When valvular insufficiency progresses over a long period, subcutaneous blood vessels will swell into large bulging varicose veins. This is a characteristic physical lesion of stage C2, requiring a specialized intervention regimen to address the internal cause and directly remove the dilated superficial blood vessel masses. The story of Mr. K.K. (59 years old, Canadian nationality) is a testament to the effectiveness of a modern combined intervention regimen.

Clinical Symptoms: Over a Decade of Living with Dilated Veins

Mr. K. came to Dr. Vein with highly characteristic clinical signs that had persisted for over a decade. Throughout both of his legs, there was a dense appearance of large, tortuous, and swollen bulging varicose veins under the skin’s surface, concentrated mostly in the lower leg area. Although no severe functional symptoms or swelling complications were recorded, the presence of these blood vessels that had lost their elasticity still caused significant obstacles in daily life. After years of considering medical options in Canada with long waiting times, he decided to return to Vietnam for consultation to seek a definitive, quick, and safe intervention solution during his stay in his homeland.

Clinical Symptoms: Over a Decade of Living with Dilated Veins
Clinical Symptoms: Over a Decade of Living with Dilated Veins

In-Depth Diagnosis: Damage to the Main Venous Axis

At Dr. Vein, MSc. Dr. Le Kim Cao performed a Doppler ultrasound to accurately assess the extent of physical damage. The ultrasound results recorded the pathology at a severe level:

Reflux flow in the great saphenous veins of both legs lasted up to 5 seconds. This index indicates that the one-way valves inside the main venous axis had completely lost their function.

Multiple bulging varicose veins in the lower leg area of both sides were excessively dilated due to enduring immense pressure bearing down on the lower limbs for 10 years.

Final diagnosis: Lower extremity chronic venous insufficiency stage C2.

Comprehensive Treatment Regimen: Combined Intervention

Facing a clinical case with extensive damage at stage C2, the doctor advised a dual intervention regimen to comprehensively address the internal reflux axis and the external dilated blood vessel masses:

  1. EVLA (Endovenous Laser Ablation) for both legs: This technique uses laser thermal energy to ablate and collapse the incompetent great saphenous vein. This method thoroughly addresses the main source of reflux from the inside, preventing the disease from progressing further.
  2. Ambulatory Phlebectomy (Muller’s method) for both legs: After controlling the main source of reflux, the doctor removes all the superficial bulging varicose veins through micro-incisions (1-2mm in size). The Muller method directly removes the dysfunctional blood vessel masses, radically improving the aesthetic factor and immediately reducing pressure on the lower limb surface.
Phác Đồ Điều Trị Toàn Diện: Can Thiệp Kết Hợp
Comprehensive Treatment Regimen: Combined Intervention

Doctor’s Advice for Foreign Patients

After the intervention, adhering to a conservative care regimen is a mandatory requirement to maintain long-term results. Mr. Kevin was instructed to:

Continue wearing class 1 compression stockings when standing or sitting for long periods, or during long flights back to Canada.

  • Limit postures that obstruct circulation such as squatting and crossing legs.
  • Increase appropriate physical activity through daily walking or cycling to enhance vascular endurance.
  • Maintain stable weight control and a scientific diet, rich in fiber from green vegetables and fruits.
  • Attend a follow-up check after 1 month for the doctor to evaluate the recovery level of the venous system.

Mr. K.K.’s case affirms that dilated blood vessel masses need to be assessed and treated promptly by specialists. The combined intervention regimen brought optimal medical effectiveness, giving the patient complete peace of mind when choosing to receive treatment in Vietnam.

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