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Lasers for Varicosis

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Varicosis, with a prevalence of 30% to 50%, is one of the most frequent disorders in adult life. It is not surprising that a lot of different therapeutic approaches have been offered. According to the lay press, the problem of treating varicosis has been solved due to arrival of the laser. Many people with different expressions of varicose veins have been seeking medical treatment by laser-doctors and are hoping for cure and reinstitution of juvenile legs on a minimal effort basis all the while their insurance is paying the expenses.

Reality unfortunately is different. Varicose veins can be very variable and therefore need to be treated by different means. Use of a laser is in many cases not necessary. Its use can even be contraindicated as conventional methods lead to better results, have lesser risk and can be cheaper.

There are but two types of varicose veins that are ideal to treat by laser: either teleangiectasias of red color measuring 0.2 to 0.4mm diameter, thus being too fragile for sclerotherapy or insufficient perforating veins.

In the following discussion, after a short description of cosmetic teleangiectasia therapy, we will present the laser discission of perforating veins, a method the authors have been using successfully for years.

Points to remember: Greenlight-Laser for Medium and Fine Teleangiectasias, Nd:YAG-Laser for the Discission of Insufficient Perforating Veins

Document Type: Research Article


Affiliations: Hirslanden Klinik Aarau, Aarau, Schweiz

Publication date: December 1, 2003


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