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Varicose veins are the veins that are enlarged and twisted. Because of its appearance, varicose veins are also known as spider veins. The term varicose vein is generally used for the enlarged and swollen veins in the leg, though the condition can possibly affect any part of the body. Varicose veins are not a problem unless there is an extensive pain and swelling, discomfort, and wound opening at the affected site.

The vein valves that prevent the backflow of blood lose their integrity, thus leading to backflow of the blood. This causes swelling and inflammation of the leg, requiring varicose vein treatment or vein removal. Varicose veins are common in superficial veins that are prone to increased pressure when standing.

The following therapies may be used for varicose vein treatment:

  • Sclerotherapy
  • Foam sclerotherapy
  • Laser surgery (endovenous laser treatment)
  • High ligation and vein stripping
  • Ambulatory vein phlebectomy
  • Endoscopic vein surgery

The sequential steps of the endovenous laser treatment (EVLT) are:

  • The patient will be instructed to wear the surgical gown. Special eyeglasses are provided to prevent damage from the laser light.
  • The primary healthcare provider will anaesthetize the area where the catheter is to be inserted. Local anaesthesia is provided to the vein which has to be operated.
  • A Doppler ultrasound device is used to check the vein before and after the treatment.
  • This process involves the use of sound waves across the vein by which the image of the vein is displayed on the computer.
  • The provider will make a small incision in the skin of the affected leg, and a catheter is inserted. A beam of laser light is then passed through the catheter.
  • The catheter is then pulled out, and the skin is dressed.
  • The vein will close and eventually absorbed by the body.
  • The physician may ask you to walk immediately after the surgery for about 30-60 minutes.
  • The bruises of the surgery would fade in about 2 weeks. The physician may advise you to do certain things at home.
  • Put ice-pack over the swelling for at least 15 minutes.
  • You should check the incision area every day. Light pink fluid over the bandage is a common observation.
  • Avoid exposing the incisions to moisture or water for at least 48 hours. Better take a sponge bath till the bandages are removed.
  • Avoid sitting or standing for a longer duration, raise the legs while in rest.
  • Make a practice of wearing compression stockings for few weeks. This helps to prevent the pooling of the blood in the leg and prevents the swelling of the leg.
  • Walk for 10 to 20 minutes each day for at least 10 days.
  • Take proper precautionary measures while using over-the-counter drugs. Clarify with the physician before the use of the drugs.

The physician should be consulted when there is redness, warmth, and fluid drainage from the incisions after spider vein treatment. Increasing pain and swelling should also be reported.

Frequently Asked Questions

Singapore is generally known for its well-managed health care infrastructure and has an efficient and widespread system of healthcare. Singapore was ranked 6th in the World Health Organization's ranking of the world's health systems in the year 2000. Bloomberg ranked Singapore's healthcare system the most efficient in the world in 2014. Three main healthcare groups exist in Singapore:
  • National Healthcare Group
  • National University Health System
  • SingHealth
The 10 public hospitals in Singapore comprise 8 general hospitals (AH, SGH, NUH, CGH, TTSH, KTPH, NTFGH & SKH), and 2 specialized hospitals (KKH & IMH). In addition, there are 9 national specialty centres for cancer (NCCS & NCIS), cardiac (NHCS & NUHCS), eye (SNEC), skin (NSC), neuroscience (NNI) and dental care (NDCS & NUCOHS). The private healthcare infrastructure in Singapore is also well established. The payment methods include private payment gateways or private insurance companies. You can expect better technology to be used in private hospitals in Singapore. Various procedures like stem cell therapy and cancer research are conducted in Singapore.
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. Here are some of the JCI certified hospitals in Singapore :
  • Mount Elizabeth Hospital
  • Singapore National Eye Centre
  • National Dental Centre
  • Raffles Hospital
  • National University Hospital
  • Gleneagles Hospital
  • Singapore General Hospital
  • National Heart Centre Singapore
  • Changi General Hospital
  • National Cancer Centre
  • National Skin Centre
  • Johns Hopkins Singapore International Medical Centre
  • Tan Tock Seng Hospital
Since Singapore is known all over the world for some of the best medical treatments all across the globe, you can surely expect the best quality of doctors and surgeons here. This country has a very high quality of life and hence the health of people is of high priority.
People who wish to go to Singapore as a tourist for social purposes or seeking medical treatment, and require a longer period of stay beyond the Visit Pass granted on entry into Singapore, may submit an application for extension of stay (not more than 89 days from date of entry) online using the e-Service of ICA. All extension applications must be submitted online using the e-service at least seven days prior to the expiry of the visit pass to avoid overstaying. Extension of visit will not be accepted over the counter. Every visit pass issued to any person as a tourist or for the purpose of a social visit or medical treatment shall be subjected to the condition that the holder shall not engage in any form of employment (paid or unpaid) or in any business, profession or occupation in Singapore during the validity of that pass unless he is a holder of a valid work pass issued under the Employment of Foreign Manpower Act. Do visit the ICA website for further information.
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