Broadbands and Kirsh: What they have in common and how they heal

There are 25-30% of the general adult population in Europe. The wide-ranges are usually found in and in the face, while varsities may occur at any point of the lower limbs with more frequent distribution of the inner surface of the foot and along gastrocnemia. “As the main cause of varicose veins and wide ranges, we consider the deficiency of the valves of specific veins which as a consequence has increased the venous pressure on the feet with an early sign of the large tumors and, at a more advanced stage, the formation of varicose veins. Factors such as heredity, sharp and short-term weight gain as well as hormonal disorders associated with pregnancy, taking contraceptive pills, hormone therapy as well as excessive standing or sedentary life are also involved,” says Mr. Constantine N. Xeromeritis MD, PHD, MSC Angiosurgeon – Doctor of University of Athens, Director of Angiosurgical Medicine- Intracellular Laser of Venous Diseases Metropolitan General, Member of the Hellenic Society of Vascular & Intravascular Surgery and continues: “There is usually no symptomology or clinical picture that worries the patient beyond some mild wide-ranges. In its development, however, the condition can cause severe discomfort, pain, weight and sometimes severe itching, especially during the summer months. At more advanced stages this disturbing symptomatology can become unbearable to the patient’s daily life, but also very dangerous in case of venous thrombosis. As we know, the veins carry-return to the heart and lungs the unoxygenated blood. The veins of the feet are subject to very high pressure and must work much more than the rest of the body veins to carry on a permanent basis to the heart with flow-direction against its weight. Blood normally flows from the surface to the deep vein network. These two networks communicate at two points (clear and clear-nosed confluence) and with the intermittent (intermediate) veins that each carries inside from a valve. When the valves are inadequate they do not prevent the opposite downward flow of blood, the blood regurgitates, increases the internal pressure on the walls of surface veins resulting in the veins expanding and swelling and the blood pooling inside them (kirsos)” it complements. What are the differences between wide-ranging and varsity? Although most of the time the cause is common wide-ranging and varsity are not exactly the same. “Spiderveins are capillary veins with color usually dark blue, purple or reddish appearing in the outer layer of the skin and may have a characteristic circular pattern that resembles spider web or even being completely independent of other adjacent veins. The varsities are usually enlarged, overflowed, in network formation like cord veins, in deeper than the wide layers under the skin and color like the skin or in shade of blue. Cursus as an evolutionary process of venous deficiency can cause pain, cramps in calm, swelling, feeling tired and weight, ” notes Mr. Insider Laser and hard therapy, which method precedes and why? Statistically, about 30% of people with wide-ranges do not have venous varicose veins, but suffer from a deficiency in the valves of the major or minor saphenous vein. In this category of patients no symptomology is usually observed. Therefore, “the insufficiency of central venous strains, which causes blood regurgitation and increased venous pressure on feet, must be treated first in an invasive manner, so that the hard treatment of the tumours that will follow will have the expected outcome,” he explains. How is hard therapy performed? During hard therapy, a chemical called sclerotic (polydocanol) is injected with a needle of very small diameter into many different capillaries (vulcans). This substance irritates these veins internally and causes an inflammatory reaction leading to fibrosis and sealing of their backyard. Over time (within the next weeks) they are absorbed by the body giving a much more beautiful aesthetic skin. During hard therapy redness, bruising and pigmentation of the skin may occur which weaken over time. A number of sessions are required every 2-4 weeks usually and for the exact number of sessions no provision can be made before the process begins. Minimal invasive treatment of varicose veins “As regards the surgical treatment of the varsus that should be preceded, patients should be aware that intravenous therapy is now becoming completely painless, fast, bloodless and with an excellent functional and aesthetic result thanks to the new generation of the intraaural laser. The internal exclusion of major laser saphen is nowadays a very safe and relatively low-cost surgery,” the expert points out. According to the latest guidelines- Recommendations of Deutsche Gesellschaft für Phlebologie, European Phlebology Society and the American Venus Forum, it is recommended that venous deficiency should be remedied instead of conservative therapy. “Also at the earliest stage, the better the immediate and long-term results. The patient does not experience the disturbing symptoms of the condition, does not fill varsus over time, but most importantly, is not at risk of thromboses,” concludes Mr.