Varicose Vein Therapy is used to treat enlarged veins (varicose veins) that have problems with their valves.

Varicose veins usually occur in the legs. Normally, valves in your veins keep blood flowing. But the valves in varicose veins are either damaged or missing. This causes the veins to remain filled with blood, especially when you are standing.

Varicose veins treatments help remove non-moving (stagnant) blood and re-route blood flow through deeper veins in the legs. There are several types of treatment:

• Surgical vein stripping is an outpatient procedure. You receive general anesthesia, which means you are asleep and do not feel pain. The surgeon makes a cut at the bottom (ankle end) and the top (groin end) of the varicose vein. A thin, plastic, tube-like instrument is placed into the vein and tied around it. When the tube is pulled out, it pulls the vein from out under the skin. Small surgical cuts can also be made over individual veins to remove them
• Sclerotherapy is done while the patient is standing. A solution is injected into each varicose vein to cause clotting, which closes off the vein. An elastic bandage is wrapped snugly around the legs after the procedure
• Endovenous ablation therapy is an outpatient procedure. The therapy uses heat to destroy vein tissue. A thin catheter (or tube) is inserted into the vein through a tiny skin incision under local anesthesia. Then, using either laser or radio-wave (radio-frequency) energy, the vein is heated and cauterized. This closes off the vein

Today, fewer doctors are performing the traditional vein stripping surgery as more patients choose the less invasive endovenous ablation procedure. The endovenous ablation procedure has shown to work the same as or better than surgery. Patients have significantly less pain and a quicker recovery.

Varicose vein therapy may be recommended for:

• Varicose veins that cause circulatory problems (venous insufficiency)
• Leg pain, often described as heavy or tired
• Skin irritation and sores (ulcers)
• Blood clots in the veins (phlebitis), which can travel to the lungs (embolism)
• Cosmetic purposes

There are different methods available to treat anal fistula

Fistulotomy

After locating the fistula's internal opening the tract is opened out and the contents are scraped and flushed out. The fistula is laid open and the sides are stitched onto the sides of the incision. In more complicated situations the tracts are removed as in the case of a horseshoe fistula. In certain cases more than one surgery is required depending on the amount of sphincter muscle removed.

Rectal Flap Advancement

In this technique the tract is brought out and a cut is made into the rectal wall to access and remove the fistula's internal opening. The flap is then stitched back in place later on. Transanal rectal flap advancement repair is an operation to treat trans-sphincteric fistula which leaves the external sphincter muscle essentially untouched

Seton Placement

A seton (silk string or rubber band) that is used to create a loop outside the fistula. This allows the fistula to continue to drain while healing. By tightening the Seton stitch, it can be used to gradually cut through the fistula wall. The fistula gradually heals over behind the cutting Seton thereby slowly moving the fistula until it is outside the body.

Fibrin Glue

Fibrin glue is made from plasma protein and is used to seal up and heal a fistula rather than cutting it open. The fistula tract is cleared and the internal opening is closed. The glue is injected through the external opening. The fistula tract can also be sealed with a plug of collagen protein and then closed.

The risks for any anesthesia include:

• Reactions to medications
• Problems breathing

The risks for any surgery include:

• Bleeding
• Infection
• Bruising

Unique risks of endovenous varicose vein surgery include:

• Blood clots (call your doctor if your feet or legs swell)
• Treated vein opens up
• Skin burns from heated catheter

Unique risks to sclerotherapy treatment include:

• Irritation of the vein from the solution
• Blocked blood flow caused by the solution
• Leakage of the solution out of the veins into other tissue (can damage surrounding tissue and form ulcers)
• Risks associated with any treatment for varicose veins include:
• Nerve injury
• Return of the varicose veins

Prognosis

Most patients who undergo varicose vein surgery have good results. Some patients, however, have inflammation and skin discoloration that last for several months following surgery.

Talk to your physician about these risks and your chances for good results

After endovenous ablation therapy and sclerotherapy the patient can almost immediately resume most of their normal activities. Surgical stripping usually requires at least 3 to 7 days rest, but you could need up to several weeks.

After treatment your legs are wrapped tightly in bandages. Walking is possible the day of surgery. In fact, walking is encouraged to minimize swelling and avoid the risk of deep venous thrombosis, especially with catheter or endovenous treatment.

It is important that feet are kept raised above the heart whenever possible.

The other general surgical procedures are:

• Abdominal or Thoracic Aortic Aneurysm Surgery
• Abdominoplasty
• Carpal Tunnel Release Operation...etc

Few Major Hospitals for Varicose vein therapy are:

• Wockhardt Hospitals
• Apollo Hospitals
• Max Healthcare
• Piyavate Hospital
• Florence Nightingale Hospital

Thailand, Malaysia, Singapore, Turkey and India are the most cost effective locations that offer up to almost 80% savings in comparison to the US.

SurgeryPlanet facilitates a plethora of services to the medical treatment traveler also which includes, a hassle free and discounted travel option, a welcome hand at the airport on arrival, travel in an air-conditioned car, round the clock service & support. Your medical evaluation is pre arranged with the least of waiting time. Once your assessment is complete and found medically fit, the procedure is immediately scheduled without a waiting period. Please read through our Services and Testimonials to understand and select your best options.

• Thailand
• Malaysia
• Singapore
• Turkey
• India

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