- Surgical treatment of the adenoid (adenoidectomy) - The operation is aimed at removing the adenoid, restoring the normal breathing and opening the pharyngeal orifice of the Eustachian (auditory) tube. The surgery is done under general anesthesia.
- Surgical treatment of tonsils (tonsillectomy) - The operation is aimed at removing the tonsils, thus reducing the risk of subsequent local and remote complications /abscesses, joint and kidney diseases/. The surgery is done under local and general anesthesia.
- Surgery of a deviated nasal septum (septoplasty) - The operation of the deviated nasal septum - septoplasty- is aimed at restoring the normal nasal breathing. The surgery is done under local or general anesthesia. In the postoperative period, the patient is managed with bilateral nasal packing, which holds the septum in the medial plane. It is normal that the nasal packing may cause mucus and blood secretion in the first hours after the operation. The packing is removed in a couple of days at surgeon’s discretion, and antibiotics may be included in the postoperative treatment.
- Surgical treatment of cataract - The cataract surgery is the removal of the cloudy natural lens of the eye through corneal or scleral incision. The nucleus is extracted manually or by means of ultrasound. Following surgical removal of the natural lens, an artificial intraocular lens implant is inserted. The operation is performed with a microsurgical set of instruments under a surgical microscope.
- Surgical treatment of pterygium (external curtain) - Pterygium surgery usually refers to removal of the benign growth of the tissue in the inner side of the eye. The operation is performed with a microsurgical set of instruments under a surgical microscope.
- Surgical treatment of glaucoma (increased intraocular pressure) - Glaucoma surgery provides a new way of circulation of the intraocular fluid in the sclera and under the conjunctiva of the human eye.The operation is performed with a microsurgical set of instruments under a surgical microscope.
Oxycom Medical centre, Burgas, has established good practices in treatment of vein diseases. The centre is provided with all necessary equipment for invasive diagnosis of vascular, and in particular, vein diseases. The centre offers surgical interventions, sclerotherapy, peno-sclerotherapy; laser ablation of varicose veins. etc.
WHAT DOES "VARICOSE VEINS" MEAN?
According to various studies, varicose veins occur in approximately 40% of women and 25% of men. Heredity, gender, pregnancy, childbirth are some of the principal factors that influence the disease. Factors such as continuous upright body posture, overweight and injuries can accelerate the spread of varicose veins. Veins are blood vessels which transport blood back to the heart and the lungs. The one-way movement of blood in the veins is regulated by fine formations in them - venous valves. When these valves are damaged, it causes varicose veins. This health problem is characterized by swollen and enlarged veins in upright body posture, occurrence of venous stasis and chaotic blood circulation. In the early stages, the changes are only cosmetic. The lack of treatment hastens the disease progression and causes pain and heaviness of extremities, swollen ankles, skin changes, inflammations, ulcers, etc. The disease may affect the deep veins and cause the so called Deep Venous Thrombosis, which is a life-threatening condition.
To avoid serious vein damage, it is highly recommended that people practise sports, walk actively, avoid excessive standing or sitting in one position as it causes limb stiffness. Weight control.
Varicose veins are commonly found by the patients themselves. Through angiological examination, Doppler sonography and echographic test, physicians determine the stage of the disease and prescribe appropriate treatment. In the early stages of the disease , elastic stockings, various medication for internal and external application are used to reduce the unpleasant symptoms and swelling. In the advanced stages of the disease, it is required that the diseased veins be removed.
VARICOSE VEINS TREATMENT
Sclerotherapy is applied for treatment of capillary varicose and spider veins . This treatment involves injecting an appropriate quantity and concentration of a chemical called sclerosant in the vein through a thin needle. It causes a specific reaction of the vein leading to its obliteration. One or more sclerosing procedures are needed to achieve the desired result. Following the surgical or laser treatment, sclerotherapy could be performed to enhance the effect of it.
Foam sclerotherapy under echographic monitoring is applied to serious cases of skin change and ulceration.
Stripping is a standard surgical procedure which involves removal of the vein and its branches by means of a special metal or synthetic wire making several small incisions on the limb. The procedure is performed under spinal or general anaesthesia. Hospital stay up to 24 hours.
For a couple of years, new improved methods have been employed as an alternative to the surgical treatment /stripping/ These include radiofrequency and laser ablation, which are essentially very similar.
The procedures involve treatment on the inner surface of the vein, which helps reduce the risk and pain from vein removal.
At Oxycom Medical centre this procedure is performed by Dr Golemanov (more info http://razshireniveni.com), using the ELVeS system of the German company Biolitec AG.
Laser ablation is performed in a surgery room in sterile environment, under constant echographic control After the laser fibre is inserted into the vein, abundant quantity of anaesthetic solution is injected around the vein to protect the surrounding tissues from the thermal effect of laser beam during the procedure. The next step is switching on the laser and advancing the probe slowly along the course of the diseased vein so that it "contracts" and ceases functioning. Over the next few weeks, the body turns it into a connective tissue, which subsequently is completely resorbed. Miniphlebectomy and local laser vaporization proves to be an effective method for removal of collaterals.
When the procedure is completed, a tight bandage and a special medical compression sock are applied. Hospital stay is not necessary. After hospital discharge, patients can walk independently. In the first 24 hours after the procedure, patients are not allowed to drive, to walk alone in the street and to use public transport.
After the effect of the local anaesthesia have worn off, slight transient pains might be felt along the course of the vein.
As a rule, some bruising and tissue overgrowth appear around the treated vein.
Risks and complications:
/ These risks are common for all medical procedures, including the laser therapy. /
- Infection - an extremely rare case, as the procedures are performed in sterile environment in a surgery room. In case of necessity, antibiotics are prescribed.
- Unusually big subcutaneous bruises are further treated, if necessary.
- Rare cases report the formation of raised overgrowths of scar tissue called keloids.
- Brown skin pigmentation, which might have occurred, disappears over the time.
- Allergic reactions to the local anaesthetic, such as itching and rashes, are quite uncommon.
- Impaired skin sensations along the course of the vein, such as tingling and numbness, are reversible of nature.
- Lymph swelling of the limb is a very unusual case, which requires that patient wear an elastic bandage.
- Skin pigmentation and capillaries, which are further removed, might be presented in the area of lymph nodes clustering.
In comparison to the surgical method /varicophlebectomy/, the occurrence of complications due to laser treatment are less common.
Advantages of laser treatment:
- The best possible cosmetic results.
- No blood loss.
- Patients are able to walk immediately after the procedure.
- Their ability to work is not impaired.
- There is no need of general or spinal anaesthesia.
Laser treatment of varicose veins is a relatively new method. Laser treatment of varicose veins is not paid by the National Health Insurance Fund.