Varicose vein treatment with fiber lasers

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Discussion Overview

The discussion revolves around the treatment of varicose veins using fiber lasers, focusing on the mechanisms behind how the laser causes the veins to shrink. Participants explore the biological and physical processes involved in this treatment method.

Discussion Character

  • Technical explanation, Conceptual clarification, Debate/contested

Main Points Raised

  • One participant describes the procedure involving local anesthetics, a small incision, and the guiding of a fiber to the vein, questioning the mechanism of vein shrinkage.
  • Another participant explains that laser heat damages the vein, leading to scar tissue formation, which closes the vein and eventually causes it to disappear.
  • A third participant criticizes the previous explanation for lacking depth, expressing a desire for a more detailed understanding of the interactions at the photon level.
  • A later reply provides a more detailed explanation, stating that intense laser light kills the vein tissue by denaturing proteins and disrupting cell membranes, leading to water loss from the dead cells, similar to cooking meat.
  • The same reply mentions that the dead tissue forms a scar that is eventually cleared by white blood cells.

Areas of Agreement / Disagreement

Participants express differing levels of satisfaction with the explanations provided, with some seeking more detailed scientific reasoning while others present varying interpretations of the underlying mechanisms. The discussion remains unresolved regarding the depth of understanding of the laser's effects.

Contextual Notes

Some assumptions about the biological processes and the specifics of laser-tissue interaction are not fully explored, leaving gaps in the understanding of the mechanisms involved.

DariusP
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So I've read that varicose veins can be treated using fibre lasers. First, anesthetics are used locally to numb the limb and also act as an insulator for heat. Then, a small cut is made and a fiber is guided to the vein.

Using laser light somehow the vein shrinks.

This is what I don't understand. Why does the vein shrink?
 
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A laser is a highly focused beam of light. A doctor can use a laser to treat varicose veins. Laser heat damages a vein, which makes scar tissue form. This scar tissue closes the vein. A closed vein loses its source of blood and dies. After a year or two, the vein is likely to disappear.
 
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phinds said:
The internet is your friend. Learn to use it.
You know, that is a pretty terrible answer... "it shrinks because it shrinks".

It tells me nothing. No physics, no biology there. Did that explanation really satisfy you?

I want to know exactly what the light is doing. I want to know what the photons are doing, how they are interacting and with whom. Seriously...
 
Last edited:
@phinds gave you a good answer.
The vein shrinks because the tissue of the vein is dead. The cells were killed by heat:
Intense laser light is absorbed and the heat generated, a fatal temperature for the tissue. This is to the point where the proteins in the cells became denatured and the cell membranes were disrupted. Water left the dead cells.

The same thing that happens much more slowly when you cook meat. It shrinks as you cook it.

The defunct tissue forms a "scar" and is eventually cleaned up by phagoctosis from scavenging white blood cells.
 
This thread is now closed.
 

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