PATIENT INFORMATION GUIDE IN LASER TREATMENT
PATIENT INFORMATION GUIDE IN LASER TREATMENT
The guide has been prepared to inform you about laser varicose therapy. In varicose disease, there is usually insufficiency in the superficial vein of the leg and the treatment is aimed at eliminating this vein.
This vein destroys the vein without thermal cut by the skin, the vein in the leg improves vascular flow, varicose veins disappear and the venous hypertension in the leg due to venous insufficiency disappears, eliminating the feeling of pain and restlessness.
The following explanations are prepared to help you prepare for this procedure and to speed up your recovery after the procedure.
Before and during the procedure;
- Drink plenty of water to meet your water requirement during the evening before the procedure. Do not eat or drink anything after 24:00 the day before the procedure.
- Ensure that your legs are shaved. (Male patients, if possible, try to use machines instead of razors.) Take a shower in the morning of the procedure and wash your legs, if possible, use antibacterial solution.
- Take the medicines you use regularly with a little water in the morning of the procedure (except for medications that you are asked to discontinue, such as aspirin).
- Unlike many operations, after this procedure, you can continue your blood thinner treatment if you are using it. If you are using blood thinners, please consult your doctor for detailed information.
- On the day of the procedure, please bring a list of all the medicines you take. It is especially important to warn your doctor and team if you are allergic to any medication or if your medications have been changed recently.
- When coming to our center, please take care to wear shorts or short and tight clothing. prefer slippers instead of shoes. Since your legs will be wrapped with a rubber bandage after the procedure, ordinary shoes and pants will not be on you.
- Some sleeping drugs can be given to relax you during the procedure. For this reason, you should have an adult companion who can take you home.
- Your venous thermal ablation will take place in the operating room and your blood pressure, blood oxygen amount and pulse will be connected to the monitor. Your doctor will be constantly informed about these parameters. You may have trouble remembering some moments after the procedure, as you may be given some sleeping medications during the procedure.
- Intravascular thermal ablation is performed by applying regional anesthesia around the targeted vein. You may feel some discomfort due to the administration of this anesthetic or during the insertion of the ablation catheter. This feeling of discomfort is usually very mild, and in order to reduce your discomfort, a number of sleeping drugs can be applied.
- Surgical incision is not generally required during the procedure. only small holes will be drilled into your skin while inserting the ablation catheter and removing some of the large varicose veins. Very rarely, it may be necessary to make a small incision to connect the targeted vein to the groin area.
- In order to lose your painful and unpleasant varicose veins, micro-phlebectomy (removal of small vessels from the skin) and sclerotherapy methods or both can be applied together with endovenous thermal ablation.
- In order to achieve the targeted vein, ultrasound use is required during the procedure for local anesthetic delivery around the vein during placement of the ablation catheter.
- To start the ablation procedure, the ablation catheter is placed in the targeted vein and position is given. The catheter is energized and gently withdrawn back into the vein. The resulting heat will gently destroy the inner layer of the vessel. It does not have any side effects such as pulling the vein, peeling-tearing off or exposing its branches.
- Small holes in your skin are closed with absorbable sutures or sterile wound adhesives, dressing sterile, and your leg (s) wrapped with elastic bandages.
After returning home;
- Do not open your bandages until you have an ultrasound check (usually done on the 2nd or 3rd day after the procedure). Feeling uncomfortable (especially behind your knee) may indicate blisters that elastic bandages can cause. If you think the elastic bandages are wrapped too tightly or if you feel stinging behind the knee, you can loosen your bandages a little. However, be sure to rewind it correctly.
- After the procedure, you can walk in the evening or at home outside the same day. Please do not stand still for long periods of time and do not sit with your feet shaking. These walks after the procedure will speed up recovery. Raise your feet with one or more pillows while lying down and sitting.
- After the post-procedure ultrasound control, your bandages will open. After this stage, you can take a shower. however, do not fiber or brush your wounds. You can gently wipe your legs with your fingertips. If possible, use antibacterial soap or solutions. Dry them gently after showering and let them dry completely with a cool hair dryer. Do not force the sterile strips that you have encountered during this period to remove the sticky tape (they will fall out in 2 weeks). If you want, you can apply a plaster on your wounds.
- On the 2nd or 3rd day after the procedure, you should wear pressure support socks (varicose socks) for two weeks after removing your elastic bandages in our center. When leaving our center, make sure that the appropriate socks are written. You can take off your socks while lying at night.
- Depending on the condition of your leg, you can return to your normal activities within 2 to 4 days. At this time, it is normal to still feel slight pain around your treated vein.
- You will be given an exercise program for the first 2 weeks. If you have a feeling of strain on your feet, you can arrange this program accordingly. If you feel fit, you can walk a few kilometers or jogging. During the first month, especially during exercise, varicose socks should be on your feet.
- It is normal to have some burning, redness - bruising and tightness in areas where you previously had varicose veins. Patients can often feel bumps or knots in these areas where microflebectomy or sclerotherapy has been performed. This is a normal result after the procedure and is temporary. Bruises do not harm you, they are not clot particles that can go into your lungs and will gradually disappear.
- If you are going to travel longer than 1 hour in the 6 months after the procedure, please wear your heir socks during the journey. In addition, it is in your favor to take a break and take short walks at 45-minute intervals. Sitting still for long periods of time will increase the risk of clots forming in the deep veins of your legs.
- You should not stay in baths, saunas and hot tubs for at least 4 weeks after the procedure. Swimming and cool water baths are allowed after 2 weeks.
- Continue your regular medications exactly after the procedure. please consult your doctor for detailed information.
- Your second ultrasound control after the procedure will be done in the 1st week. Afterwards, you will be asked to come to the controls in the 6th month and in the 1st year to make sure that the results are satisfying for you and us in the long run. There is no charge for your controls.
- If you still have very thin, varicose veins and need additional treatment, your doctor will tell you how these veins can be destroyed. Insurance companies usually do not pay in these cases, which they consider as cosmetic. You can ask your doctor for detailed information about pricing.
- If you have pain, medication will be prescribed for you to take. Taking this medication containing ibuprofen as 600 mg every 8 hours for the first 5 days after the procedure will prevent inflammation that may occur after the procedure (if you do not have ibuprofen allergy). This inflammation is caused by the body's desire to destroy the treated vein, and sometimes the feeling of tension can last up to 2 weeks. In this case, the drug can be continued.
ANTALYA VARICOSE VEINS/Dr.İlhan Gölbaşı