Phlebologic treatments

Nowadays there are sevral techniques that are relatively non-invasive and are considered very effective.

After the diagnosis of the vascular condition, your specialist will define the appropriate strategy to approach and solve the problem for each individual case.

• ENDOVENOUS LASER ABLATION (EVLA / EVLT™) AND RADIOFREQUENCY ABLATION (RFA)

  To the classic surgical treatment (stripping), now considered obsolete and erased from all international guidelines, methods that involve the closure of the vein through thermal processes that deteriorate the wall (radiofrequency, laser) or that "glue" it (VenaSeal®) are preferred. These procedures are performed under local anesthetic to allow patients to return home the same day of the treatment and immediately resume their daily activities.

• AMBULATORY PHLEBECTOMY

  This is the removal of varicose veins so superficial that cannot be treated in any other way. It is performed through very small incisions that normally do not need stitches and whose scars are imperceptible. It is a very useful technique, performed under local anesthetic and has an excellent success also on the aesthetic level.

• ULTRASOUND GUIDED FOAM SCLEROTHERAPY

  This term refers to sclerotherapy treatments performed under ultrasound guidance, i.e. displaying directly on the screen the vein to be injected. This method allows to safely treat larger sized veins (1 to 3 millimeters), not visible on the surface, but which would be too small to be removed surgically. The injection causes a controlled inflammatory reaction in the internal venous wall. This reaction causes the occlusion and subsequently the closure of the treated vein.
  
  This technique involves keeping the legs properly compressed with appropriate socks for a period ranging from a few days to a few weeks.

• MICROSCLEROTHERAPY OF THREAD VEINS AND SPIDER VEINS

  With a very thin needle a sclerosant liquid is injected into the veins. This causes the closure of the vessel that will subsequently be absorbed by our body. It is a painless procedure that allows the treatment of insightful thread veins and spider veins. Several microsclerotherapy sessions may be required for each region; normally, a patient presenting an average extended situation, does not need more than 3-4 sessions.
  
  After a sclerotherapy session you can immediately return to your activities, although, to speed up the whole process , bandages or elastic stockings can be prescribed for a period ranging from a few days to a few weeks.
  
  The results of sclerotherapy are clear after a few weeks or even months and the treatment, for the comfort of the patient, is inadvisable in the summer.

• PELVIC VEIN EMBOLISATION (PVE)

  Through a simple puncture under local anesthesia, using endovascular and radiological techniques, a special "spring or coil" that closes the refluxing veins inside the female pelvis is inserted. Those veins, when refluxing, are a frequent cause of painful periods and varicosity of the vulvar region and the inner thigh.

• TREATMENT OF ULCERS OF THE LOWER LIMBS

  After the diagnosis, the most appropriate method for treating ulcers in each individual case will be chosen.
  
  The treatments for vascular ulcers are:

  • Compressive therapy and functional bandages;
  • Sclerotherapy;
  • Pharmacological therapy, if the ulcer is caused by a secondary disease.

• COMPRESSIVE THERAPY AND FUNCTIONAL BANDAGES

  Compression therapy is of primary importance for vascular therapy, being helpful in the treatment of venous ulcers and support for sclerotherapy and surgery.
  
  The compression therapy uses different types of bandages and tutors of different fabrics and different levels of compression.