Varicose veins are pathologically dilated veins with valve insufficiency. A significant amount of blood reflux towards the legs instead of moving towards the hear, thus forming varicose veins, usually under the knee, though we can encounter them on the thighs as well. Apart from the aesthetic issue, varicose veins are linked with significant changes in blood circulation, due to the fact that the blood inside those varicose veins travels with a lower than the normal speed and the vein pressure is significantly risen. In most of the cases varicose veins are linked with superficial veins that suffer with insufficiency too.
There are different predisposing factors that are linked with varicose veins.
Some of the symptoms of varicose veins are heaviness on the legs, burning sensation, itchiness, night cramping, pain and edema. It is essential to pinpoint that the symptoms are not linked with the extension of the varicose veins.
There are cases that notwithstanding the great extent of the dilation of the varicose veins across the extent of the knee and the thigh, the patient does not experience any symptom.
OF course the lack of symptoms does not cancel the extent of the problem and its negative consequences.
Even though the varicose veins are apparent on the patients legs, it is required to perform a detailed clinical examination of the lower extremities in order to determine the extent of the vulvar insufficiency. .
Some indicators of the vulvar insufficiency are the reticulars around the ankle, edema, or in some cases the discoloration and the hardness of the skin in the inner part of the gastroknemious above the ankle, and the presence of an inflammation around that area. The appearance of ulcer on that area is an indicator of heavy vein insufficiency.
Regardless of the extent of the varicose veins and the symptoms they provoke, varicose veins are more likely to cause complications that in some cases are very serious.
One of the most severe complication is thrombosis, a state that causes around the area of the clot, pain, hardness of the skin and an intense red color. If we encounter a thrombus in a varicose vein the condition is called superficial thrombophlebitis, and it is very important for every patient with this problem to seek the immediate help of his/ hers vascular surgeon.
The clot each self can expand, and it can get in a deep vein of the leg, causing deep vein thrombosis, rising the risk of pneumonic embolism. Another complication is of course the high risk of hemorrhaging in the area, due to the fact that the varicose vein there has altered the skin density.
Although it does not solve the problem radically, the conservative treatment is the use of compression stockings with or without anticoagulant medication. This treatment reduces the risk of complications and slows down the progression of the problem.
However, the most reliable treatment is the endovenous laser treatment. It is the most evolved, secure treatment that presents the best results.
With this rather quick treatment, that does not even require general anaisthesia, the patient can return to his/ her daily life as soon as the next day of the procedure.
We have to pinpoint that the combination of the endovenous laser ablation and the use of microphlebectomies at the same time ensures an almost perfect aesthetic result.
Last but not least, in some cases we can perform zero incision operation in order to deal with varicose veins.