Many people are familiar with the problem of varicose veins.At the advanced stage of the disease, they resort to surgery.There are several types of surgical intervention for varicose veins, each differs in its own characteristics.Patients should know about these nuances, possible consequences and the necessary rehabilitation.
Statistics show that every fifth person suffers varicose veins.The consequences of such a disease are extremely unpleasant, so it must be treated.The operation is a cardinal method, because patients are tormented by fears about its need.
If the patient agrees to surgery, he receives certain advantages:
- The choice of the methodology: there are several types of operations with such a disease that it provides an individual approach to each patient;
- quick getting rid of the problem;
- painlessness (all manipulations are carried out under anesthesia);
- After the rehabilitation period, you can return to a normal life, which used to be impossible due to problems with the legs;
- Modern methods are low -traumatic and provide a cosmetic effect.
An operation is always an intervention, so patients often torment doubts about its necessity.Such treatment really has disadvantages:
- the risk of being among the small percentage of people who did not help;
- the need for rehabilitation;
- possible consequences;
- the risk of relapse;
- Cost: with extensive lesions or choosing a modern methodology with a cosmetic effect, you will have to part with a certain amount of money.
Symptoms of varicose veins can indicate dangerous changes in the venous system, which can lead to serious complications up to death.In this case, the operation is necessary.
To the removal of veins with varicose veins, they resort to certain indications:
- acute thrombophlebitis;
- pathological expansion of subcutaneous veins;
- varicose expansion of subcutaneous veins with increased fatigue of the legs, pastability (reference) or swelling;
- the growth of trophic changes in soft tissues with the ineffectiveness of conservative treatment;
- the appearance of trophic ulcers;
- impaired outflow of blood.
Surgical intervention involves the use of various drugs (anesthesia, anesthesia, disinfection), so the patient should warn specialists about the undergoing or chronic diseases, an allergic reaction to any substance.It is important to report those drugs that are currently taken.Even vitamins and dietary supplements are important.
If the skin in the area of surgery is damaged, there are hematomas, ulcers or abscesses, then preliminary treatment is necessary.A specialist appoints it.
Before the procedure itself, it is necessary to prepare the zone that will be operated:
- wash;
- Remove the varnish on the nails;
- Brown hair on your feet, other ways of depilation cannot be used;
- If there is general anesthesia - to make a cleansing enema the day before.
After the operation to remove varicose veins on the legs, you will need rehabilitation, so you need to prepare and take comfortable clothes, shoes and essential items with you.
Methods of operational removal of varicose veins on the legs
Modern medicine offers many options for surgical treatment of varicose veins.Resort to the following options:
- phlebectomy;
- microflebectomy;
- stripping;
- sclerotherapy;
- laser coagulation.
Each methodology has its own characteristics.The procedure algorithm is also different.
This is the name of the operational removal of subcutaneous veins, which are pathologically expanded.After such an operation, the blood flow is normalized, and getting rid of swollen veins provides a cosmetic effect.
Anesthesia for the operation can be local or general.They select a way of anesthesia individually, focusing on the characteristics of the patient and the volume of upcoming manipulations.
Separately, a complex phlebectomy should be considered, uniting several methods at once.Each stage of such an intervention can be an independent operation:
- Crossectomy.This term is called the process of dressing and excision of the affected area.For large subcutaneous veins, proximal crossectomy is performed, for small subcutaneous ones - distal.
- Stripping.This manipulation is also known as Safenectomy.During the procedure, the trunk of the affected vein is removed.
- Flooding of perforant veins.It is supracatic or phased.The first option means dissection of fascia and is considered less traumatic.
- Miniflebectomy.At this stage, varicose nodes or single tributary veins are removed, which are affected by varicose veins.For such an intervention, small punctures are made.
How does the phlebectomy surgery take place to remove varicose veins?The effect of complete presence on the operation will provide this video:
This procedure is also called miniflebectomy.The procedure received its name due to the minimum intervention-all manipulations are performed through small punctures.
After the perfect puncture, the affected vessel is extracted with a special hook.Then it is crossed by clamps and removed.
After surgery, punctures are sealed with a bactericidal patch.Be sure to wear compression linen - it is selected individually.
How simple and quickly a microflebectomy is performed, you can see by watching this video:
Such an operation is gentle, since for its purposes small cuts are made at the ends of the affected vein.On the same day, the patient can go home.
Depending on the variety of the operation, the location of the cuts changes: one is always performed in the area of the popliteal fossa, and the other in the groin or ankle area.
Recently, another type of such manipulation appeared - cryostropping.During the operation, only one incision is made through which cryosond is introduced.Due to the effect of low temperature, the vein is frozen with the working part of the probe.This allows you to tear it off and pull it out.Due to the cooling of the tissues, the vessels are narrowing, therefore, after surgery, hematomas or bleeding do not occur.
Some experts do not consider this technique to be surgical intervention, since it consists in injections.
This technique is absolutely painless.The patient does not need prolonged rehabilitation, and after the manipulation, it is even necessary to walk.Such intervention practically does not cause complications.
Laser technologies are gaining more and more popularity in medicine.To use the laser for varicose veins, you must first take certain tests.Laser coagulation is called an endovazal operation.
Laser radiation provides prison, that is, the adhesion of the affected vessels.This occurs due to heating their internal walls.After such an operation, the seams do not need to be made - the puncture site is closed with a bandage.
Want to make sure that the efficiency of vein deletion with a laser?Then watch this video:
Features of the rehabilitation period depend on what method the operation was performed for varicose veins.Little traumatic manipulations allow the patient to recover and start ordinary life much faster.
In any case, it is necessary to follow certain rules:
- Make dressings with an elastic bandage.This measure is necessary in the first days after the operation.Thanks to the elastic bandage, the position of the veins is fixed.
- Wear compression linen.Wearing such golf or stockings should be round -the -clock.Such a measure is necessary to restore blood flow.The period during which such linen needs to be worn is determined individually.It usually takes no more than 2 months.
- Reception of venotonics.Such drugs have an angioprotective effect, that is, strengthen the venous walls and restore their tone.
- Moderate physical activity.Large loads should be avoided, but muscles must be developed.To do this, resort to physiotherapy exercises - any exercises must be agreed with the doctor.
- More vitamin C. It is necessary to strengthen immunity and reduce swelling.Black currants, kiwi and citruses should be included in the power.
- The use of seafood.Oysters are not available to everyone, but everyone can enrich the diet or algae.Such products are necessary to strengthen the vascular walls and increase their tone.
- Turn on products with kumarin.These include garlic, onion, olive oil, lemon, cherry, cherries and red currants.Such food normalizes blood coagulation, which is important in preventing blood clots.
- Plant fibers.They are found in lentils, oatmeal, apples, celery and leafy vegetables.These products are needed to normalize the gastrointestinal tract - violations in its work several times increase the risk of varicose veins.
- Eat honey with walnuts, hazelnuts or chestnuts.This mixture increases the elasticity and elasticity of the vascular walls.
- Observe drinking mode.In addition to simple water, it is worth consuming herbal teas and freshly squeezed juices.
- Refusal of alcohol.
- Less salt.
- Refusal of sweets, pastries, carbonated drinks, fatty meat, smoked and spicy dishes, fried foods.
It is important to remember that if problems with veins, it is necessary to normalize and maintain their weight.This is especially important after the operation to reduce the risk of relapse.Proper nutrition should become a way of life.
- Relapse of the disease.It occurs due to a predisposition to varicose veins.Often, patients themselves provoke such a complication with their way of life.
- Scars.This complication is inevitable after phlebectomy.It can be avoided if the operation is low -traumatic, but sometimes, according to indications, only a cardinal intervention can be carried out.
- Thromboembolism.
- Nerves damage.It can occur during the operation.This complication is extremely rare.
- Dysesthesia.This means a change in the perception of stimuli.For example, cold can be perceived by heat - and vice versa.
- Perforation of the venous walls.
- Burn (with laser coagulation).
Modern medicine offers various methods of surgical intervention for varicose veins.Each technique has its advantages and disadvantages, but it is necessary to select a suitable option individually for each patient.A prerequisite for almost every operation to remove veins is compliance with the rules of the rehabilitation period.
What types of operations are carried out with varicose veins, and how the postoperative period passes
Varicose veins (varicose veins) is a disease that affects blood vessels.It spreads more often among women.The causes of occurrence can be diverse.This is due to the clogging of veins, due to poor blood flow.Varicosis is hereditary in nature, but at the same time arises due to various factors, for example: sedentary work, overweight, pregnancy and others.When the vessels lose their former elasticity, they expand and form nodes.With age, varicose veins are more and more, so you need to contact specialists.To hope that “it will pass” is not worth it.Will not pass!
Today, medicine is quite developed, so vascular surgeons perform operations for varicose veins of the lower extremities in several ways, depending on the severity and stage of the neglect of varicose veins.This is all solved individually.On examination, the doctor will advise what method of conducting an operation for varicose veins will be optimal, and talks about their passage, and then the person decides himself.
Each method of operation to remove varicose veins on the legs has its advantages and disadvantages.A traditional operation is a section of the skin along the sore vein.Mostly, the result will be one hundred percent, but the scars along the entire leg will remain.Modern minimally invasive operations are often done - with a minimum number of cuts.Here - there will be almost no scars, but consequences in the postoperative period may occur.
Methods and types of operations to remove varicose veins on the legs:
- Flabectomy.This is a method of traditional intervention when expanding veins.It is used for advanced stages of varicose veins, when the whole vein is affected, the surface of which is removed.As a rule, after such an operation, veins and nodes no longer appear and do not disturb, but scars remain.
- Laser coagulation.The surgeon adjusts the internal wall of the vein using special laser equipment, as a result of which the lumen in Vienna is born.
- Microfleetomy.This is a partial method when the affected areas of veins are removed through small slots.
- Stripping.Vienna is removed completely, using a probe.It is introduced at the beginning of the vein and displayed at the end.Thus, few incisions come out, and the vein turns out and removes.Stripping is most often carried out to remove the vein from the inguinal fold to the knee hole, or from the knee hole to the ankle.
- With the advanced stage of varicose veins and pronounced thrombophlebitis
- If varicose lumen is more than 1 cm in diameter
- With a larger volume of damaged veins
- In the presence of large nodes
When the varicose veins on the legs is not very launched, the operation to remove it is easier and without consequences, which is why it is important not to build up components for years, but to consult a doctor.
Indications and consequences after surgery for varicose veins
Surgical intervention for varicose veins is a sufficiently popular procedure, because it is rarely possible to overcome such a disease without surgery.The neglected varicose veins definitely requires surgery, and at the initial stages, the doctor advises the procedures and exercises to strengthen the veins.In any case, the doctor, in each individual case, will weigh the pros and cons, before conducting surgery for varicose veins.
The main indications for surgery for varicose veins of the veins of the lower extremities:
- varicose veins, accompanied by increased fatigue and swelling of the legs;
- varicose veins, which has reached the stage of trophic ulcers;
- violation of the outflow of blood (sometimes without the absence of varicose veins);
- pathologically expanded subcutaneous veins;
- thrombophlebitis.
It is worth remembering that only a specialist will see the full picture, and only he can say whether the operation for varicose veins is for you!