FAQ
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Frequently asked Questions about Laser /RF Treatment

Will my pain disappear with this treatment?
Most of the pain related to varicose veins like heaviness, swelling disappear after the treatment. But some patients have pain related to back which require local treatment in the form of gel, hot fomentation and physiotherapy.


What is the cost of Varicose veins treatment or procedure?
There are several packages @ type of procedure to be done depending on size and extent of abnormal veins involved like laser, RF, Glue or foam sclerotherapy to ablate these veins.


How long is the procedure?
Every procedure may take approx 30mins for one leg and around 60mins for both the legs. You are discharged on the same day after the procedure.


What kind of anesthesia is used for varicose veins surgery?
More than 90% of the patients tolerate local anesthesia very well.


How much is the pain during laser treatment for varicose veins?
You may have very little pain of needle prick during the procedure. There will be 3-4 small needle pricks to introduce local anesthesia and important thing is that most of the patients can tolerate it very well.



Do I need overnight admission?
Most of the patients can be discharged as a day care and in certain special situations admission is required.


When can I go home?
You can go home immediately after procedure walking on your feet and can do most of your daily routine activities on the same day itself.


Do I need to be fasting?
Not really. You may be asked to remain fasting in very rare situation where general or regional anesthesia is used for your surgery.



Do I require shaving of my legs before surgery?
No, it’s not required.


How long do I need to wear stockings?
2-4weeks.


What medication do I have to take post surgery?
Some antibiotics and pain killers for 3-5days depending upon method of surgery chosen to treat your disease.


When can I start jogging after surgery?
After 4-6 Weeks


How would I feel after my surgery?
a. You may have some bruise on operated limb which will disappear after 6-8days
b. You may have some cord like sensation over operated limb which usually disappears within 2-3weeks
c. If you were undergone foam sclerotherapy, you will have mild itching for 2-3days along with small lumps over injection site which all disappear within 2-3 weeks.
d. Some patients may develop lumps which may get resolved by 3-6 months.
e. 3-5% of the treated patients may notice skin discoloration if the treated veins are very close to the skin.


When can I play golf?
You can play golf from next day.


When can I travel?
Immediately after surgery if done under local anesthesia.


Do I need to report back?
If possible after 2 weeks just to look for any possible residual veins for minor treatment in the OPD.


Will my skin discoloration vanish with this treatment?
It may disappear in some cases


Is there any chance of recurrence after successful treatment of varicose veins?
On an average 3-5% chances of recurrence is reported after successful surgical treatment of varicose veins.


What are the mechanism of action of compression stockings?
The stockings work by exerting the greatest degree of compression at the ankle, with the level of compression gradually decreasing up the garment. The pressure gradient ensures that blood flows upward toward the heart instead of refluxing downward to the foot or laterally into the superficial veins. The application of adequate graduated compression reduces the diameter of major veins, which increases the velocity and volume of blood flow. Graduation compression can reverse venous hypertension, augment skeletal-muscle pump, facilitate venous return and improve lymphatic drainage.It also initiates complex physiologic and biochemical effects involving the venous, arterial and lymphatic systems, although the exact mechanisms remain unclear. One study that used near-infrared spectroscopy to monitor changes in tissue oxyhemoglobin and deoxyhemoglobin reported that limb oxygenation increased with the use of graduated compression stockings, especially with high-compression stockings. Another study showed that levels of proinflammatory cytokines (e.g., interleukin-1α, interleukin-6 and interferon-γ) in ulcer tissue in patients with active ulcers were significantly reduced following compression therapy.


How is the strength of compression stockings graded?
Graduated compression stockings are classified according to the sub-bandage compression pressure applied by the garment at the ankle level. The pressures are determined by the manufacturer based on laboratory measurements. The degree of pressure is classified into several standards. Unfortunately, there is no single standard used worldwide, which may cause confusion. In general
Class 1 or low compression: refers to pressure between 18mm to 20mm of Hg and used for mild varicose without any significant tendency to edema formation, early varicose in pregnancy, feeling heaviness and tirdness in the leg.
Class 2 or medium compression to pressure of 20-30 mm Hg: and used in severe varicose veins with moderate edema, mild post traumatic swelling, post minor ulceration, post sclerotherapy, post surgery.
Class 3 or high compression to pressure of 30-45 mm Hg: used in severe chronic venous insufficiency with edema formation.
Higher compression to pressure of 46- 56 mm of Hg: used in Lymphatic swelling and elephantiasis. The overall pressure is affected by factors such as the elasticity and stiffness of stocking material, the size and shape of the wearer’s legs, and the movements and activities of the wearer.


What are Complications of compression stockings and their treatment?
The stockings are generally safe to use, with relatively few complications. Poorly fitting stockings can cause discomfort and, at worst, pressure necrosis. The use of graduated compression stockings on legs with impaired arterial flow can worsen ischemia. Patients who are allergic to the stocking material may develop contact dermatitis, skin discoloration and blistering.Textile properties, including fabric roughness, thermoregulation and dye, may contribute to skin reactions. Many complications of graduated compression stockings are preventable if patients are assessed, measured and fitted appropriately. If complications occur, many are easily overcome by refitting the stockings, changing the material, applying an emollient and reducing the degree of compression. Accurate measurement of the limb diameter that conforms to the stocking manufacturer’s guidelines should be performed by a trained health care professional.


What are Contraindications to graduated compression stockings?
The stockings are
• Suspected or proven peripheral arterial disease, including history of peripheral arterial bypass grafting
• Severe peripheral neuropathy or other cause of sensory impairment
• Allergy to stocking material
• Massive leg edema or pulmonary edema from congestive cardiac failure
• Local skin or soft-tissue condition, including recent skin graft, fragile “tissue paper” skin, gangrene, oozing dermatitis and severe cellulitis
• Extreme deformity of the leg, or unusual leg shape or size preventing correct fit


How to wear stockings?
I. Sit down in a comfortable position with your legs raised
II. Tern the stockings inside out upto the heel pocket
III. Wear the foot portion of the stockings up to the heel pocket and ensure that the heel is correctly placed in the heel pocket
IV. Pull the remaining reversed portion up to the leg
V. Ensure that the stockings is not pulled up at a stretch. Stop at regular intervals to smoothen in case of any wrinkles and continue pulling upwards
VI. Once the product is worn smoothen out the wrinkles with gentle upward motion of the hand
VII. Never over pull the stockings which will result in the formation of tourniquet at the top. Remember incorrect way of application will not give you the desired results.


What are the precautions to avoid damaging the stockings?
• Rings, bracelets and other jewellery should be removed before wearing stockings
• Ensure that the hands and legs are dry before wearing stockings
• Do not use shoes or sandals with sharp or tight areas which could damage the stockings
• Make sure that the products does not come in contact with sharp objects while worn
• Never over pull the stockings
• Do not pull or cut the loose threads from your stockings
• Do not wear stockings without footwear


How to wash and care the stockings?
• Use only luke warm water (400C)
• Use mild detergents only
• Rub dirty spots with sponge soaked in mild detergent
• Do not twist the stocking
• Lay on a flat surface for drying (don’t hang on rope)


Why Brij Laser and Laparoscopic Centre for Varicose veins surgery?
• 500+ Successful varicose veins surgeries.
• 100% Success with instant result.
• Post surgery No complication.
• Hassle-free Insurance Approval
• All Insurances covered
• No Hidden Charges
• Paperwork by Brij Laser and Laparoscopy team on your behalf
• Cashless Insurance Facility
• Private Room for Patients.
• Covid Free Hospital, Doctors & Staff.
• Easy follow ups @ patient's convenience.
• Maintains very good Doctor and Patient relationship.


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