Varicose vein scleroththerapy treatment



Sclerotherapy (treatment by means of injections to the veins)  

Sclerotheraphy is a method of treatment that has been known for nearly 100 years. In recent years there have been tremendous developments to the methods applying injections to veins for treatment.

 

 

Today, sclerotherapy is performed after the use of venous Doppler-ultrasound testing. In most cases the substance used is atoxisklerol which contains high percentages of alcohol. In some cases the dilated veins are injected with a foamed material.

The substance creates a local mild infection which cases the clogging of the veins and their eventual disappearance within weeks or months.

In some cases ultrasound technology is used to ease the identification of damaged veins and for guidance towards the appropriate injection site. Use of foamed substances for injections enables the reduction of the concentration of materials and treatment of wider areas.


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טיפול בהזרקות לורידים

 

This system of treatment reduces the risks of complications following treatment. The treatment itself can be completed in several minutes each time and allows for immediate return to normal activity. Such injections must be followed by the use of appropriate elastic stockings.

 


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Injections to capillaries

Injection to capillaries is done with the use of the same substances used for greater veins, using reduces concentrations and much finer needles.



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Rates of success and adverse effects

The rates of success for injection treatments depends first and foremost on the selection of cases suited for such treatment. In treating appropriate cases of veins and capillaries the levels of success are very high. When attempting to treat cases not suited for such therapy the rates of success are very low.

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Complications and adverse affects include failure of the treatment, stinging sensation, discomfort, local change of skin color, and signs of local infection. In rare cases the patient can develop deep vein infection or an allergic reaction to the injected substance.

 

Surgery in preparation for dialysis treatment

Some of the patients suffering from severe chronic renal failure require dialysis treatment by which a machine helps rid the body from the substances usually disposed of through the kidney.

For a patient to be linked to such a machine, also known as an artificial kidney, and undergo dialysis treatment, it is necessary for a fistula to be created. In most cases this is done in the forearm.

There are two methods for the formation of a fistula for dialysis:

  • Direct link between an artery and a vein by which creating an arteriovenous fistula
  • Linking an artery to a vein by means of an artificial pipe, or a graft

 

The choice of method for the fistula surgery depend on the anatomical condition of the blood vessels prior to surgery.

Fistula for dialysis surgery is usually not long and can be performed under local anesthesia. Nevertheless, extensive experience and skills are required for mminor vascular surgery on vessels 2 mm in size.

 

Rates of success and adverse effects

The success of such surgery depends on the state of the veins and arteries of the limb prior to surgery. When blood vessels are in good condition the rates of success are high. When blood flow is interrupted or the diameter of vessels is very small the rates of success decrease. And as with any other surgical procedure, there is the risk of bleeding, infection, and nervous damage. There is also the risk of failure of the procedure and blockage of the area operated on. 5% of patients demonstrate signs of “steal syndrome”, when the flow of arterial blood from the hand towards the venous system can cause functional damage. This situation, when arises, requires additional intervention.


Treatment of  incurable ulcers

Incurable ulcers can be the result of  vein and artery diseases, diabetes, skin conditions and other.

A large percentage of incurable ulcers are the result of poorly treated vein diseases over extended periods.

The treatment of incurable ulcers is complex . It includes local treatment to the wound, appropriate antibiotic treatment, and, when necessary, surgical intervention.

With combined treatment it is possible to cure up to 90% of such incurable ulcers and significantly improve the condition of the limb.


 

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