Is surgery necessary for varicose veins?

Varicose veins are a common disease that many people suffer from. Varicose veins can pose a great threat to human health. Therefore, when patients find this symptom, they must go to the hospital for treatment as soon as possible. There are many treatments for varicose veins, and surgery is just one of them. In addition to surgical treatment, there are also compression therapy, drug therapy, sclerotherapy, etc.

1. Compression therapy

Use graduated decompression stockings for varicose veins. Graduated decompression elastic stockings establish the highest support pressure at the ankle and gradually decrease it up the leg. The pressure is reduced to 70%-90% of the maximum value in the calf and to 25%-45% of the maximum value in the thigh. This decreasing change in pressure can allow venous blood to return to the lower limbs, effectively alleviating or improving the pressure on the lower limb veins and venous valves. It is best to wear compression stockings in the early morning before getting out of bed and not take them off until you go to bed at night.

2. Drug therapy

The drug can effectively activate paralyzed autonomic nerves and restore the function of vascular autonomic nerves through the plant active molecules it contains, thereby preventing the formation of venous thrombosis, reducing the fibrosis of tissues and organs, dissolving blood fibers, regenerating skin and new granulations, and completely curing varicose veins in the lower legs.

3. Sclerotherapy

A hypertonic solution (such as highly concentrated saline or a sclerosant) is injected into the varicose vein to destroy the vascular endothelium, causing it to heal and disappear. However, it can only treat small varicose blood vessels, and the treatment may cause severe pain, pigmentation, and even inflammation, redness, swelling, ulceration and other sequelae. It is also easy to relapse and difficult to deal with after relapse, so it is only suitable for a small number of patients.

4. Surgical extraction

An incision is made in the groin, and the great saphenous vein is cut, ligated or extracted. Semi-or general anesthesia is required, and hospitalization for 2-3 days is required. If the varicose veins are too severe, several small incisions may be needed to remove the varicose veins section by section. The treatment is complete but has the disadvantages of subcutaneous bruising and more painful wounds. Extravascular laser or pulsed light: The principle is the same as the laser beauty treatment for removing spots. The advantages are that it only requires local anesthesia, short treatment time, low pain, very small wounds, no ugly scars, and you can walk immediately. However, it only treats tiny varicose spider veins and requires several treatments at your own expense to be effective.