Op. Dr. Orhan Coşkun
The treatment methods for varicose veins, once predominantly surgical, have diversified with the incorporation of technology, and new treatment approaches are continually being added. The fundamental principle in these treatments is the elimination of the diseased vein, terminating its function, or, in other words, drying it out. Laser treatment accomplishes this with laser energy, radiofrequency treatment uses radio waves, foam treatment employs chemical means, steam treatment uses vapor heat, and adhesive treatment utilizes a biological resin substance. Regardless of the method used, the eradicated diseased vein is gradually cleared by the body’s protective systems, rendered harmless, and eventually disappears.
There are differences in application methods, locations, and forms of treatment among the various approaches. While a single treatment method may be sufficient in some cases, combining methods is also possible in others.
Another crucial aspect, apart from the treatment methods, is that varicose vein patients have unique conditions, and their diseases may not be identical. The location and extent of venous insufficiency can vary in each patient. Some patients may not have deep insufficiency, while others may have experienced vein blockages in the past. There are countless combinations of conditions that can occur simultaneously, beyond what can be listed here.
Therefore, there is no concept of the “best varicose vein treatment.” Instead, there are treatment options that are most suitable for each individual’s condition, and determining this should be done by an experienced cardiovascular and vascular surgery specialist. Otherwise, valuable time may be lost with temporary treatments addressing only current complaints instead of achieving a permanent, comprehensive solution. Unfortunately, patients in such situations often seek medical attention years later with chronic venous insufficiency and varicose ulcers in their legs.
With the dissemination and easy accessibility of information, our patients are now requesting specific treatment methods. There are requests like, “I want foam treatment,” or “I want laser treatment.” While we certainly consider these preferences, our primary focus is to offer the patient the most suitable treatment, one that will permanently and effectively eliminate their condition. In summary:
“The best treatment is the one tailored to the individual.”
