In such situations, the doctor does not offer any other option than to remove the affected area, superficial veins. And the sooner, the better, because the delay is fraught with serious complications.
Dangerous surgery to remove varicose veins in the legs, what are the different methods to combat the disease, and how much is one or the other procedure to remove varicose veins – all the essential information about our material.
WHAT IS THE CAUSE OF THE PROBLEM?
Generally affects varicose veins of the subcutaneous veins of the lower extremities. The blood is governed by the same laws of physics as any liquid on the planet, under the force of gravity aim it down.
But the peculiarity of the cardiovascular system is the fact that blood is constantly circulates and nourishes all vital organs.
Stagnate in the superficial veins of the legs and other extremities he does not allow the work of the special valves.
It is the newest fault cause discharge of the blood into a thin saphenous vein, whose walls gradually lose their tone, become thin and stretched.
Unfortunately, the return of advanced superficial veins previous form it is not possible to even restore the function of the valves.
Their insufficiency can be the cause of varicose veins, and the result of certain conditions of the body.
Risk factors:
- pregnancy, more precisely, associated with an increase in blood volume in the body of the expectant mother, as well as increased pressure on the veins of the uterus with the fetus;
- long term – this applies to those whose profession involves regular long-term exposure to static vertical position (surgeons, teachers, hairdressers, etc.);
- "sedentary" work – almost the same as a permanent presence. Muscle tone and veins decreases, the blood stagnates in the legs, the valves no longer function normally;
- the increased load on the foot – affects the veins in the same way as the previous two factors;
- obesity – being overweight greatly increases the load on the heart, vessels and veins. In addition, a large layer of subcutaneous fat is often difficult to diagnose varicose veins;
- age-related changes over time, the venous walls and valves weaken, lose their tone and stretch;
- Accompanied by constipation, prostate adenoma, chronic cough, and becomes the cause of hemorrhoids and varicocele;
- the effects of trauma, the reviews confirm what is common, and the functions of the lower limbs;
- thrombosis of the deep veins are not superficial, as many patients mistakenly believe, and it is a deep – pressure rises, and blood rushes into the saphenous vein;
- hereditary diseases, for example arterial, venous fistula or fistula;
- aesthetic treatments – vacuum-wrap, aggressive massage;
- excessive physical activity.
INVASIVE TYPE OF SURGERY VEINS ON THE LEGS
When creams, pills and special compression underwear is powerless, the only way out is the exception to the venous system of the legs of his varicose veins on the affected areas.
The choice of operative intervention depends on the shape and the stage of the disease, the presence of changes in skin condition and comorbidities.
Phlebectomy (TOP 5 techniques)
This is a classic method, which involves the removal of extended areas of the veins through incisions in the skin. Phlebectomy has been practiced since the early 20th century, the technique of its carrying out is brought almost to perfection.
The whole procedure takes 1-2 hours and does not require a long-term stay in the hospital (maximum – on the same day).
In most cases, the doctor will perform a combined procedure, i.e. by using several different techniques:
- Stripping – removal of the vein after ligation and repair of the special tool. Partial Stripping is associated with a partial removal, and total. This type of surgery to remove veins on the legs is considered special, because all manipulations are carried out through a small hole in the skin, so it does not need to perform sewing.
- Micro-phlebectomy is different than the traditional one, which passes through the through holes, that is, without cutting the tissues.
- Endoscopic procedures – an extended partition is removed after insertion into the vein of the endoscope, which minimizes the possible complications after surgery.
Sclerotherapy
The snow in the enlarged plot contains a special ingredient that only the adhesive in the inner wall of the vein, he later becomes scar tissue. Sclerotherapy is used to treat not only varicose veins, but also varicocele.
Laser photocoagulation
Surgery veins the legs laser is performed without incision of soft tissues. The vein does not need to pull – it just "closed" with a special laser fiber is inserted into a small hole.
Many positive comments on the cut in the leg veins laser show, at least the probability of negative consequences, relapse of varicose veins, however, it depends on its stages and causes.
In addition, the patient after a couple of hours after the procedure she can go home, because sutures are not required.
Doctors say that when it is exposed to the laser light excluded, that the body of infection.
Lasers are used to treat small veins from a medical point of view, such as telangiectasia are small veins ≤ 1 mm in diameter.
Often requires several stages of treatment. This method is less effective in the treatment of large varicose veins in the later stages.
INDICATIONS AND PREVENTIVE MEASURES
Doctor compulsorily appoint a certain type of action on the veins in the following situations:
- varicose veins are neglected, that is, in addition to the aesthetic problems, a person greatly concerned about the pain;
- the movement of blood in the veins becomes more difficult, the patient feels a permanent pain and heaviness in the legs, their excessive fatigue;
- pathologically enlarged vein;
- skin lesions are present in the food chain in nature (e.g., non-healing sores);
- forums serious thrombophlebitis;
- severe swelling of the limbs;
- violation of the outflow of blood occurs even without any dilated superficial veins.
If there is a predisposition to varicose veins or the patient is in danger, it is necessary to prevent:
- wear a compression garment;
- the drug;
- daily use of vitamin C, which in sufficient quantity has a positive effect on the vascular wall and the rheological properties of blood.
CONTRAINDICATIONS
Unfortunately, despite the variety of modern methods of treatment of varicose veins, procedures to remove dilated vein parts have a number of contraindications:
- hypertension;
- coronary heart disease;
- a severe form of infectious diseases;
- the presence of skin eczema, erysipelas inflammation or rash;
- during pregnancy 5-9 months.
HOW TO PREPARE FOR SURGERY
Doctor before prescribe surgery, should send the patient to the passage of the diagnosis, and then make a decision in accordance with the audit results:
- Doppler ultrasound of veins and blood vessels;
- duplex ultrasound is a more accurate test, is also shown, to exclude the presence of thrombus in the deep veins;
- magnetic resonance procedures – this test can give information about the presence of blood clots in the deep veins;
- blood laboratory tests did not help the diagnosis of varicose veins, but they are necessary if you need to do the operation.
Immediately before the procedure, the patient should:
- in the shower;
- to remove the hair-cut legs (if necessary, also in the groin area);
- come a little before the agreed time.
If performed in the classical action, which involves general anesthesia, the patient is put in the enema.
It is important that the anesthesiologist had warned of the presence of a person allergic to any drugs.
Varicose veins need surgery. Methods of surgical treatment will help the vascular surgeon. There is a danger, if the refusal of the action? Of course! A fatal complication of varicose veins and thrombosis of the vessels of vital organs, ischemic stroke, thrombosis. The risk of complications increases with age.
All invasive treatments of varicose veins helps to get rid of an enlarged saphenous veins and related pain. But you need to understand that the duration of effect after the removal of the aesthetic deficiency depends on many factors, among which a special role is played by heredity and lifestyle.
It is necessary to maintain the muscles and blood vessels in good condition the limbs does not stop the blood, but also trying to maintain a normal weight, wear comfortable shoes and give up bad habits.