patients with varicose veins, la vena saphenous y / o la vena incompetent external saphenous, or reflow insufficient, They represent the origin or cause of varices. The elimination of this reflux is essential for effective disease control, eliminating symptoms and avoiding major complications such as varicose ulcer.
A midyear 2001 It was approved by the FDA (Federal Drug Administration) US use of endovenous laser to eliminate reflux of incompetent saphenous vein to produce its instant sealing, es decir, with vein ablation, Reflux is removed. Since then this procedure has had an impressive host worldwide, to a point that has supplanted surgical removal of the saphenous vein, the sefenectomía, as the treatment of choice in this vein insufficiency.
Our group began using this technique in October of the year 2002, since then, I have personally practiced almost 9000 endovenous ablation procedures with excellent results. In the light of current scientific evidence, almost no patient should be subjected to a general or regional anesthesia to surgically remove the saphenous vein, clearly more invasive procedure and with inferior results to those obtained with endovenous laser ablation.
Application
Endovenous laser surgery with saphenous vein is also done in the office under local anesthesia and conscious sedation on an outpatient basis, usually it combined with varicose veins microphlebectomy. During the same, a small catheter into the saphenous vein guided by ultrasound and is inserted from the inside, and throughout the incompetent way, sometimes it extends from the ankle to the groin, Laser shooting, which produces the sealing or instantaneous ablation of this vein with consequent elimination of reflux.
Blood returning to the heart will continue through the deep veins without any complications. After the procedure a bandage that should be kept standing 48 hours and the patient walks out of the office without any limitation.
consequences
They are expected some purple in the operative area, the use of medicinal means is necessary for one month, and the vast majority of patients can return to work within a span of 48 horas, even in those cases where it is done simultaneously microphlebectomy.
In our experience almost 9000 cases have not had any major complications such as skin burns, thrombosis venosa o embolismo pulmonar.
There are two other ways to produce endovenous ablation of the saphenous vein, one is heat, or radio frequency and other drug, in both cases, the results are not as good as those obtained with endovenous laser, hence our preference for this technique.