TREATMENT OF VARICOSE VEINS – How to choose the best method of treatment?

WHO IS DR. GALILI?

Head of the Clinic of Vascular Diseases at the MOR Institute in Tel Aviv.

Specialized and worked for 2 years in the United States where he mastered ultrasound-controlled sclerotherapy.
Has successfully treated over 40,000 patients from USA, Israel, Azerbaijan, Croatia, Romania, Bulgaria etc.

Varicose veins are a common problem. It is estimated that about 50% of women and about 20% of men have varicose veins and thus a medical condition called venous insufficiency. Several ways and methods are used in the treatment, from operations to minimally invasive procedures.

Each of these methods has good and bad sides to it, and the information available to the general public is often incomplete, so it is difficult for patients to choose or know what is best for them.

In addition, providing of correct information often depends on the experience of the individual doctor or the degree of his familiarity with that certain methodology. Namely, the methods used in such treatment, especially the newer ones, had not been a part of the standard education of doctors, so knowledge about it primarily depends on the individual’s comparative experience.

The UGS method of treating varicous veins by Dr. Yair Galili is completely non-invasive, no anesthesia or compression is required because the procedure itself is painless, and the patient can move in a completely normal manner immediately afterwards.

Which are currently types of procedures treating vein varicosities available?

For over a hundred years, vein operations have been performed to treat varicose veins. It is a well-known technique that is part of the regular training of doctors and is performed in most healthcare institutions. It basically boils down to surgical removal of the large femoral vein, which is often the main source of the problem. The advantage of this method is that it is available in a large number of health institutions, but it is werrš’ll known that more than 70% of cases cannot be solved this way, that is, the problem returns to the vast majority of patients after some time. In addition, it is a surgical procedure with all the risks and inconveniences. This includes hospital treatment, general anesthesia, postoperative treatment and the risk of accompanying complications.

Varicose sclerosing, in which a sclerosing solution is injected into enlarged veins, has been a very popular procedure for years. It is done on an outpatient basis, it is minimally invasive, but the main disadvantage is that it cannot solve the problem, because varicose veins are sclerosed, which are the consequence, not the cause, of the problem.

Laser ablation, radiofrequency ablation and steam ablation are newer and very popular methods that are performed under local anesthesia, through a day hospital. They are also popular among doctors because they can be learned quickly, and there is significant marketing support from equipment manufacturers. However, the results are not fundamentally better than surgical methods. Namely, only some veins are “removed” with these procedures, mainly the large femoral vein, and only if they are straight, i.e. they do not have significant bends (convolutes). So, it is done “blindly”, and it is known that most patients have more than one insufficient vein.

UGS method according to Dr. Galiliu is performed by finding the vein that is the cause of the problem under ultrasound control with the Doppler effect and injecting a drug solution into it that leads to local inflammation with consequent fibrosis.

It is a natural process that ends the inflammation, which leads to the closure of the diseased vein and the redistribution of blood flow to healthy veins, thus establishing normal circulation.

One of the most experienced experts in the world, with more than 30,000 UGS procedures performed over the past 20 years, is Dr. Yair Galili, who has been cooperating with the K-centar Polyclinic in Zagreb for more than 8 years.

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