Cardiovascular Surgery

Veins lose their elasticity with age progression. This causes strain, hardening, and bubble grow of veins. After this incident, the tiny valves that allow one-way flow become unable to function properly.  The blood towards your heart makes an escape back from these valves and fills your veins with hardened walls that lost elasticity. By pushing outwards, it creates the appearence of varicose veins on the skin.  

Especially women are more unfortunate in varicose veins. Female hormones tend to distort the elasticity and loosen the walls.  Since the disease is seen in both sexes, two thirds of women and one third of men is known to come up with complaints.  

Spider varices (red and thin like a spider web) are typically found in women. Although thought to be a cosmetic problem, it causes pain and ache if not treated. Unfortunately, progression of varicose veins doesn’t stop by itselves and as age increases, the development is so much faster. Standing occupations, pregnancy, lack of exercise, disease, excessive weight gain cause simple varices, and later leads to chronic vascular insufficiency, varicosis ulcer and excessive strain of systematic circulation.  

What can you do to protect?

• Review the risk factors!
• Working in sitting position
• Too much standing or remaining still at work
• Not performing any sport
• Driving from home to work, refrain from walking, using an elevator, travelling a lot
• Smoking and excessive alcohol use
• Not knowing the effects of continuous use medicines to veins
• Liver disease
• Excessive exposure to heat (hot bath, too much sun and sand bath, hot mud baths,etc)
• Mother, father, and close relatives that have varicose veins
• Pregnancy and obesity

• Take your doctor’s opinion for risk factors you can change of
• Make your legs rest at every opportunity possible and in all appropriate environment by laying them on upper level of the heart (2-3 pads) and rest your legs (3-4 times per day, 10-15 minutes)
• When you return home, start resting by lifting your legs while lying your head and body back, then put your legs against a safe place and make them rest for about 10-15 minutes.
• During travelling, choose where you can sit without twisting your legs but extending them. If there is opportunity in long distance journeys, you must give a break in every 2 hours and walk instead of sitting or just standing.
• If recommended by your doctor, you can use compression stockings by his proper pressure values.

We are lucky that treatment no longer means to be hospitalized. Today, outpatient treatment can be offered without leaving your ordinary life.  

Treatment Options:  

Sklerotherapy:

Indise a small and medium-sized varicose (taking into consideration that there are no working venous blood vessels) solution is injected for closing. Bandaging, used methods and patient compliance is important in the treatment. 

Transcutaneous Laser Treatment:

In elimination of 4mm or smaller varicose veins by this laser technique, superficial capillaries of the skin are painlessly burnt.  

Ambulatory Flebectomy:

Pulling of small veins by a thin medical instrument. A small scar can be left during drill.  

Ven Stripping:

Longitudinal stripping then withdrawing of a long incision from a small cut. Patients usually return to normal activities in 2 weeks. 

Endoscopic Ven Surgery:

It can be used in severe varicose diseases that cause leg ulcer.  

Endovenous Laser Treatment (EVLT):

It is intended to close saphenous vein from the inside using laser technology. A naked laser generated heat in the vein immediately cooks the blood in vein and help closure of the vessel.  

Endovenous RF Treatment:

A method aimed to close saphenous vein by using radio frequency instead of applying ‘ven stripping’ in classic surgery.