What happened and how the surgery is performed varicose veins in the legs?

The treatment of varicose veins on the legs with the help of medication does not always have a positive effect.

varicose veins surgery

It is particularly difficult to improve varicosity, if it is at an advanced stage. In this case, surgical intervention was the only option to remove the pathology.

Many people use a terrible procedure, so they are a long time afraid to go to the doctor, relying on some forms of home treatment. The disease progresses and the patient's condition deteriorates.

Action varicosity of the lower extremities is determined by the following conditions:

  • if the saphenous vein is increased, because the physiological pathology;
  • if the disease is advanced, when treatment varicosity medicines or folk remedies do not help;
  • the formation of trophic ulcers on the skin;
  • if violations occur in the blood vessels of the blood circulation, where the patient experiences constant fatigue, quickly get tired, feel pain and heaviness in the legs;
  • there is an acute thrombophlebitis;
  • if you have trophic skin lesions.

For some patients, surgery of varicose veins in the legs may be contraindicated. Barriers to surgical measures include:

  • hypertension;
  • a serious infectious disease;
  • coronary heart disease;
  • the patient's age (over 70 years);
  • dermatology – eczema, erysipilatous inflammations, etc.;
  • the second half of pregnancy.
Surgery is an effective and safe treatment option varicosity. An experienced physician can quickly remove the pathology, and the patient returns to normal life without suffering was causing her illness.

Intervention

The type of surgery depends on the individual characteristics of the disease. Some activities, suitable for one person may not work for another. Before surgery, the doctor will examine the form of the disease, the symptoms and the likelihood of complications.

surgical treatment of varicose veins

Surgical

The most time-consuming and complicated procedure associated with a high probability of complications is phlebectomy - surgery to remove varicose veins. It is prescribed only when other treatments cannot be used in any beneficial effect.

The process of this operation in the groin area of the patient to make a small (3-5 mm) incisions, through which the affected vein was connected to the place where it empties into the deep vein, then cut and pulled the foot with a special sensor. After removal of the veins surgeries use absorbable sutures. Surgery lasts 1-2 hours, while the patient is in hospital less than a day, then go home.

Such phlebectomies is a procedure, including mini phlebectomy, in which the body does not make cuts and punctures. This method allows for operation with less damage to the skin and reduces rehabilitation.

Expoliantes is another kind of surgical treatment of varicosity. During this procedure is extracted from all of Vienna not totally, but only part of it, which was prone to varicose veins expansion. The removal is carried out punctures in the skin, which avoids sewing.

Sclerosing

Less traumatic method of surgical intervention is considered sclerotherapy. It is the fact that it allows the ultrasound to determine the exact location of the enlarged veins, which enter a special substance (sclerosant). This substance adhesives affects the blood vessels, blocking blood flow to them. After surgery, the patient is veins become scar tissue, reduce swelling. The patient ceases to feel heaviness and pain in the legs, and if you have had stomach ulcers, they heal quickly.

Sclerotherapy is of two types:

  1. Echo-sclerotherapy deduxit. This operation is used if the affected vein diameter was 1 cm or more. First, the veins are studied with the help of a special device – a duplex scanner, then under his control to make the puncture, and then injected into the vein sclerosant. This procedure can be used to reduce the diameter of the affected vessel and restore normal blood flow in it.
  2. Sclerosing foam. The most safe and completely painless form of sclerotherapy. The affected vessels are injected with a special foam, which will fill it and stop the blood flow inside the vessel.
For maximum effect, typically, several treatments of sclerotherapy. Recurrence of varicosity after that, when it almost never happens.

Laser photocoagulation

varicose veins surgery sclerotherapy

Surgery to remove the varicosity of the leg veins laser is considered the most technologically advanced kind of fight varicosity and help in removing the pathology of emphysema in 90% of cases. During this process, the incisions in the tissue are made, allowing you to avoid cosmetic defects.

Through a puncture of the skin type of laser light guide, which radiates light waves. Their activity, is the dissolution of the patient's vessel. This method is the low number of relapse – recurrence of varicosity formation occurs in only 5% of patients.

Similar to laser coagulation treatment of varicosity is a radio contritio. The essence of the method is the effect of the patient's vein in the microwave, which heats the vessel, causing it to "welding". This method of treatment is considered most easy and painless. It can be used in severe cases when the veins reach large sizes.

Possible consequences and status after surgery

Almost all kinds of functions to remove the varicosity the legs are safe and cause no complications in very rare cases.

The highest probability of complications and severe bleeding during the rehabilitation period occurs when the phlebectomies. Area remote vein may occur bruising, and sometimes wound can bleed, because there are other tributaries of the veins.

2-3 days after surgery, some patients may increase temperature. This is due to the aseptic inflammation of the blood that accumulate under the skin.

If the accumulated blood is very much in the veins can form lumps, painful to the touch. If the skin over the clumps of acquired a reddish tone, then began to a bacterial infection. In this case you will need urgent hospital treatment.

Other possible complications after surgery may include:

  • Numbness of the skin, pain. They occur, if during the operation had damaged the nerve endings. Over time, the pain goes away and skin sensitivity returns.
  • Bruises. Form phlebectomies, because it is quite traumatica activity. After some time, usually not more than a month, they disappear completely. When invasive treatments (sclerotherapy or laser coagulation) bruises are almost never lag.
  • Swelling. They can appear, if the patient would not be prescribed after surgery – a lot of moves, not wear special clothes or to expose themselves to great physical stress.

After surgery, most patients lead an active way of life. Lack of can occur in such a dangerous phenomenon of acute deep vein thrombosis of the lower limbs. To prevent it, you need to do special exercises, diet and take medicines to prevent thrombosis.

varicose veins surgery laser photocoagulation

Rehabilitation after removal of the varicosity of the lower limbs

Compliance with the doctor after surgery is the most important part of the treatment and prevention of recurrence of varicosity. Most patients are encouraged to:

  1. Tightly bandaged the leg with an elastic bandage.
  2. The use of special compression garments – stockings or tights.
  3. Do not lift more than 10 kg in the first six months after surgery.
  4. Exercise moderate exercise – Jogging, swimming, Cycling.
  5. Control of body weight, if you have problems with excess weight.
  6. Every year pass course admission venotonic drugs.
3 days after the surgery, patients are strictly prohibited to smoke and to drink alcohol, sunbathe, lift weights, drive a car and take a hot bath.

When the pain cut the foot can not help a light massage, which was conducted independently.

Recommendations for the prevention of recurrence of

Even if the operation to remove the varicosity of the veins was successfully implemented, there is always a risk of recurrence of the disease. To reduce the likelihood of relapse, it is necessary to observe preventive measures:

  • lead an active lifestyle, doing sports, often walk in the fresh air;
  • the sitting position is to ensure that the posture was smooth, not to put another foot on the other, because it leads to violation of venous blood circulation;
  • fight obesity;
  • moderate consume of coffee and tea;
  • every morning, perform gymnastics feet;
  • give up too tight and tight shoes and clothes.

Varicose veins is a disease that, even though a complete cure requires adherence to a certain lifestyle.

varicose veins surgery effects

Preventive measures after surgery is to follow the first few months and throughout life. The only way to normalize the state of the body and eliminate the possibility of recurrence of the disease.