Doctors for Varicose Veins Treatment in Kolkata

Varicose veins are veins that get entangled which causes them to swell and hence looks enlarged. They usually appear blue or dark purple and can be seen with the naked eye. They most commonly occur in the legs and can be a cosmetic concern or cause discomfort and other symptoms.Damaged or weak valves of veins inside lead to improper blood circulation causing Varicose veins. As a result, blood gets collected in the veins, resulting in them to expand, bulge, and hence are seen by the naked eye.

While varicose veins can occur in anyone, they are more common in older individuals and can be influenced by factors such as genetics, prolonged standing or sitting, obesity, pregnancy, and hormonal changes. Varicose veins can cause pain, aching, heaviness, swelling, itching, and other symptoms. In certain cases, they can result in difficulties, such as blood clots or skin ulcers.

Here are some common types of varicose veins treatments:

• Lifestyle Modifications: In mild cases, lifestyle changes may help alleviate symptoms and prevent the progression of varicose veins.
• Sclerotherapy: A solution is directly inserted into the varicose veins which causes irritation in vein lining resulting in eventual collapse and fading.
• Endovenous Ablation Therapy: This therapy uses laser and heat energy to corner off and shut the veins affected. There are two common types:
1. Endovenous Laser Ablation (EVLA): A laser fibre is put into the vein, and laser energy is used to heat and shut the vein.
2. Radiofrequency Ablation (RFA): A catheter is put inside the vein, and radiofrequency energy is used to heat and seal the vein.
• Ambulatory Phlebectomy: Also known as microphlebectomy, this procedure involves the removal of small varicose veins through tiny incisions in the skin. It is usually performed under local anaesthesia.
• Vein Stripping and Ligation: This is a procedure in which affected veins are tied together and surgically removed. Vein stripping is typically reserved for more severe cases of varicose veins.
• Endoscopic Vein Surgery: This surgical procedure is used for severe cases of varicose veins associated with leg ulcers. It involves using a thin video camera (endoscope) to visualise and remove the damaged veins through small incisions.

Varicose veins typically require surgery when they are causing significant symptoms or complications. Surgery may be considered in the following situations:

• Severe Symptoms: If varicose veins cause persistent and severe pain, discomfort, swelling, or leg ulcers that do not respond to conservative treatments, surgery may be recommended.
• Complications: If varicose veins lead to complications such as bleeding, blood clots (deep vein thrombosis), or skin changes that affect daily life and quality of life, surgery may be necessary.
• Unresponsive to Conservative Treatment: If conservative measures like lifestyle changes, compression stockings, and sclerotherapy have not provided satisfactory relief or improvement, surgery may be considered as a more effective treatment option.
• Cosmetic Concerns: If the appearance of varicose veins significantly affects a person's self-esteem or quality of life, they may opt for surgical treatment to improve the appearance.

Before undergoing varicose veins surgery in Kolkata several diagnostic steps and tests may be conducted to assess the severity of the condition and determine the most appropriate treatment approach. These may include:

• Physical Examination: The doctor will perform a thorough physical examination, including a visual inspection of the affected veins and an assessment of symptoms such as pain, swelling, and skin changes.
• Medical History and Symptom Evaluation: The doctor will inquire about your medical history, including any previous treatments or surgeries, family history of vein problems, and the nature and duration of your symptoms.
• Doppler Ultrasound: Doppler ultrasound is a non-invasive imaging test. With the help of sound waves images of veins are checked to evaluate blood flow. It helps determine the extent of venous insufficiency, identify any blood clots, and locate the problematic veins.
• Venous Duplex Ultrasound: This specialised ultrasound technique combines regular ultrasound with Doppler ultrasound. It provides detailed information about the structure and function of the veins, including the direction and speed of blood flow.
• Ankle-Brachial Index (ABI) Test:To analyse the efficiency of blood circulation, blood pressure in arms and ankles is measured in this test. It helps determine the severity of any potential blockages or circulation problems.
• Other Diagnostic Tests: In certain cases, additional tests such as venography or computed tomography (CT) scan may be recommended to further evaluate the veins and assess their condition.

Here is an overview of a commonly performed varicose veins surgical procedure called vein ligation and stripping:

• Anaesthesia: Before the surgery, anaesthesia is administered to ensure the patient's comfort during the procedure. This can be general anaesthesia, regional anaesthesia (spinal or epidural), or local anaesthesia with sedation.The extent of the surgery and the patient's overall health determine the choice of anaesthesia given to the patient.
• Incisions: The surgeon will make small cuts in the skin near the varicose veins. These cuts are typically minimal and strategically placed to minimise scarring and maximise access to the affected veins.
• Vein Ligation: The surgeon identifies and ties off (ligates) the affected veins using sutures or specialised clips which helps in shutting the vein and prevents blood from flowing through it.
• Vein Stripping: Once the veins are ligated, a specialised instrument is inserted through one of the incisions to grasp the affected vein and gently remove (strip) it from the leg. The incisions may be extended along the length of the vein as needed to facilitate the removal.
• Closure and Dressing: After the removal of varicose veins, the small cuts are closed using surgical seam. Sterile dressings and compression bandages or stockings are applied to aid in healing and promote blood circulation.

Varicose vein surgery in Kolkata can provide several benefits for individuals with symptomatic varicose veins. Here are some potential benefits of varicose vein surgery:

• Symptom Relief: Surgery can help alleviate the symptoms associated with varicose veins, such as pain, aching, heaviness, swelling, and cramping. By removing or closing the affected veins, surgery aims to improve blood flow and reduce venous insufficiency, leading to symptom improvement or resolution.
• Improved Appearance: Varicose vein surgery improves the outward look of the legs. The removal or closure of the enlarged and bulging veins can lead to smoother, more aesthetically pleasing legs, boosting self-confidence and reducing self-consciousness.
• Enhanced Quality of Life: Relief from symptoms and improved leg appearance can significantly enhance an individual's quality of life. With reduced pain and discomfort, individuals can engage in physical activities more comfortably and enjoy an improved overall well-being.
• Prevention of Complications: Without treatment varicose veins can result in problems such as blood clots, ulcer and skin changes. Surgery can help prevent these complications by addressing the underlying venous insufficiency and eliminating the problematic veins.
• Faster Recovery: With advancements in surgical techniques, varicose vein surgeries have become more minimally invasive, leading to faster recovery times compared to traditional vein stripping procedures.
• Long-Term Results: Varicose vein surgery aims to provide long-term results by removing or closing the affected veins. While new varicose veins may develop over time, the treated veins are permanently eliminated, reducing the likelihood of recurrence of symptoms and complications.

Varicose vein surgery, like any surgical procedure, can have some side effects and risks. Although these side effects are normally uncommon, it's essential to be aware of them. Here are some possible side effects associated with varicose vein surgery:

• Pain and Discomfort: Following surgery, it is common to experience some pain, discomfort, bruising, or swelling in the treated area. This is normally short-term and can be managed with pain medicines and proper post-operative care.
• Scarring: Surgical incisions made during varicose vein surgery can result in small scars. The size and visibility of scars can differ on the basis of the surgical style applied and personal healing factors. However, with advancements in surgical techniques, the incisions are often small and strategically placed to minimise scarring.
• Infection: Although unusual, there is a small chance of developing an infection at the site of surgery. To minimise this risk, sterile techniques are employed during the procedure, and antibiotics may be prescribed as a preventive measure.
• Bleeding or Hematoma: Occasionally, bleeding or the collection of blood under the skin (hematoma) may occur after surgery. Proper wound care and compression bandages can help minimise these complications.
• Allergic Reaction: Some individuals may experience an allergic reaction to anaesthesia, medications, or dressing materials used during surgery. It's essential to notify your healthcare team about any known allergies or sensitivities beforehand.

It's important to talk about these potential side effects and risks with your surgeon before undergoing varicose vein surgery. They can provide you with detailed information regarding the specific procedure, expected outcomes, and possible complications based on your individual case. By abiding to the post-operative guidelines and attending follow-up appointments, you can help minimise the occurrence of side effects and optimise your recovery.

Recovery after varicose veins treatment depends on the specific procedure performed and the individual's overall health. Here are some general guidelines to help facilitate a smooth recovery:

• Follow Post-operative Instructions: It's important to carefully abide by all guidelines provided by your healthcare team.
• Wear Compression Garments: Your doctor may advise you to wear compression stockings or other compression garments to aid in circulation and reduce swelling.
• Stay Active: Engage in light activities and regular walking as recommended by your doctor. This will help in proper circulation of blood, which will eventually prevent any further blood clots.
• Take Prescribed Medications: If your doctor prescribes medications such as pain relievers, antibiotics, or blood thinners, take them as directed.
• Elevate Legs: Lifting your legs while resting or sleeping can help reduce inflammation and improve blood circulation.
• Maintain a Healthy Lifestyle: Eat a balanced diet, stay hydrated, and avoid smoking and excessive alcohol consumption.
• Attend Follow-up Appointments: Schedule and attend all follow-up appointments with your doctor.

Recovery time can vary depending on the type of treatment received and individual factors. In general, it may take a few weeks to several months to fully recover from varicose vein treatment. Your doctor will provide specific guidance regarding the expected recovery timeline based on your condition and the procedure performed.