With advanced forms of varicose veins, you can not do without surgery.During surgical intervention, affected areas are removed.Depending on the condition of the patient, it may be required to remove the main or small subcutaneous vessels on which venous nodes were formed.With phlebectomy on the legs, small cuts are made and veins affected by varicose veins are removed through them.
Varicosis Operation (its types)
How do they do the operation?A phlebologist, along with the patient, choose an operation of an operation that will get rid of the problem.The operation of varicose veins on the legs:
- The most common method of getting rid of varicose veins is phlebectomy.The surgeon can conduct an operation according to the Muller, Bebcock or Nart method.
- Stripping.The technique allows you to remove a large subcutaneous varicose vein, including all its tributaries.To do this, make a cut in the area of the inguinal fold.With total stripping, Vienna is pulled out entirely through an additional incision made in the knee.All venous branches are removed through small incisions.
- Miniflebectomy.The form of minimally invasive fast surgery.The difference is that the varicose vessels of the limbs are removed not through the cuts, but through the punctures.
- In certain cases, endoscopic dissection allows to get rid of varicose veins.The endoscope is inserted into the incision made in the problem area.Vienna is ligated.
- Many prefer to do laser coagulation.The doctor determines which part is required to remove, introduces a light of the light into it.The laser operation is carried out under ultrasound control and tinscent anesthesia.For the introduction of the flowerplane, they do not make a cut, but a hole in the shape of a puncture.
- Radio frequency ablation is considered a quick and least traumatic look.A special radio frequency catheter is introduced into the problematic place, which affects the walls of the vessel with current and glues them.But sometimes a radio frequency technique with this disease may not help get rid of pathology.
- Small surgical techniques also include sclerosis.A sclerosant is introduced into the problem vessels using injection, which from the inside acts on the venous walls, gluing them.Depending on the indications, echosclerotherapy or sclerosis according to the Foam-form method (filling with special foam) can be carried out.
Important!The patient cannot choose which operation to conduct him.The decision should be made in conjunction with a phlebologist: the doctor must assess the state of the venous channel, the general state of health of the applied person and then recommend the most suitable methods for getting rid of pathology.
The purpose of therapy
If the venous nodes stick out and cause discomfort, you should contact a phlebologist.Doctors recommend operational therapy only in cases where you can not do without intervention.After surgical treatment and the end of the rehabilitation period, the condition of the patients improves.They note a change in the shape of the legs, the lack of pain, a sense of severity, petrification of the limbs.In addition, the risk of developing complications developing as a result of varicose lesions may decrease.Timely surgical intervention allows us to prevent the development of thromboembolism.The operation also reduces the risk of thrombophlebitis.
What type of surgical treatment to choose?
Operation to remove varicose veins on the legs.Sometimes surgeons offer several treatment options for a choice.Patients should know which forms of interventions allow you to recover as quickly as possible.If we turn to a phlebologist at a time when the disease has not yet passed into a neglected form, the doctor may offer:
- miniflebectomy;
- sclerosis;
- short stripping;
- laser coagulation;
- Radio frequency ablation.
After these interventions, the recovery period is minimal.If the condition allows, you can choose one of these methods.In advanced forms, with a significant lesion and large length of the expanded channel, preference should be given to traditional phlebectomy, and not hope for rapid coagulation or sclerosis.
Laser operation: Is there an effect?
Varicosis Operation with a laser.The method of endovasal laser coagulation allows you to get rid of the disease without cuts of limbs and stretching the affected areas of the venous channel.Surgeons make only a small puncture for the introduction of a laser light.Under the influence of the rays, the vein is coagulated, and over time is absorbed.What is the better operation or laser?The laser therapy method is considered highly effective, relapses are extremely rare.But such coagulation does not have a preventive effect: varicose veins can affect other parts of the channel.Processed vessels disappear over time.Patients may return to ordinary life immediately after the completion of coagulation.
Indications: at what stages do the intervention advise?
The vascular surgeons recommend that patients do in the following cases:
- neglected course of the disease;
- extensive area of damage;
- pathological increase in the size of the cones;
- circulatory disorders leading to pain, a feeling of fatigue of the legs;
- the formation of trophic lesions;
- non -healing trophic ulcers;
- Exacerbations of thrombophlebitis.
In the initial stages of varicose veins of the lower extremities, doctors recommend conservative treatment.With the ineffectiveness of conservative methods, sclerotherapy is advised.The second stage of damage to the vascular channel is called subcompensation.Laser coagulation, radio frequency ablation and other minimally invasive types of therapy will allow you to quickly get rid of varicose lesions.In the third stage of decompensation, phlebectomy is most often recommended, although in some cases laser coagulation allows you to get rid of pathology.
The effectiveness of treatment
In this title, varicose veins will be provided before and after surgery, photo.All methods of surgical therapy are aimed at getting rid of problem vessels.This helps to restore blood flow.At the same time, patients get rid of cosmetic defects and discomfort:
- protruding venous nodes;
- vascular nets and stars;
- edges of the limbs;
- pain;
- feelings of gravity and stiffness;
- convulsions.
Pros and cons
Varicose veins, operational and against.An indisputable advantage of surgical treatment is the rapid getting rid of pathology.It is better to give preference to minimally invasive methods, during which patients practically do not feel pain, and the recovery period after surgery and normalization of the condition passes quickly.Do you have surgery for varicose veins?The disadvantages of surgical treatment include the probability of the development of complications.With phlebectomy, the patient returns to normal life not soon.After 2-4 days, some still feel pain, the temperature even rises in a number of patients.The disadvantages of minimally invasive techniques most people include their cost.
A list of potential complications
Before sending the patient to the operating table, a phlebologist should tell what problems may arise.Varicose veins on the legs, surgery (consequences), among the most common complications of therapy are found:
- skin seals appearing in the places of sections, punctures;
- Bruises, usually they disappear in a few weeks, in rare cases they can be seen up to 4 months;
- pains are observed in the first days after traditional phlebectomy;
- In the postoperative period, at significant loads, swelling occurs;
- With mechanical damage to the lymph vessels, lymphostasis develops: this complication is treated with conservative methods.
Important!When touching an ankle, discomfort occurs in cases where the nerve endings were damaged.Over time, the condition improves, separate therapy is not required.
Rehabilitation process
Rehabilitation after the operation of varicose veins of the lower extremities (and not only).The course of the recovery period depends on the chosen type of therapy.After traditional phlebectomy, it is important to follow all the recommendations of the attending physician.For 2 days after excision of the affected areas, it is prohibited:
- drive a car;
- take hot baths;
- lift weights;
- drink alcohol.
You can reduce the likelihood of complications after surgery by massage.Any legs contribute to a faster redistribution of blood flow.In the rehabilitation period, desigent drugs are prescribed.If necessary, painkillers can be prescribed.
Installed diet
Diet and mode after surgery on varicose veins.For rapid recovery of patients and preventing relapse of varicose veins, attention should be paid to nutrition.The menu should have in large quantities there are products with anti -inflammatory properties.Fat, harmful dishes will have to be abandoned.After minimally invasive interventions in the postoperative period, it is also recommended to observe a diet.It is not aimed at delivering, but at the prevention of new types of defeats.The emphasis is being advised to make vegetables, fruits, seafood, as well as cereals.The most useful are:
- carrots, bell pepper, cabbage, tomatoes, all types of greenery;
- apples, black currants, strawberries, citrus fruits;
- cereals from cereal crops;
- vegetable oils (sunflower, pumpkin, olive);
- mussels, shrimp, squid, oysters, sea cabbage;
- Walnuts (a few nuclei per day).
Attention!All seafood saturate the venous system with elastane.This is necessary for the normal redistribution of blood flow without prejudice to healthy vessels.
Choosing bandages
What bandages are needed after the operation of varicose veins?The use of wide elastic bandages is considered mandatory.The affected leg should be wrapped over 3 months after surgery, this can prevent likely complications.After that, you can switch to a special postoperative knitwear.Stockings should be worn for at least 3 months on a operated leg.In the future, compression linen is desirable every time there is a long load on the legs.When using minimally invasive types of getting rid of pathology, one cannot forget about compression knitwear.You can find in more detail about how to use bandages on the relevant sites and forums.
Flebectomy process
Operation for varicose veins of the lower terms.Previously, the skin is treated with an antiseptic, a damaged place is distinguished and vessels are removed.Removal of plots is carried out under anesthesia for 1-2 hours.In places of thickening, surgeons make cuts that open access to the veins.They are dressed in confluence with trunk areas and excised.They pull out the cut off the problem ends with the help of probes.
List of contraindications
Unfortunately, not everyone will succeed in getting rid of varicose expansion using surgeons.Contraindications include:
- hypertension;
- advanced forms of the disease;
- coronary heart disease;
- the patient's advanced age;
- development of infectious processes taking place in severe forms;
- eczema, erysipelas and similar lesions;
- 5-9 months of pregnancy.
To find out whether it is possible to get rid of the patients of varicose vessels of vascular channel through the cuts, it is necessary with an experienced phlebologist.Perhaps he will recommend that coagulation with a laser or radio frequency ablation.
Treatment of varicose veins without surgery
Is it possible to cure varicose veins without surgery?At 1-2, doctors advise paying attention to the possibility of conservative treatment, which prevents the further development of the pathology of the vascular bed.Many advise alternative medicine.In order to prevent the disease, doctors also recommend using compression knitwear, and not immediately resort to minimally invasive methods.Various creams, ointments, tablets, gels also allow you to improve the condition of the vascular channel.They should be used during the appearance of the first symptoms of the disease.They are also recommended to all people belonging to the risk group.The choice should be stopped at the means, during the production of which heparine were used.In parallel, it is advised to purchase drugs that increase the tone of veins.They belong to the Venotonics group.The complications that cause drugs in patients can be read in the instructions.How else to cure varicose veins without surgery?Hirudotherapy of problem limbs in this pathology is popular.Lying bites contribute to liquefaction of blood, improving blood flow and getting rid of pathology in the initial period.Varicose veins without surgery.You can also use blue clay for varicose lesions.It is advised to make baths from it.Some apply clay diluted to the consistency of thick sour cream to the affected limbs.Complications when using clay do not occur, the development of pathology in some patients is suspended.Therefore, many advise her.
Free treatment
Many have the question of whether the treatment of varicose veins are paid?Given high prices for medical services, many are interested in whether it is possible to remove problematic veins for free.With a sufficiently strong desire to get to surgeons, you can by recording with the most ordinary compulsory medical insurance policy.It is necessary to get a direction from the vascular surgeon, hand over all the necessary tests, get an opinion from the therapist.With a package of documents, you need to return to the surgeon and sign up for an operation to get rid of varicose veins of affected limbs.With the development of discomfort in the lower extremities, the occurrence of venous nodes, vascular stars or nets, consult a phlebologist.If necessary, he can direct the vessel of the vessel to the ultrasound.After this examination, a decision is made on the advisability of removing problem areas.The method of getting rid of varicose veins is determined by the doctor together with the patient.You can get rid of varicose veins using surgical techniques.In the early stages of the disease, all doctors advise minimally invasive operational methods.