Elderly Varicose Veins Necessary Surgical Treatment?

Taipei Veterans Hospital General Hospital, Cardiovascular Surgery, Taipei's Central Clinic Hospital, Taipei's Zhongshan hospital Vascular surgery

Lai Shau Ting

Elderly Varicose Veins Necessary Surgical Treatment?

Ask : My father 92 year old age, have the right varicose veins of lower extremities 40 years, but did not seem to affect the life, also did not note that in recent years seem to be serious, often varying heaviness sensation and fullness and soreness of right leg at the same time, the phenomenon of swelling, fatigue, itching, Problems and edema , stasis dermatitis and leg have a pigmentation occur. The right lower extremity cellulitis often occur in the near future, although still no progress is also easy to relapse treatment. Recently foot itches caught many times cause of varicose vein rupture, venous blood spewing, pretty scary. Taken to a hospital emergency room for treatment . Family is now considering how to treat the elderly are more secure and there are no complications?

Answer : Human upright animal, except sleep, most of them are standing or sitting. Leg venous blood in the absence of any structure under block, venous flow will direct regurgitation to the soles under the influence of gravity. Leg vein evolved a special frame - venous valve, preventing leg venous blood flow regurgitatioon. So when we walk or exercise, leg muscles pump action ( similar to the human heart ), pushing venous blood upward, homeopathy opened venous valve, let the blood flow to the heart easily and avoid venous blood regurgitation. When we don't move, or when to stand or sit, down the blood under the influence of gravity currents, but healthy valves to prevent venous blood flow to the feet. Varicose veins the exact reasons are not entirely clear, and if you have varicose veins, mainly caused by a congenital or acquired valve wall and venous wall is weak. This causes the valve in vein expansion led to separate, easy blood gathered entirely in varicose veins within the formation of varicose veins. Due to venous pressure too high cause the vein wall weakness continues to expand , with severe varicose veins causes the skin to become too thin, calf itch scratch easily variceal hemorrhage , You must be careful. It also could cause serious health hazards. So your old father must undergo further treatment.

Recommendations for treatment and treatment outcomes

In patients with Variceal bleeding after stability , Relatives and friends, was escorted to the hospital for further examination , Year of the elderly .

Age is too high and has combined serious varicose veins complications of right lower limb and the patient is using conservative treatment before does not improve ,

Although he had mild cardiovascular disease, high blood pressure, chronic lung disease, but they are in stable condition. Reduce risk factors related to aging and the negative impact of the patient , treatment is necessary. So we will select security operation and fewer postoperative complications

Thus the right leg was using local anesthesia and closed varicose vein with using endovenous laser abliteration and combined micro-minimally invasive vein removal surgery. Postoperative edema and varicose veins of lower extremities on the right has totally disappeared, recovered in good condition, families are also very happy.

"He said he can now move freely and easily came home carefree living, enjoying with my grandchildren"

Dr Lai bade

An older People who are already suffering from varicose veins, you should try to select the least conservative and injury therapy. The old patient, particular of the functioning of the body began to weaken, for the prevention and reduction of cerebrovascular accident during operation , preoperative assessment of physical function and operation risk prediction , to reduce risk factors related to aging is nessary. For years long of the old patient often associated with cardiovascular disease, high blood pressure, chronic lung disease, diabetes mellitus and renal diseases and do not know .

Elderly elderly people do not wish to hospital for minor illnesses , Particular varicose vein of lower limbs . Receiving treatment is mostly already have severe varicose veins complications of lower extremity. No more treatments will affect daily living activities , even so serious as to endanger their lives without even knowing it , It had to be careful about .

If no improvement after a period of conservative treatment , need to select simple security and fewer postoperative complications of surgical treatment. Thus implementing the closure of endovenous ablation treatment ( Laser EVLT, radiofrequency RF) Under the fibers move Release heat Energy leading to varicose vein closure , Future the closed vein progressive fibrosis and absorption . And currently the senior elders latest way of varicose veins is the best treatment, Shorter operation time 30-40 minutes enough , After operation 15 Minutes can walk , Encouraging patients to walk normally after the treatment, can keep up normal activities . Safe and its effects , Plus a lot of elderly patients.

Daily life some leg soreness, mild symptoms such as pain, swelling of the legs, may be warning signs of suffering from varicose veins, should not take it lightly, let alone because symptoms persist for a long time, "habit" to ignore the symptoms do not disappear. Varicose disease usually without severe discomfort, but as the disease progresses, edema, bleeding, stasis dermatitis, cellulitis, thrombphlebitis, ulcers, severe skin ulcers, more enduring. May also be due to delays in treatment and the disease may also cause deep vein thrombosis if in case of pulmonary embolism cause accidents would be life-threatening.

Following situations prone to varicose veins:

Older(because blood vessels gradually losed and its elasticity due to age)

Pregnancy

Seriously overweight

Other members of the family with a history of varicose veins

Standing or sitting for long periods of time

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