The only method which does not destroy the vein.
The varicose vein modern treatment: C.H.I.V.A
C.H.I.V.A. (The ambulatory conservative hemodynamic correction of venous insufficiency) – is a method of minimally invasive surgical treatment of the varicose disease, that has been developed in France. It is a method that implies a low rate of relapse. It is performed under local anesthesia, it is comfortable for the patient and ensures, at the same time, very good aesthetic results.
C.H.I.V.A. technique is based on the concept of the adjustment of the altered venous hemodynamics, while deliberately keeping certain venous segments which may have an essential importance for the patient, as far as a future possible surgical intervention is concerned.
C.H.I.V.A. adjusts the venous flow through the driven excision and targeted ligature of certain altered venous segments. The driven intravenous access is based on preoperative Duplex ultrasonography, which allows the doctor to identify the patient’s venous anatomy by identifying the insufficient venous valves, thus being able to guide the necessary adjustments.
C.H.I.V.A. advantages and benefits:
- The effective treatment of the varicose disease, with a minimal relapse rate, without significant postoperative complications, without pain.
- The recovery of the normal venous hemodynamics
- It ensures the keeping of the most important veins, which may be indispensable if the patient undergoes certain coronary or peripheral by-pass surgeries (in order to save a limb that is affected by an arterial obstructive disease while in final ischemic stage).
- Minimal invasive treatment – micro incisions of 2-5 mm- which avoid the injury of the nerves or of the adjacent lymphatic vessels.
- Local anesthesia- without the use of narcotics
- Mobilisation in 60 minutes, discharge on the same day.
- It allows the patient to get back to his/ her daily activities.
- Very good aesthetic results.
- This kind of treatment may be applied even to elder patients or to patients who suffer of multiple associated diseases and present high surgical risk.
- It may be applied to any varicose disease stage.
- It brings forth very good results in the treatment of varicose ulcer and dermatitis.
How does the C.H.I.V.A. procedure work?
1. The preoperative marking established through the Duplex ultrasonography is an important step and an integrating part of the intervention: on the tegument, the points where the superficial venous system must be interrupted and the flow redirected are identified and marked.
2. While the patient is under local anesthesia and intravenous analgosedation, 4 – 10 micro incisions (2-5 mm) are performed according to the preoperative marking, through which the insufficient vein is taken out with special instruments. Then the venous ligation is carried out at the level of these points previously established by the Doppler ultrasonography.
3. The micro incisions will next be covered with small self- adhesive bandages, made of special paper, no suture threads needed.
4. Sterile bandages and elastic bandage are to be applied on the whole length of the limb, the patient being subsequently taken to their ward.
Result:
The venous pressure lowers. The diameter of the dilated veins comes back to normal in maximum 6-8 weeks since the surgical procedure.
Preoperative preparation:
- The evening before the intervention, it is recommended that the patient washes with Betadine-based soap and removes the hair of the target area with hair removal cream (NOT shaving razor).
- No eating 8 hours prior to the surgery.
- No liquids 5 hours prior to the surgery.
- The patients must take certain blood tests, so as the staff to be able to establish the preoperative biological parameters: haemogram, hepatic function, renal function, coagulation – all of these will be indicated by the specialist physician.
- Electrocardiography (EKG/ ECG).
- The patient must wear a compression (elastic) stocking the first 3 months after the surgical procedure.
- The patient must provide their medical history, ID Card, health record booklet.
