Doctors for Varicose Veins Treatment in Mumbai

Varicose veins refer to the enlargement and twisting of blood vessels that protrude just below the surface of the skin. These visible veins typically manifest as swollen, blue or purple bulges, most commonly found in the legs, feet, and ankles. They may cause discomfort, pain, or itchiness. Additionally, spider veins, which are smaller reddish or purplish lines located near the skin's surface, can often be found in proximity to varicose veins.

While varicose veins can be aesthetically displeasing and bothersome, they are generally not a cause for concern in most individuals. However, in severe cases, they can lead to more serious health complications such as the formation of blood clots.

Treatment options for varicose veins aim to reduce their visibility and alleviate associated discomfort. Several approaches can be employed;

• Elevation: Elevating your legs above the waist level multiple times during the day can enhance blood flow and lower pressure in the veins.
• Elastic stockings: Supportive socks or stockings with built-in compression can work to constrict the veins and ease discomfort. Compression aids in preventing vein expansion and promotes healthy blood circulation.
• Injection therapy (sclerotherapy): Sclerotherapy involves the injection of a solution into the affected vein by a healthcare professional. This treatment involves a process where the walls of the vein adhere together, leading to the transformation of the vein into scar tissue, gradually fading away over time.
• Vein surgery (ligation and stripping): Vein surgery, also known as ligation and stripping, involves tying off the affected vein (ligation) to prevent pooling of blood. To stop the recurrence of varicose veins, the surgeon may occasionally remove (strip) the vein.
1. Laser therapy: Endovenous thermal ablation is a minimally invasive procedure in which a catheter, a thin tube, is used along with laser technology to close off damaged veins.
2. Phlebectomy: Phlebectomy is a surgical approach that targets varicose veins on the surface of the skin. During this procedure, small incisions are made near the affected vein, allowing the surgeon to carefully remove the damaged vein. This method enhances the aesthetic appeal of the affected area while easing symptoms.
3. Vein Surgery: Vein surgery, referred to as ligation and stripping, is a surgical procedure that is considered as a treatment option for varicose veins. In this procedure, the surgeon or healthcare provider ties off the affected vein (ligation) to prevent blood pooling and removes (strips) the problematic or damaged vein. By addressing the underlying cause of varicose veins, this surgical approach aims to prevent recurrence and improve overall venous circulation.

Surgery for varicose veins is typically considered when the damaged valves within the veins cannot be effectively cured through other treatment options. Surgery is particularly recommended for individuals who experience the following conditions;

• Ulceration or the risk of ulceration resulting from varicose veins: When varicose veins lead to the development of ulcers on the skin, surgery can address the underlying cause and promote healing.
• Bleeding through the skin caused by varicose veins: In cases where varicose veins cause bleeding, which can be alarming and may recur, surgery may be necessary to prevent further episodes.
• Phlebitis, Enlarged Varicose Veins, and Persistent Discomfort: Surgery is a suitable option for individuals experiencing inflammation, significant vein enlargement, and ongoing discomfort in the veins.
• Non-Surgical Treatment Failure: Surgery may be necessary when non-surgical treatments fail to provide satisfactory results or symptom improvement. In such cases, surgical intervention becomes the primary option to alleviate symptoms and address the underlying issue.
• Loss of limb function and serious complications: Surgery may be required when varicose veins lead to a significant loss of function in the affected limb. In cases where varicose veins cause more serious complications like blood clots, surgical intervention becomes necessary.

During the diagnostic process for varicose veins operation in Mumbai, healthcare providers may order several tests to gather required information about a patient's health. These tests may include;

• Venous Doppler Ultrasound: This specialized ultrasound examination focuses specifically on the veins, allowing for a detailed evaluation of blood flow, valve function, and potential abnormalities.
• Complete Blood Count (CBC): A CBC test analyzes the composition of blood, providing information about red blood cell count, white blood cell count, and platelet levels.
• Coagulation Tests: Coagulation tests, such as prothrombin time (PT) and activated partial thromboplastin time (aPTT), evaluate the clotting ability of the blood. These tests help identify any potential clotting disorders that may affect the surgery.
• Urinalysis: A urinalysis may be performed to assess kidney function and screen for any urinary tract abnormalities that could impact surgery.

Varicose vein surgery aims to normalize pressure in the skin veins, halting the progression of existing varicose veins and preventing new ones. The operation typically takes 20 minutes to an hour, involving small incisions along the marked varicose veins. Surgical treatment is performed as the following;

• Preparing for Surgery
• Coming into hospital: In Mumbai, varicose vein surgery is frequently handled as a day case. Patients who are in good health, have a support person to accompany them home and stay overnight, usually qualify for this arrangement.
• Surgeon's visit and vein marking: Before the procedure, the surgeon responsible for the operation will visit the patient. During this visit, the surgeon will use a waterproof pen to mark the varicose veins that are to be removed. Additionally, the doctor administering the anesthesia will also visit the patient to explain the anesthesia process.
• The Surgical Procedure
• Administration of anesthesia: Varicose vein surgery requires general anesthesia. A small needle is inserted into the back of the hand to deliver the anesthesia, which causes the patient to fall asleep within a few seconds. To ensure patient comfort during the procedure, local anesthesia is administered around the incision site in the groin area. Additionally, if required, anesthesia may also be applied to the incision site at the back of the knee. This ensures that the patient is numb in these areas when they wake up after the surgery. In some cases, a drip may be placed into a vein in the wrist or arm to provide fluids during and after the surgery.
• The operation: The specific details of the operation may vary depending on the location of the problematic valves. Generally, a slanting incision approximately 4-6 cm long is made in the skin crease of the groin. TA treatment known as ligation is performed through this incision to tie off the top portion of the problematic long saphenous vein, thereby preventing blood flow through it. After that, a wire is placed into the vein and advanced all the way to the knee. A second incision is made at the level of the knee, and the vein—complete with the wire inside—is taken out. This action is referred to as stripping. By ligating and removing the long saphenous vein, the underlying cause of varicose veins is addressed, reducing the likelihood of recurrence.
• Sometimes the main vein on the back of the knee needs to be tied up since it too has a leaking valve. On the back of the knee, a horizontal incision measuring about 3 cm long is commonly used for this procedure. The vein is then removed using the same technique as before. In order to prevent potential nerve damage, the short saphenous vein in the leg is rarely removed. It is near to a nerve that controls skin sensation.
• Additionally, in most instances, the apparent varicose veins are eliminated by teeny, 2-3 mm-long incisions. Along the path of the varicose vein, these incisions are spaced 3-5 cm apart. If the varicose veins are extensive, there may be numerous small incisions. The larger incisions are closed using dissolvable stitches that lie beneath the skin and do not require removal. The smaller incisions are left unstitched as they tend to heal well. The leg is securely bandaged from the toe to the groin after the procedure.
• Post-Operative Care
• Recovery and waking up: Following the surgery, the patient is typically taken to the theatre recovery area, where they gradually regain consciousness. Once fully awake, which usually takes around 20-30 minutes, they are returned to the ward. Some patients may experience a stinging or burning sensation in their leg upon waking, but it is uncommon for the leg to be painful. After this type of surgery, feeling sick is highly unlikely, and most patients are able to resume eating and drinking within a few hours.
• Bandaging and stockings: During the first 24-48 hours, minor bleeding may occur from some of the smaller incisions. Therefore, it is advised to keep the leg covered during this time with bandages or stockings. After 48 hours, the stockings may provide support to alleviate bruising and promote comfort. They can be worn for up to 10 days, although they typically offer limited benefits beyond this duration.

Varicose vein surgery in Mumbai is generally a safe and effective procedure; however, like any surgical intervention, it can have certain side effects and complications, including:

• Minor Side Effects: Following varicose vein treatment, patients may experience some minor side effects, including:
1. Skin Discoloration: Temporary skin discoloration may occur around the treated area. This usually resolves on its own over time.
2. Swelling: Mild swelling is a common side effect after surgery. It typically subsides gradually as the healing process progresses.
3. Pain and Discomfort: In the treated area, some individuals may feel some moderate pain and discomfort. This can be managed effectively with prescribed pain medications.
4. Bruising: Bruising around the surgical site is another common side effect. The bruising will fade away over time as the body heals.
• Major Complications (Rare): While major complications are rare, it is important to be aware of them. These complications can include:
1. Severe Infection: In rare cases, there may be a risk of severe infection at the surgical site. Prompt medical attention and appropriate antibiotic treatment can effectively manage this complication.
2. Scarring: Some patients may develop noticeable scars at the incision sites. However, these scars usually fade and become less visible with time.
3. Blood Clots: Although rare, the formation of blood clots in deep veins, known as deep vein thrombosis, is a potential complication. Immediate medical attention is necessary to prevent the occurrence of potential complications and ensure prompt management of the condition.

After undergoing varicose vein treatment, it is crucial to prioritize self-care to facilitate a speedy recovery. The recovery period typically lasts up to three weeks before you can safely resume work or engage in physically demanding activities. By following these postoperative guidelines, you can gradually return to your normal routine and regain your optimal well-being:

• Rest and Sleep: Allow yourself adequate rest and prioritize quality sleep to promote healing and rejuvenation.
• Gradual Increase in Activity: Gradually increase your daily movement and physical activities over time. Avoid excessive strain and listen to your body's cues.
• Compression Hosiery: Wear compression hosiery, such as socks or stockings, as prescribed by your surgeon for about a week after the surgery to support proper circulation and reduce swelling.
• Hygiene Practices: Avoid taking showers and opt for sponge baths during the initial recovery period to protect the surgical site from moisture.
• Incision Care: Apply ice to the incision site daily during the first few weeks after surgery to minimize swelling. Keep a close eye on the incisions for any signs of infection and follow your surgeon's instructions for wound care.
• Elevation of Legs: As much as possible, keep your legs raised to lessen swelling and encourage blood flow.
• Nutritious Diet: Maintain a healthy and balanced diet, emphasizing nutritious foods that support healing and provide essential nutrients.
• Fiber Intake: To avoid constipation, which can be a common side effect of painkillers and restricted mobility, up your intake of fiber.
• Avoid Heavy Lifting: Avoid lifting heavy items since this can put stress on the surgery region and slow healing.
• Emotional Well-being: Keep yourself calm and manage stress levels, as emotional well-being can positively impact the healing process.
• Blood Thinners: Avoid blood-thinning medications unless specifically prescribed by your surgeon, as they may interfere with the healing process.
• Comfortable Clothing: Opt for loose and comfortable clothing to minimize discomfort and promote circulation.
• Compression Stockings: Consider wearing compression stockings beyond the initial recovery phase to provide ongoing support and improve circulation.
• Regular Walking: Engage in daily walks, gradually increasing the distance and duration, to promote blood flow and enhance overall recovery.
• Avoid Prolonged Sitting or Standing: Avoid excessive periods of sitting or standing, as prolonged immobility can hinder proper circulation and contribute to swelling.
• Driving and Strenuous Activities: Refrain from driving and participating in strenuous activities until your surgeon gives you the green light to resume such tasks.