This removal leg veins: how action, reviews, rehabilitation

In most cases, conservative treatment is not effective, for this you need to perform a surgical intervention. Do in such cases:

  • extensive varicose veins, which occupies the greater part of the vein;
  • acute phlebothrombosis or pulmonary embolism;
  • incorrect expansion of the saphenous veins;
  • the presence of swelling in the legs;
  • violation of blood circulation in the venous system;
  • progressive trophic ulcers, not responding to medical treatment;
  • chronic fatigue legs and movement disorder.

Limitations and contraindications

Unfortunately, not all can carry out surgical intervention in spite of the severity of the disease. Operation is not carried out in the following cases:

  • running the illness condition, when the action does not produce effective results;
  • concomitant hypertension 3 degrees, ikh ;
  • sepsis or other inflammatory and infectious processes in the body;
  • old age over 75 years;
  • pregnancy 2. and 3. trimester;
  • dermatology in the period of exacerbation (eczema, contact dermatitis, erysipelas, etc.).

Type of operations on the veins of the lower extremities

Today medicine can offer several options for operation of varicose veins of the lower limbs:

  • the complete removal of the vein or phlebectomy;
  • the removal of diseased parts of the veins or mikroflebektomiyu;
  • the laser coagulation of laser knife;
  • RF ablationem;
  • sclerotherapy;
  • Phlebectomy.

Miniflebektomiya

Treatment gentle micro invasive surgical procedures, which remove the damaged fragments of the vessel.

The advantage of this method is the absence of postoperative complications, because the operation is performed through small punctures.

This reduces the rehabilitation and improve the cosmetic effect.

Laser removal

So is the treatment of varicose veins laser The most expensive operation based on the removal of small veins laser knife. Activities effect of laser beam on the vessel, which causes blood clotting, and the container is closed and fired. In the future Vienna resolved.

The advantages of operation without surface defects and short recovery time. Immediately after surgery the patient can go home on their feet. activities

Radio frequency ablation

The method is an improved version of the previous method, which is the least dangerous and traumatic.

Thanks to him, you can't remove the veins of any caliber even varicose veins nodes, without anesthesia. The rehabilitation period is not needed, since two weeks already actively running.

But it is worth noting that in some cases the effect is not better than after laser removal.

Compression sclerotherapy

This method is difficult to call the action. It is based on the use of sclerosant is a special substance that, when introduced into the vessel turns its fiber-cord. The injection is carried out several times and only the veins of small caliber.

To perform sclerotherapy doesn't need anesthesia, so it is used primarily for those who are intolerant of anesthesia. But it requires a long rehabilitation. Patients should use compression stockings for at least 3 months.

Surgery effects

After surgery on the veins of the lower extremities likely complications that surgeons are necessary to warn their patients in advance. All these complications arise at different stages, manipulations, and will depend on various factors, such as:

  • the method of surgical intervention;
  • the stage of neglect of the process and the amount of work;
  • the choice of anesthetic and method of administration.

Depending on these factors, the risk of complications is different, as well as methods to remove them. Of course, traumatic and a dangerous method is phlebectomy. Because offendimus all the tissues of the lower extremities, there is a high probability of complications. The most basic of them:

  • aseptic inflammation of the skin around the joints;
  • the formation of the strands, which accumulates in the blood, the redness and pain, the feeling;
  • secondary inflammation due to bacterial infection;
  • bleeding from the wound;
  • significant swelling due to trauma to the lymphatic vessels and nodes in the groin area;
  • thrombosis of the deep venous system as a result of continuous bed rest without preventive measures (use of compression stockings, low physical activity and drugs that improve blood rheology);
  • bruises and exasperatur seams in place of surgical intervention;
  • relapse and disease progression.
   

Work in the first few days after surgery

When the patient wakes up after anesthesia, it is necessary to move the limb as possible. A set of exercises, accompanied by the rotation of the knee and the ankle joint, flexion and extension of the legs. The most important thing is not to overdo it, not to make things worse.

The second day of the surgery make the dressing, after which put on a special linen, knitted or made tight bandaging of the foot.

Limb it is desirable to raise the, improve the blood circulation. In all cases, operating stations can be wet, and also to visit the baths, such as the loop. If the patient feels sick, it is necessary to take non-steroidal anti-inflammatory drugs, then be sure to seek medical attention. Cases, swelling of the legs, it is desirable to reduce the physical load.

After 9-10 days the stitches are usually removed. Then given a personalised rehabilitation. Complete recovery occurs depending on the stage of the disease and the physical condition of the person. remove

Rehabilitation and prevention consists of the following conditions:
  • Change in lifestyle and physical activity of the patients;
  • Power repair after surgery;
  • Compression therapy after surgery.

Change in lifestyle and physical activity of the patients

Because one of the main reasons varicose veins are lack of exercise, rapid recovery and healing of the recommended walks in the fresh air every day, special exercises without weights, walking on the "toes" and "heels", the cycling, the circular motion of the joints of the lower limbs, exercise "scissors" and a foot massage and a good sleep.

Power after the repair surgery

Excess weight contributes to relapse and progression of the disease, this, if the patient is overweight, it is urgently necessary to change your diet: reduce calories, to food, to diversify the diet change. It is recommended to consume only lean meat, shellfish and sea fish, dairy products, cereals, fruits, vegetables, berries and nuts. What day you need to drink about 2 liters of plain water.

What else you need to remember patients

Patients should remember that the formation of the gap occurs for 3 months. Then formed a scar. This time should be carefully used to treat part part:

  • Do not rub surgery area rough and tough the mushrooms in the shower, and use cosmetic scrubs. Use a soft washcloth or simply wash your hands.
  • Water during bathing should be warm.
  • Not worth trying to remove the iodine, brilliant green or other bright antiseptic at once, it will cause unnecessary friction.
  • If the wound itches, apply iodine, it gives an antiseptic effect and eliminates the itching.
  • Is best not to cut cover on their own, they themselves disappear.
  • If the seam is red or about him appeared in some strange places, you should contact your doctor.
  • Try to protect yourself from stress and unnecessary worries.