Occlusive arterial limb disease,Vein disorders including varicose veins,Chronic venous insufficiency, Carotid disease, Hemodiyalysis access and thoracic outlet syndrome are practices by staffed surgeons. Services include diagnostic angiograms,carotid dublex, perpheral arterial and deep venosis ultrasound.

Varicose Veins:

When the veins are becoming enlarged and tortuos they are defining varicose veins.Vein have leaflet valvas inside and these leaflets protect to blood from flowing backwards.When they loose their ability to meet,blood flow escapes to backward andveins become varicose.There are two system in the leg.One of them is superfisial and the other is deep. Most of varicose veins are in the superfisial veins.

Risk Factors:
Gender:İt is comman in women than man.

• Pregnancy
• Obesity
• Menopause
• Aging
• Nonsurgical Theraphy.

Schlerotherapy:

İt is based on enjecting medicine in to the veins to make them shrink.İt is usefull for telangiectasias and reccurren varicose veins after stripping.

Complications:

Thrombophlebits, subsequent skin pigmentation, ulceration, anaphylactic reaction

Elastic stocking

Exercise

Surgical Theraphy:

Stripping:

Consists of removal of all part of saphenous vein main trunk. %90 percent of blood return to the heart by deep veins so removing superficial veins can be removed without seriou complication. Operation were performed under general or spinal anesthesia. İf necessary schlerothrapy combined with stripping.

Complications:

Deep vein trombosis, Pulmoner embolisim, Wound complication
The patient is admitted to the surgical ward where he or she will be staying for two to four days. The first control examination will be one week after the discharge from the hospital.

CHIVA:

Under local anesthesia 1 to 4 small incisions is made. Varicose veins disconnected the abnormal flow due to valvuler incompetence which dilates them.