Description of the procedure
There are two types of UGFS:
– Primary vein treatment using UGFS – injecting the foam under ultrasound control into the primary tree of the main superficial vein
– Secondary UGFS – injecting the foam into varicosities (varicose veins) which appeared again after being already operated on using classical methods – relapsing varicosities/veins
UGFS method should not be done when the groin venous valve has weakened!
Otherwise, it is possible to expect relapse quite soon – from a couple of months up to 2-5 years. Such patients need surgery, classical or endovascular (laser, radiofrequency). Therefore, surgery should be done in centres that offer various methods of vein treatment.
It is often combined with some other surgical technique, thus achieving excellent results.
During the first examination, individual measure for elastic stockings of 2nd level of compression, that are worn after the procedure, is taken as well. The patient is provided with all necessary instructions for the procedure that follows
It is suggested to eat a light meal and take liquid prior to the procedure.
Course of the procedure
Under ultrasound control, intravenous cannula used to inject sclerofoam is lead into the main tree of the superficial vein that has been changed by varicosity.
It is repeated with all remaining varicosities. The amount of time necessary to do the procedure depends on the volume of the treated changes, and it can take up to one hour.
At the end, the patient is put on an elastic stocking – simple, quick, effective, painless, immediately after the procedure, without wounds, scars or nerve damage.
Often it is necessary to repeat the treatment 2-3 times in the interval of a couple of weeks until the total effect is achieved.
Elastic stockings are to be worn continuously for 2 weeks after the procedure, and later by recommendation.
It is important not to put gels or creams against hematoma (Heparin, Ice gel, and the like) on the treated area because it can become irritated. Care should be done exclusively with mild milk or skin lotion.
Precautions and limitations
Sometimes, there is a chance for relapse. However, relapse is easy to predict and do the treatment again accordingly.
It is necessary – as much as possible – to correct the mechanisms that had lead to the development of the disease.
Side effects and complications
Sometimes, a surface inflammation and local vein thrombosis can appear. In the course of 8-14 days, redness and bruising at the area of intervention are possible, as well as temporary surface induration (swelling) accompanied by mild local pain and heat.
It can all be successfully overcome by wearing elastic stockings up to 3 weeks, walking, and activity.
Serious complications – such as deep vein thrombosis – are almost impossible with correctly done procedure, and unknown in professional literature.
Package does not include: first indicative surgeon’s examination, vein color Doppler; expenses made prior to admittance into Polyclinic Lege Artis.
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