Many individuals hold the misconception that varicose bulging (protruding veins) is merely a cosmetic concern if it does not cause immediate pain. However, superficial conclusions from non-specialized facilities can allow the underlying pathology to progress silently to advanced stages without clear warning signs.

The case of Mr. D.B. (47 years old, Russian national) demonstrates the specialized diagnostic and treatment capabilities in Vietnam, which are increasingly gaining trust within the international community.

The Journey To Finding Peace Of Mind In Vietnam

For over a decade, Mr. D. lived with large varicose bulging on his right lower leg. He had previously sought medical consultation abroad, but the doctors there concluded it was only a cosmetic issue requiring no medical intervention.

After three years of residing in Vietnam, Mr. D. found the environment ideal for living and his career flourishing. Planning for long-term settlement, he became acutely aware of the severity of his condition and decided to seek a specialized medical facility for a more definitive evaluation.

He shared: “I find Vietnam to be an excellent place to live and work. However, I want to ensure I am in peak health to fully enjoy my life here. After doing my research, I chose Dr. Vein because I noticed the facilities and protocols here are highly professional, easily matching specialized hospitals abroad.”

Varicose Bulging: Risk Of Vascular Rupture And Impact Injuries
Varicose Bulging: Risk Of Vascular Rupture And Impact Injuries

Diagnostic Results Via Doppler Ultrasound

ThS. BS.CKII Le Kim Cao directly performed the Doppler ultrasound to comprehensively assess the internal venous system. The results revealed critical issues that previous diagnoses had overlooked:

Pathological Venous Reflux: The valves in the Great Saphenous Vein (GSV) had completely failed, causing blood to flow backward toward the feet instead of the heart. The reflux duration exceeded 5 seconds, while the pathological threshold is only 0.5 seconds.

Extensive Venous Dilation: The main GSV trunk was significantly dilated, with a diameter reaching 8-20mm. Compared to a normal vein diameter of approximately 4-5mm, Mr. D.’s vessel had expanded 4 to 5 times its normal size.

This severe varicose bulging had been a long-standing source of anxiety for Mr. D. With the bulging veins situated just beneath the skin’s surface, he experienced distinct pain upon any accidental impact and constantly feared the risk of vein rupture causing subcutaneous bleeding.

Diagnosis: Chronic Venous Insufficiency – Clinical Stage C2.

Kết quả chẩn đoán qua siêu âm doppler
Diagnostic Results Via Doppler Ultrasound

Medical Insight

An absence of chronic pain does not equate to healthy blood vessels. Ultrasound results confirmed that the venous valves were damaged, leading to severe blood stagnation within the vessels. At this stage, although skin pigmentation changes have not yet occurred, the presence of excessive varicose bulging increases the risk of injury from external forces.

Even minor impacts at the site of the veins could cause vessel rupture or lead to localized wounds that are difficult to heal. Early intervention is essential to prevent more dangerous complications, such as superficial thrombophlebitis.

Modern Combined Treatment Protocol

Impressed by the professional consultation and clear medical data, Mr. D. felt completely confident in choosing a combined minimally invasive protocol:

  • EVLA (Endovenous Laser Ablation): Utilizing laser energy to permanently close the diseased vein from the inside through thermal action, eliminating the root cause of the pathology without open surgery or significant scarring.
  • MULLER: Removing the varicose bulging clusters through micro-incisions (1-2mm), ensuring effective treatment and restoring the functional health of the legs.

Post-Treatment Care Instructions

To maintain long-term results, the doctor instructed Mr. D. to adhere to a specific lifestyle regimen:

  • Maintain gentle daily physical activity, such as walking or cycling, to support blood circulation.
  • Limit postures that increase venous pressure, such as squatting, crossing legs, or prolonged standing/sitting in one position.
  • Use medical compression stockings as prescribed.
  • Control body weight and incorporate high-fiber foods into the daily diet.

The story of Mr. D.B. emphasizes that varicose bulging should not be viewed solely from a cosmetic perspective. The trust of international patients in specialized facilities in Vietnam confirms the decisive role of accurate pathological identification in protecting vascular health.

Contact Information

Dr. Vein Vascular Clinic

Register for a consultation with a specialist doctor now!

    Full Name *

    Phone *

    Epidemic status