Spider Veins (Sclerotherapy) in Tunisia

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About the Spider Veins (Sclerotherapy)

Sclerotherapy is an effective and minimally invasive treatment of varicose and spider veins. It is also known as spider vein treatment. This procedure involves the injection of a solution directly into the affected veins, causing them to shrink and eventually disappear.

Varicose veins treatment can improve the symptoms of venous insufficiency. This therapy is the primary treatment for small varicose veins in the legs. It relieves some of the spider veins symptoms, including ache, burning, swelling and night cramps.

Why sclerotherapy?

Spider vein treatment typically results in the elimination of up to 50 to 80 percent of varicose veins that are injected with the treatment solution. It is a minimally-invasive procedure that ensures minimal recovery time as the treated veins tend to fade within a few weeks.                                                                                           

Best Candidates For Varicose Veins Treatment

Otherwise healthy people with venous insufficiency that is poorly controlled with compression stockings are the best candidates for sclerotherapy.

The eligibility of the candidate is decided based on the overall health of the patient and the area requiring treatment, in addition to the reason behind the clot in the vein. The dermatologist helps select the correct chemical sclerosing agent, which is then injected into the blood vessel to make it collapse.

This treatment is not suitable for pregnant women and females on birth control pills. Selected veins may not be treated using sclerotherapy if that vein could be put into use during future heart bypass surgery.

How is Spider Veins (Sclerotherapy) performed?

Sclerotherapy is performed in an outpatient procedure, under the supervision of an expert dermatologist or a cosmetic surgeon. In rare cases, patients may require hospital stay following the procedure.

During sclerotherapy procedure, a selected salt solution is injected directly into the vein with the help of a fine needle. This solution typically contains two sclerosants, namely sodium tetradecyl sulfate and polidocanol (Asclera).

The solution is usually in the liquid form. It works by irritating the lining of the vein, causing it to swell and block the flow of blood. Finally, the vein will become a scar tissue and disappear after some time.

Sometimes a foam version of the solution may be used, usually when a larger vein is involved. Foam is preferred over liquid in this case because it tends to cover more surface area than liquid.

You may experience mild discomfort and cramping for one to two minutes during the procedure, especially when larger veins are injected. Spider vein treatment usually takes approximately 15 to 30 minutes. The number of veins injected in one session depends on the size and location of the veins.

After the procedure is done, your doctor applies compression and massages the area to keep the blood out of the injected vessel and disperse the solution. 

There are several variations of the sclerotherapy procedure. The doctor may decide to use laser or ultrasound during the procedure for better guidance and results. The sclerotherapy cost for such procedures is higher than simple injection approach.

Recovery from Spider Veins (Sclerotherapy)

You will be able to get up, walk around, and drive yourself home after sclerotherapy procedure. You can resume your regular daily activities on the same day of the procedure. Walking and moving your legs are encouraged to prevent the formation of blood clots.

After sclerotherapy, you will be instructed to wear support hosiery or bandages to "compress" the treated vessels for about two weeks. Your doctor will probably advise you to avoid strenuous exercise and exposing the treated area to the sun for two weeks after the procedure.

In addition, your doctor will ask you to avoid aspirin, ibuprofen, or other anti-inflammatory drugs for at least 48 hours. Tylenol may be used if needed. Usually, it takes three to six weeks to respond, and larger veins respond in three to four months. Spider veins or varicose veins will not reappear if the treated veins respond to sclerotherapy. 

Usually, sclerotherapy works for most of the patients, but there is no guarantee for success. Any procedure where the skin is penetrated carries a risk of infection. But the chances of infection requiring antibiotic treatment is estimated to be less than 1 in 1,000.  

A few patients may experience bruises, leg pain, blood trapping, and raised and red bumpy skin after the surgery. You must inform your surgeon if you notice any of these side effects.

Besides these, some allergic reactions to sclerosing solutions and local anaesthetics can also occur. They can be serious, but they are extremely rare. A different solution can be used for subsequent treatments when allergic reactions occur.

Patient Stories

Frequently Asked Questions

What is the health care infrastructure of Tunisia / Why should opt for Tunisia as a destination for your medical treatment?
Hospitals in Tunisia are developing and trying to meet the international standards of healthcare. Although there is a basic set up in most of the hospitals for treatment in Tunisia, one can still expect scope for improvement. The Ministry of Health, along with the Government of Tunisia is making effective changes for the healthcare sector. The private hospitals in Tunisia are also undergoing a robust change to provide effective healthcare and treatment in Tunisia.

Like most other countries, hospitals in Tunisia have a private and public healthcare system. Hospitals in Tunisia include three levels of care: primary, with a network of 81 clinics and 2091 basic health centers; secondary, with 109 district hospitals; and tertiary, with 33 regional hospitals and 24 modern CHUs, according to MoS figures.
What are the conditions of the hospitals in Tunisia? Are they JCI certified? What is the quality of the support staff in the hospitals?
The Joint Commission International (JCI) is a global leader in health care accreditation. JCI accreditation is considered a gold standard in worldwide health care. It provides the most skilled and experienced healthcare professionals in the medical industry, as evaluators of the rigorous international standards in healthcare quality and patient safety.
In Tunisia, there are no JCI accredited hospitals but 4 private hospitals are certified ISO and OHSAS (Occupational Health and Safety Assessment Series).
Are the doctors/surgeons in Tunisia of the best quality?
The hospitals in Tunisia have seen a constant change in terms of development and technology. Most doctors that are trained in the country understand the needs and requirements of people and are able to diagnose and treat them well. There are various surgeons that fly in from other countries as well to treat patients. This was brought about due to the economic reforms and various expats residing there. The varying levels of health organizations provide reasonable means of treatment for any patient. There are also trained paramedical and emergency service staff in this country.
What is the process for obtaining a medical visa in Tunisia?
Patients who wish to visit Tunisia for medical purposes must contact the Embassy of Tunisia in their home country. One is required to have a valid passport. Those applicants must submit their visa application forms in person together with the following documents:
  1. A duly completed application form with one picture (within a white background).
  2. Original biometric passport and one copy. Passports should have a validity of at least one year from the date of your visa application submission.
  3. Medical certificate stating the type of illness and the treatment to be carried out. This document has to be in English or Spanish language.
  4. Letter from the hospital in Tunisia stating the appointment date and whether the treatment expenses have been already paid in full.
  5. Proof of financial means which enable the applicant to meet life needs while in Tunisia (salary certificate if working, bank statement for the last six months, property deeds, commercial license, other sorts of income).
  6. Travel insurance.
  7. Proof of accommodation (hotel reservation, etc)
  8. Applicants are advised that ALL PASSPORTS HAVE TO REMAIN at the Embassy premises while the visa application is under process (between 10 and 15 days), and therefore cannot be retrieved unless very special and urgent circumstances might arise.
  9. The Embassy has the right to require from the applicant any document that it may deem relevant in order to resolve the visa file.
What support services does MediGence provide in Tunisia?
MediGence enables you to plan and manage your medical decisions better. These are some of our services offered:
  • Expert Opinion
    We help you seek an Expert Opinion on your diagnosis and treatment from an experienced team of doctors at MediGence and specialists from a reputable hospital.
  • Hospital Recommendation
    We recommend a hospital or a healthcare institution that is best suited for you, based on your ailment and its criticality.
  • 360-degree Hospital Review
    We give you a transparent and holistic view of the hospital and its infrastructure, accreditation, facilities, and expertise to give you confidence.
  • Doctor Validation and Communication
    We share a comprehensive profile of the treating doctor and also arrange a call to clear queries regarding treatment if needed.
  • Options to Choose From
    Based on your choice of destination and other preferences, we provide you multiple options with respect to hospitals and doctors to choose from.
  • 24X7 Patient Care Support
    A dedicated patient case manager stays in constant touch with you to help you at every step of the decision-making process and resolve queries that you may have.
  • Transparent Treatment Cost and Other Expenses
    We give a clear and accurate indication of the total cost of treatment including treatment, stay, meals, and other expenses.
  • Visa Assistance
    We provide and help prepare documentation for visa approval and coordinate with the embassy to expedite the visa process.
  • Accommodation Arrangements
    We propose to you a choice of accommodation based on your preference such as long stay, short stay, or luxury properties.
Which are the best cities in Tunisia for medical treatment?
Tunis is the largest country and capital of Tunisia. This country is located in the northern region of Africa and is the best city for treatment in Tunisia.

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