lundi 13 janvier 2014

Modalities For Varicose Veins Treatment NYC Residents Should Consider

By Marissa Velazquez


Varicose veins are the result of problematic valves that hinder the flow of blood. If not treated in a timely fashion, a number of complications ensue. One of the most feared complications is what is referred to as pulmonary thromboembolism or PTE. PTE is caused by blockage of vessels in the lung by dislodged clots. It is a life-threatening condition that requires urgent medical intervention. Other commonly encountered complications include infections, ulcers and phlebitis. If they plan on having varicose veins treatment NYC residents need to know a number of things beforehand.

This condition is known to affect very many Americans. The prevalence is almost the same in both men and women. The most recent statistics show that about 55% of the cases are women and the remainder affects men. In general, at least half of persons aged above 50 are affected. The main risk factors that have been identified include hormonal changes, pregnancy, obesity, increasing age and physical inactivity.

When choosing the treatment modality, there are a number of things to take into account. The affected persons are first assessed by their general health status and age. Some of the procedures that are used for this condition may not be tolerated by the elderly or by people with some medical conditions. The severity of the condition is also used in triaging patients into those who will benefit from invasive procedure and those who will not.

The treatment plan is started with conservative therapies. Compression stockings are a safe, non-invasive choice. These work by augmenting the function of defective vein valves and helping with blood flow. Bulging of vessels is reduced over time. There are three types of stockings that one can choose from; prescription strength, over-the-counter and the pantyhose stockings.

Sclerotherapy is also very effective in these cases. The procedure involves injection of some special chemicals into the affected vessels. It is especially effective for the small and medium vessels. The mechanism of action involves scar formation. The scars help to seal the vessels and to reduce vascularity.

Surgery should only be done as a last resort. Several surgical options are available. The most popular of these is what is referred to as ligation and stripping. What this means is that the affected vessel is tied and blocked and removed in one piece through cuts created on the skin. Since it is the superficial vessels that are removed, there is no compromise in circulation.

Since this is a major surgical operation, it must be done in theatre. Although the procedure is generally regarded as being safe, there are a number of risks that should be anticipated. Leg pain is one of the commonest particularly in the immediate post-operative period. Others that may be seen include wound infection, excessive bleeding, swelling and scar formation. It takes between 1 and 4 weeks for recovery to take place.

There are many other forms of surgery used in varicose veins treatment NYC residents may consider. PIN stripping and ambulatory phlebotomy are the other commonly performed surgeries. An instrument known as a PIN stripper is used in PIN stripping. This instrument pulls the vessel out and allows for corrective procedures to be done.




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