Phlebology 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 surgery (stripping), now obsolete and canceled by all international guidelines, are preferred methods that involve the closure of the vein through thermal processes that deteriorate the wall (radiofrequency, laser) or that "glue" it (VenaSeal®). These procedures are performed under local anesthesia and allow patients to return home the same day of the surgery and immediately resume their daily activities.

• AMBULATORY PHLEBECTOMY

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

• ULTRASOUND GUIDED FOAM SCLEROTHERAPY

  This term refers to sclerotherapy treatments performed under ultrasound guidance, ie displaying directly on the screen the vein to be injected. This method that 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

  With a very thin needle a liquid is injected into the veins which causes the closure and subsequently the reabsorption of the vessel. It is a painless procedure that allows the treatment of venous disorders in their very early stage, helping to prevent further complications. Several sclerotherapy sessions may be required for each venous 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 process of reabsorption of the veins, 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 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" that closes the effluent veins inside the female pelvis is inserted. Those veins, when effluent are a frequent cause of painful cycles 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. These exert a back pressure on the surface of the leg to which they are applied, normalizing the hypertension of the tissues.