With advanced forms of varicose veins you cannot do without surgery.During surgery, the affected areas are removed.Depending on the patient's condition, it may be necessary to remove the main or small subcutaneous vessels on which venous nodes are formed.With phlebectomy, small cuts are made on the legs and veins affected by varicose veins are removed through them.
Varicose surgery (its species)
How do the operation do?A phlebologist, along with the patient, choose surgery for surgery that will get rid of the problem.The work of varicose veins of the legs:
- The most common method of escaping varicose veins is phlebectomy.The surgeon can perform surgery according to the Muller, Bebcock or Nart method.
- Undressing.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 the overall withdrawal, Vienna is completely pulled through an additional cut made at the knee.All venous branches are removed by small cuts.
- Miniyphobectomy.The form of minimally invasive rapid surgery.The difference is that the extended vessels of the limbs are removed not through the cuts but through the breaks.
- In certain cases, endoscopic dissection allows you 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 obliged to remove, introduces light of light into it.The laser surgery is performed under ultrasound control and anesthesia of the pot.For the introduction of Flowerplane, they do not make a cut but a puncture hole.
- Radio frequency ablation is considered to be a fast and less traumatic appearance.A special radio frequency catheter is introduced into the problem area, which affects the walls of the vessel with electricity and sticks them.But sometimes a radio frequency technique with this disease can not help get rid of pathology.
- Small surgical techniques also include sclerosis.A sclerosant is introduced into the problem vessels, using an injection, which on the inside acts on the venous walls, sticking them.Depending on the indications, echosklerotherapy or sclerosis may be performed according to the foam method (filling with special foam).
Important!The patient cannot choose which operation to perform.The decision must be taken jointly with a phlebologist: the doctor should evaluate the condition of the venous canal, the general state of health of the attached person, and then recommend the most appropriate methods of riding from the pathology.
The purpose of therapy
If the venous nodes stretch and cause discomfort, you should contact a phlebologist.Doctors recommend surgery only when you cannot do without intervention.After surgical treatment and the end of the rehabilitation period, the condition of the patients improves.They note the change in the shape of the legs, the lack of pain, the feeling of heaviness, the fossilization of the limbs.In addition, the risk of developing complications that develop as a result of varicose lesions may decrease.Timely surgery allows us to prevent the development of thromboembolism.The operation also reduces the risk of thrombophlebitis.
What type of surgical treatment to choose?
Work to remove varicose veins on the legs.Sometimes surgeons offer several options for treatment to choose.Patients need to 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 in a neglected form, the doctor may suggest:
- Miniyphobectomy;
- sclerosis;
- short undress;
- 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 a long length of the extended canal, a traditional phlebectomy should be given, not the hope of rapid coagulation or sclerosis.
Laser operation: Is it an effect?
Laser variation surgery.The endovasal laser coagulation method allows you to get rid of the disease without cuts of the limbs and stretching the affected areas of the venous canal.Surgeons only make a small drill for the introduction of laser light.Under the influence of the rays, the vein is coagulated and absorbed over time.Which is a better job or laser?The laser therapy method is considered highly effective, recurrents are extremely rare.But such coagulation has no preventative effect: varicose veins can affect other parts of the channel.The treated vessels disappear over time.Patients can return to ordinary life immediately after coagulation is completed.
Indications: At what stages do they advise the intervention?
Vascular surgeons recommend that patients do in the following cases:
- neglected course of the disease;
- extensive damage zone;
- pathological increase in cones;
- blood disorders leading to pain, feeling of fatigue of the legs;
- the formation of trophic lesions;
- no cure trophic ulcers;
- Exacerbation of thrombophlebitis.
In the initial stages of varicose veins of the lower limbs, doctors recommend conservative treatment.With the ineffectiveness of conservative methods, sclerotherapy is recommended.The second stage of damage to the vascular channel is called sub -mompel.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 commonly recommended, although in some cases laser coagulation allows you to get rid of the pathology.
The effectiveness of treatment
This title will provide varicose veins before and after surgery, a 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 networks and stars;
- limbs edges;
- pain;
- feelings of gravity and stiffness;
- Convulsions.
Pluses and disadvantages
Different veins, operational and against.An undeniable advantage of surgical treatment is to get rid of pathology quickly.It is better to prefer minimally invasive methods, during which patients virtually do not experience pain, and the recovery period after surgery and normalization goes away quickly.Do you have varicose veins?The disadvantages of surgical treatment include the likelihood of developing complications.With phlebectomy, the patient returns to normal life not soon.After 2-4 days, some still feel pain, the temperature even increases in a number of patients.The disadvantages of minimally invasive techniques most people include their costs.
A list of potential complications
Before sending the patient to the operating table, the phlebologist must say what problems can arise.Varicose veins of the legs, surgery (consequences) have been found among the most common complications of therapy:
- Skin seals appear at sections, breakthroughs;
- Bruises, they usually disappear after a few weeks, in rare cases they can be observed up to 4 months;
- The pain is observed in the first days after the traditional phlebectomy;
- Swelling in the postoperative period in the postoperative period;
- With mechanical damage to the lymphatic vessels, lymphostasis develops: this complication is treated with conservative methods.
Important!When the ankle is touched, discomfort occurs in cases where the nerve endings have been damaged.Over time, the condition improves, no separate therapy is required.
Rehabilitation
Rehabilitation after the work of varicose veins of the lower limbs (and not only).The course of the recovery period depends on the type of therapy chosen.After the traditional phlebectomy, it is important to follow all the recommendations of the attending physician.For 2 days after cutting the affected areas is prohibited:
- drive a car;
- Take hot baths;
- weight lifting;
- Drink alcohol.
You can reduce the likelihood of complications after massage surgery.All legs contribute to a faster redistribution of blood flow.During rehabilitation periods are prescribed duty medicines.If necessary, painkillers may be prescribed.
Diet
Diet and regimen after surgery for varicose veins.In order to quickly restore patients and prevent the recurrence of varicose veins, nutrition should be paid to.The menu should be in large quantities, there are products with anti -inflammatory properties.Fat, harmful dishes will need to be abandoned.After minimal invasive interventions in the postoperative period, it is also recommended to monitor a diet.It is not aimed at delivery, but to prevent new types of damage.Emphasis is advised to make vegetables, fruits, seafood, and cereals.The most helpful are:
- carrots, black pepper, cabbage, tomatoes, all types of greenery;
- Apples, black currant, strawberries, citrus fruits;
- cereals from cereals;
- vegetable oils (sunflower, pumpkin, olives);
- Mussels, shrimp, squid, oysters, sea cabbage;
- Nuts (several nuclei a day).
Warning!All seafood saturate the venous system with elastane.This is necessary for the normal redistribution of blood flow without prejudice to healthy vessels.
Dressing
What dressings are needed after the work of varicose veins?The use of wide elastic bandages is considered mandatory.The affected leg should be wrapped for 3 months after surgery, this may prevent probable complications.You can then move on to a special postoperative knitwear.Socks should be worn for at least 3 months on an operated leg.In the future, compression linen is desirable every time there is a long load on the legs.When using minimally invasive species to get rid of pathology, it cannot be forgotten about knitting compression.You can find more detailed how to use dressings on the respective sites and forums.
Flabectomy
Work for varicose veins of lower conditions.Previously, the skin is treated with an antiseptic, a damaged area is distinguished and the vessels are removed.The removal of the plots is performed under anesthesia for 1-2 hours.In places for thickening, surgeons make cuts that open access to the veins.They are dressed in merging with luggage racks and cut.They remove the cut of the problem, ending with the help of probes.
Contraindication
Unfortunately, not everyone will be able to get rid of varicose enlargement with the help of surgeons.Contraindications include:
- hypertension;
- advanced forms of the disease;
- coronary heart disease;
- the advanced age of the patient;
- Development of infectious processes in severe forms;
- eczema, erysipela and similar lesions;
- 5-9 months of pregnancy.
To find out if it is possible to get rid of patients with varicose veins with vascular channel through the incisions, this is necessary with an experienced phlebologist.Perhaps he will recommend this coagulation with laser or radio frequency ablation.
Treatment of varicose veins without surgery
Is it possible to cure varicose veins without surgery?1-2 doctors advise to pay attention to the possibility of conservative treatment, which prevents the further development of the pathology of the vascular bed.Many advise alternative medicine.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 canal.They should be used during the onset of the first symptoms of the disease.They are also recommended for all people belonging to the risk group.The choice must be discontinued in the funds during which heparin was used.In addition, it is recommended to buy medicines that increase the tone of the veins.They belong to the Venotonics group.The complications that cause medicines in patients can be read in the instructions.How else to cure varicose veins without surgery?The survivotherapy of problem limbs in this pathology is popular.Lying bites contribute to blood liquefaction, improving blood flow, and get rid of pathology in the original period.Different veins without surgery.You can also use blue clay for enlarged lesions.It is recommended to make baths from it.Some apply clay diluted on the consistency of thick sour cream on the affected limbs.Complications when using clay does not occur, the development of pathology in some patients has been stopped.Therefore, many advise it.
Free treatment
Many have the question whether the treatment of varicose veins is paid?Given the high prices of medical services, many are interested in whether it is possible to remove problem veins for free.With a strong desire to get to surgeons, you can enroll with the most ordinary mandatory medical insurance policy.It is necessary to obtain a direction from the vascular surgeon, to hand over all the necessary tests, to obtain an opinion from the therapist.With a package of documents, you must return to the surgeon and register for surgery to get rid of varicose veins of the affected limbs.With the development of discomfort in the lower limbs, the appearance of venous nodes, vascular stars or networks consult with a phlebologist.If necessary, it can direct the vessel of the vessel to ultrasound.Following this review, a decision is made on the expediency of eliminating problem areas.The method of release from varicose veins is determined by the doctor 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 operating methods.