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Vascular Surgery


Varicose Vein Surgery India


For the small and medium sized varicose veins less than 2 mm in size sclero therapy is the choice of treatment, which has been described under the heading Spider Vein Treatment. There are no scars and it is performed under local anaesthesia in the clinic after which the patient goes home wearing a compression bandage for 72 hours followed by the compression stocking for 1-2 months. During this period the patient is encouraged to perform all normal activities and to walk as an exercise.


Causes of Varicose Veins : -

Varicose veins are not something that happen overnight. Usually it takes years for them to develop to a stage where symptoms occur. Varicose veins are commonly inherited although its important to note that anyone can get them. Often times varicose veins are common in people who have had certain types of injury to the leg or an episode of deep vein clots. Varicose veins became more frequent as more people in todays society began working standing still or sitting down, which in turn deprived their veins of regular circulatory flow of the leg muscles. Lack of exercise, restrictive clothing, weight gain can add to the strain on the veins.

Risk factors are age, family history and pregnancy whereas obesity, prolonged standing and trauma, infection have all been known to make varicose veins worse.

The main problem is that these veins have "faulty or damaged" valves. These one-way valves are located throughout the length of the inside of these veins. "Faulty or damaged" valves are also known as incompetent valves.

Veins should return blood from the legs to the heart and usually there are one-way valves that prevent the blood from flowing backwards (reflux). These one-way valves are located throughout the length of the inside of these veins.When these valves become "faulty or damaged", they are called incompetent valves and the blood now flows in both directions thereby causing pooling. This pooling of blood in the leg veins over a period of time causes the veins to bulge and protrude from the skin surface.


Varicose veins Symptom : -

  • Aching, heavy legs (often worse at night and after exercise)
  • Ankle swelling
  • A brownish-blue shiny skin discoloration around the veins
  • Skin over the vein may become dry, itchy and thin, leading to eczema (venous eczema)
  • The skin may darken (stasis dermatitis), because of the waste products building up in the legs
  • Minor injuries to the area may bleed more than normal and/or take a long time to heal
  • Rarely, there is a large amount of bleeding from a ruptured vein
  • In some people the skin above the ankle may shrink (lipodermatosclerosis) because the fat underneath the skin becomes hard.
  • Restless Leg Syndrome. Restless Leg Syndrome appears to be a common overlapping clinical syndrome in patients with varicose veins and other chronic venous insufficiency.
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Before your varicose vein operation

You will be seen by the surgeon who is to perform the operation and the position of the veins will be marked while you are standing. This is important because when you are lying down during the operation, the veins are much less visible.

The anaesthetist will also visit you. Many people are concerned about anaesthetics, so please ask the anaesthetist if you have any specific worries. The nurses on the ward will also have talked with you about the nursing procedures and post operative care. All of these people are ready to answer any questions you may have, so ask if you have any concerns.



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