Surgical Treatment for Varicose Veins

Several techniques have been performed for over a century, from the more invasive saphenous stripping, to less invasive procedures like ambulatory phlectomy and CHIVA. Stripping consists of removal of all or part the saphenous vein main trunk. The complications include deep vein thrombosis, pulmonary embolism, and wound complications including infection.

CHIVA is an acronym from the scientific paper published in France in 1988. CHIVA relies on a hemodynamic impairment assessed by data and evidences depicted through ultrasound dynamic venous investigations. According to the new concept, the clinical symptoms of venous insufficiency are not the cause but the consequence of various abnormalities of the venous system.

For example, a varicose vein being overloaded, may be dilated not only because of valvular incompetence but because of a venous block or arterio-venous fistulae and so the treatment has to be tailored according the hemodynamic features. It generally consists in 1 to 4 small incisions under local anaesthesia in order to disconnect the varicose veins from the abnormal flow due to valvular incompetence which dilates them.

This method leads to an improvement of the venous function in order to (1) cure the symptoms of venous insufficiency as varicose veins, legs swelling, ulcers; (2) prevent varicose recurrence due to progressive enlargement of collateral veins which replace and overtake the destroyed veins; (3) preserve the superficial venous capital for unpredictable but possible need for coronary or leg artery vital by-pass which increases with aging.

CHIVA definitely falls into a research category and should be continued as such until sufficient evidence of its validity is generated. Unfortunately at this stage, the best available publication of CHIVA outcomes that meets current methodological standards is a study where a long term randomized trial CHIVA vs stripping restricted to Shunt I varicose configurations.

That is the reason why only 30-35% of patients with varicose veins can be treated with CHIVA despite there being some bias in the selection of patients favoring CHIVA. This study showed that there were recurrent varices in 18% of cases treated by CHIVA vs 38% treated by Stripping which is so far the gold standard treatment of varicose veins.

Cryosurgery: A cryoprobe is passed down the long saphenous vein following saphenofemoral ligation. Then the probe is cooled with NO2 or CO2 to a temperature of -850. The vein freezes to the probe and can be retrogradely stripped after 5 sec of freezing. It is a variant of Stripping. The only point of this technique is to avoid a distal incision to remove the stripper.

When treating varicose veins, topical application of VenousBalm-Rx treats the problem on a cutaneous level utilizing the powerful forces of its monoterpenes. These micro particles provide the most rapid absorption; they enter cell membranes with incredible swiftness and have a direct antispasmodic and analgesic effect.

Studies of medicinal plant extracts in VenousBalm-Rx demonstrate they improve venous circulation; they penetrate into all dermal layers and provide fast action against varicose veins. They circulate through the skin and into the system. VenousBalm-Rx not only has a direct astringent effect against varicose veins but provides total systemic support.

VenousDrops is an all natural dietary supplement for the treatment of varicose veins and venous insufficiency; it can be used in tandem with VaricoseBalm-Rx. VenousDrops enhance venous circulation, strengthen immune parameters and safely act as a blood decongestant, thereby systemically unraveling twisted veins causing varicose veins.

VenousDrops botanical extracts have been shown to improve microcirculation, capillary flow, and vascular tone, and to strengthen the connective tissue of the perivascular amorphous substrate. Oral supplementation with VenousDrops is concentrated with bioflavonoids which have shown beneficial to prevent time-consuming, painful, and expensive complications of varicose veins.

All of NaturesPharma’s extracts are purchased direct from a small elite group of cultivators who harvest solely for the medicinal plant industry. The medicinal quality standards required are keenly understood and undertaken with great passion. To learn more, please go to http://www.naturespharma.org.