DE4421695A1 - Varicose vein ligation procedure - Google Patents

Abstract

Small implants with suitable applicators or injectors are inserted without opening the skin so as to compress the small surface vessels, using refined steel or elastic hypoallergenic plastics. Preferred implants come in vessel-compressing clip or clamp form, inserted in the skin together with the appropriate applicators or injectors. This method is suitable for the treatment of reticular varicose veins, telangiectasia, naevi flammei, haemangioma. The clips as inserted enclose the vessels to give a localised long-term tie-off, or again the implants can be so small as to be indiscernible. Assuming the vessels to be 2 mm at most in diameter, the clip crosspiece is at most 3 mm in width, using clip wires of a few tenths of mm in diameter. Implants injected from the surface must remain in place for a long period as compressive fibrous closure can take some time for full effect.

Description

Spider veins and reticular varices are cosmetic stressful and mostly occur in women. You don't have one Disease value. These superficial vein enlargements can So far, treatment has been inadequate and sometimes dangerous.

These treatments consist primarily of intravascular ones Injections of various sclerotherapy solutions (sclerotherapy) into the skin without local anesthetic using thin cannulas be introduced and lead to inflammation and subsequent Bonding of the vein walls and thus the enlarged veins close.

These sclerotherapy therapies often fail or only succeed imperfect because the vessels are very thin and their lumens only are hard to hit. As undesirable effects of this Injections can cause inflammation, necrosis, and ulcers Pigment disorders occur as well as toxic or allergic Reactions.

Telangiectasias are Naevi flammei, Spider naevi and Haemangiome superficial enlargement of arteries or capillaries, the nowadays with argon or yellow light lasers as well Electrocoagulation are usually easy to treat.

However, these vascular changes lie deeper in the skin or are of larger diameter or proliferate strongly or if they are poorly supplied with blood, the lasers can only do this insufficient help.

The forms of therapy discussed (sclerotherapy, Electrocoagulation, laser) use intravascular damage to the Vessels to close them.

The aim of this invention is to lay superficially visible Extensions of the smallest venous and arterial vessels by one targeted extravascular longer-term compression reliably close.

This compression can be done very easily and reliably done by putting very small brackets, clamps or clips through the uninjured or unopened skin is placed around the vessels which then becomes a localized, longer-term ligature of the vessels.

The compressing, superficial implants for compression the vessels can be so small that they can hardly be found in the skin are recognizable. One has to imagine that these have been discussed Vessels have a maximum diameter of 2 mm (on average about 0.5-1 mm), d. that is, for example, the staple implants only must have a maximum web width of 3 mm. The staple itself only needs a diameter of a few tenths To have millimeters.  

If small clips are used as implants, they can can be kept even smaller.

These implants can be used with proven injectors or Applicators preferably shot into the skin without anesthetic will. The patient only notices a short stitch.

With this new method, many can be done in a very short time these little vessels through the unopened skin ligate reliably. The injector is placed over the targeted vessel positioned on the skin and then the compressing Shot in implant. The implants must be in the long term Skin remain, since the compression takes only a few weeks fibrous occlusion of the vessels will result. Because of their small size however, they do not affect the patient. You can in the Color tones are chosen so that they correspond to the skin color.

The undesirable effects of sclerotherapy mentioned at the beginning naturally do not occur with this method. This new one The process is also much more effective or can be Guarantee of success will be given what the attractiveness of the Treatment increased significantly.

Another advantage of this innovation is that Speed and guarantee of success of the procedure in that superficial, visible vessels of any kind with only one Procedures can be ligated.

The result is an excellent opportunity even for fire painters and to be able to effectively and precisely treat blood sponges that the Laser therapy are no longer accessible.

Another advantage of innovation is that the required injector and implants only one Make up a fraction of the cost of a laser. Let the cost decrease even further if reusable injectors or Applicators are used.

In summary, the following is about this innovative Treatment procedures to say:

For the first time, it enables reliable, quick and easy as well without side effects and very inexpensive superficial Vascular enlargements of any kind are patient-friendly in the long term to compress and seal it.

Claims (4)

1. A method for ligation of small superficial vessels, characterized in that small implants compressing the vessels are introduced into the non-opened skin using suitable applicators or injectors. 2. The method according to 1, characterized in that the implants from appropriate materials such as stainless steel or elastic, hypoallergenic plastics. 3. The method according to 1 and 2, characterized in that as compressing implants small clips, clamps or clips can be used with suitable applicators or Injectors are inserted into the skin. 4. The method according to 1-3, characterized in that with the help this procedure spider veins, reticular varices or Telangiectasia, naevi flammei, hemangiomas and spider naevi be treated.