Varicosity means enlargement of veins of legs superficial or deep inside. Chronic venous insufficiency (CVI) is if veins fail to pump blood back to the heart properly. It can cause varicosity of veins, skin ulcers and superficial or deep vein thrombosis in the legs. The office of vascular surgery and the vascular centre in Berlin offer treatment of varicosity using the most advanced invasive techniques.
The main objective of treatment is a restoration of normal function of the affected veins and their aesthetic appearance with less invasive therapies.
The correct and exact diagnosis plays a very important role for planning treatment. Diagnosis of varicosity in Germany is painless and absolutely without complications. Modern and safe methods of varicose diagnosis are used:
- Plethysmography of veins
- Doppler sonography
- Duplex Doppler and Colour Doppler ultrasound
The Colour and Doppler ultrasound screening carried out by advanced equipment, provides 3D images of high resolution. This highly developed techniques allow to plan the precise medical intervention.
Surgical therapy of varicosity in Germany
Surgery of vein diseases in clinics of Germany is carried out on varicosity of the lower extremities and on chronic venous insufficiency.
Treatment of varicosity – surgical methods:
- Endovenous laser photocoagulation (EVLP)
- CHIVA method
- Fast-closure method
Now there are various ways of surgical treatment of varicosity in Germany which concern to classic or modern invasive techniques. One of the last invasive and safest techniques to correct varicose veins is a treatment by CHIVA method (Cure conservatrice et Hémodynamique de l’Insuffisance Veineuse en Ambulatoire). This technique eliminates venous shunts by disconnecting the escape points and ensuring normal venous function of veins. The results showed that the CHIVA method reduced recurrence of varicose veins and occurred less damaging than vein stripping. Besides, treatment by CHIVA method is ideally suited for people with diabetes and blood circulation problems of lower extremities.
The surgery with a CHIVA technique is performed as an outpatient care where no hospitalization is required. The working activity is also not limited.
The main positive sides of the CHIVA method are:
- normal blood circulation in the legs
- preserved veins can be used for aortocoronary shunting
- Duplex Doppler ultrasound is used for diagnostics what eliminates the requirement for using the x-ray diagnostics with contrast substances
- local anaesthesia
- insignificant postoperative pain
- fast recurrence of veins after surgery
- low probability of complications unlike with a stripping technique
- minimal damage of surrounding fabric