Surgery for varicose veins

Varicose veins are a problem that requires gradual treatment. Treatment of varicose veins allows you to get rid of the problem at different stages of manifestation in a short time, in a short time, in a short time in the absence of contraindications. For a successful procedure, you must strictly follow the rules of preparation and rehabilitation.

Surgical removal of varicose veins in the legs

Indications

Surgical removal of leg veins is prescribed for severe pathologies where conservative treatment and folk remedies are ineffective. Indications for surgery:

  • circulatory problems when the patient feels fatigue and pain in the legs all day and gets tired quickly with moderate effort;
  • swelling of the legs that does not respond to medication;
  • lower limb injuries;
  • trophic ulcers and other severe skin lesions;
  • genetic diseases of the circulatory system;
  • advanced stage of thrombophlebitis.

What to do to prepare?

Prior to surgery for lower extremity varicose veins, the patient undergoes a series of tests to identify contraindications.Sets the date and time when all results are received. Surgical requires<2_img_rxx>special preparation of the body:

  • It is recommended that the patient switch to a slag-free diet 3 days before surgery. Exclude meat, fatty and fried foods, sweet cakes and bread.
  • Apply a cleansing enema the night before the procedure.
  • The day before removal, it is better to eat only low-fat cottage cheese, yogurt, porridge. You should drink green tea and water.
  • Do not eat for 8 hours before the procedure.
  • You should also exclude alcohol and smoking for at least 3 days.
  • The legs and groin should be shaved the day before surgery.
  • It is recommended for women to remove nail polish.

Types and techniques of operations

Modern medicine offers many ways to remove veins and capillary stars in the legs. Each is characterized by its own characteristics. The most common types of operations are:

  • phlebectomy;
  • sclerotherapy;
  • laser correction.
Phlebectomy - the problematic vein is removed with two incisions

Phlebectomy

Such an operation to remove the veins in the leg is effective in stages 1 and 2 of the varicose vein. These are usually hereditary problems of the circulatory system. During the procedure, shallow incisions 3-5 cm wide are made in the groin and leg of the patient along the vein. A venous extractor is inserted through the top opening - a special device similar to a rounded wire. With this device, the doctor removes the patient's vein. Incisions are made and sterile bandages are used. After 3 days, the patient is discharged from the hospital. The recovery period lasts 2 months.

When the disease is diagnosed at an early stage and without complications, it is not the entire vein that is removed, but the damaged part. Such surgical treatment is performed under local anesthesia. After successful removal, no hospital stay is required and the patient is sent home. In addition, varicose veins are treated on an outpatient basis.

Sclerotherapy

Removal of varicose veins by gluing on the legs. During surgery, a sclerosant is injected under the skin by injection. Under its influence, the walls of the veins grow together and the movement of blood in them stops. Over time, the process of falling occurs and there is no trace of the disease at the site of the procedure. The blood vessels in the veins of the foot can only be removed in this way with the proper passage of the deep blood vessels. Otherwise, the procedure is contraindicated. The dose of the drug and the frequency of single injections are determined individually in each case. As a general rule, a maximum of 5 injections per session can be given and the procedure can be repeated up to 6 times at 1-month intervals. After surgery, the treated area is covered with an elastic bandage to stop blood circulation.

Sclerotherapy should only be performed by an experienced professional. Intra-arterial injection is dangerous to health.

Laser removal of veins

Laser removal of blood vessels

Painless treatment of varicose veins on the legs that does not involve injection or incision. During the operation, the damaged vessel is exposed to a stream of light that welds. Different types of lasers are used for veins and arteries. For example, the effect of light currents on the removal of blue reticulated arteries is ineffective in red veins. The type of laser radiation and the wavelength are selected individually depending on the depth and diameter of the vessel. Additional cooling ointments or ice are used during the operation.

A separate type of removal of laser vessels is endoven laser coagulation. In the procedure, a micro-hole is made in the area of the damaged vein and a light guide is placed in the lumen. With its help, the vein is soldered, blood flow stops and continues through healthy veins. All operations are controlled by ultrasound, which eliminates errors and does not exceed 2 hours. Sometimes local anesthesia is required. After removal, place a bandage from an elastic bandage or compression stocking. Endovenous surgery for lower limb varicose veins does not require a hospital stay. A procedure performed correctly and without complications will allow you to return to a normal life within a few hours.

Rehabilitation after surgery to remove varicose veins

The postoperative recovery period is extremely important. When done correctly, the risk of relapse or complications is minimized. Phlebologists have developed basic rules for total rehabilitation:

Prohibition of complete postoperative rehabilitation from bad habits
  • exclusion of bad habits;
  • adherence to proper nutrition;
  • regular charging;
  • minimizing contact with water first;
  • protection of the skin from ultraviolet radiation in spring and summer;
  • elimination of severe physical exertion;
  • use of compression underwear;
  • use of venotonics;
  • use of antibacterial and antiseptic creams;
  • regular replacement of sterile dressings.

What are the consequences?

The types of operations described rarely cause complications. But most often they are possible with phlebectomy. Incisions cause bleeding and bruising. And non-compliance with rehabilitation rules during the recovery period can lead to unpleasant consequences,One of the consequences of surgery may be that the infection enters the body. such as:

  • swelling of the legs;
  • hyperpigmentation;
  • numbness;
  • neovascularization;
  • redness of the skin;
  • decreased sensitivity of the lower extremities;
  • getting an infection.

The most dangerous complication may be thromboembolism. Lack of timely medical care leads to disability or death.

Contraindications

Varicose veins are not removed on the legs if they have:

  • diseases of the heart and cardiovascular system;
  • infectious diseases;
  • chronic diseases in the acute stage;
  • skin damage, including rash;
  • hypertension;
  • pregnancy or lactation;
  • old age.

Short conclusion

The operation is performed in cases where the medication has not worked. During an operative procedure, the patient can return to a normal rhythm of life in a short time. In addition, the risk of relapse is minimized if rehabilitation rules are followed. But the procedure is chosen by the doctor based on the characteristics of the patient’s body.