Diagnostic of veins disorder First, we determine by means of many examinations whether there is a veins disorder at all, or what kind of a vein disorder that is. Among these examinations are light reflection rheography, which measures a pumping function of veins and an ultra-sound examination, to diagnose defect valves in the vein system.
Operations on an outpatient basis We offer ambulant varicose veins operations to healthy patients as well as to patients who are cared for at home. The patient stays for appr. 5 hours in our practice clinic, under the operation under anaesthesiologist supervision and then stays only for monitoring. If needed, an overnight stay in the private clinic is possible.
Operations on an inpatient basis We offer our patients that have accompanying diseases or who live alone, varicose veins operations with a follow-up care in the clinic. The patient comes to the clinic on the operation day and a couple of days later he can usually go home again.
Sclerotising treatment In the case of small varicose veins or spider veins, sclerotising treatment is carried out. A certain agent is injected into the veins,, so that they stick together.
Laser treatment The smalles spider veins are treated with the help of a laser. We can answer all your questions during a personal conversation.
Spider veins are always a manifestation of predisposition
Small changes in veins or so-called spider veins are caused by widening of the smallest venous vessels that are located directly under the skin. Almost every woman and a large proportion of men eventually notice these changes, especially on the internal part of the lowers legs. There are no complaints in this stage of the vessels change and its elimination is done only for aesthetic reasons.
Weakness of visible veins with expanding and winding can progress and can affect larger vessels. Without effective contra-measures or a medical therapy, complaints can get worse and can lead to distinctive varicose veins or even to lower leg ulcer (ulcus cruris).
Still there are many people, whose spider veins never develop into a further weakness of veins. There are so called symptomatic spider veins that indicate a chronic venous insufficiency and there those that appear without any recognisable reason. They are referred to as idiopathic telangiectases. Symptomatic spider veins should not be treated primarily. Here the main disease (varicose veins) should be precisely diagnosed and treated. Only after that, it makes sense to ablate respective spider veins. Only idiopathic spider veins with purely cosmetic meaning can undergo sclerosation or laser treatment with an expected long-term effect. Depending on the size, a pure laser treatment or a combination of sclerosation and a laser treatment is possible. In the case of spider veins with a diameter of 1 mm and larger conventional ablation by means of an injection always produces better results. In the case of a small diameter, a laser sclerosation is the most suitable method. Various pulsed lasers can be used for that. Length of waves and pulse width are adapted to the diameter of vessels and their depth. After the treatment, an adhesive tape is applied. Follow-up treatments are possible one week after ablation and 2-4 weeks after laser sclerosation. The best suitable time of the year for this treatment is from October until March. |