Treatment of varicose veins with the help of medication, physiotherapeutic methods and compression linen does not always lead to a positive result, especially in the third stage of the disease.In this case, the only way to help the patient is surgery.
For many patients, surgery is a terrible procedure that they try to avoid in all possible ways.Often, patients withdraw in the latter, do not refer to the doctor, treated with popular remedies.But if the medication does not help, then unconventional medicine is even more.
A timely operation for varicose veins can protect against many negative consequences.There is no need to be afraid.There are minimum invasive techniques characterized by a high degree of efficiency and low trauma.The choice of one or another method of surgical treatment is chosen by a phlebologist.
Consider what methods are removed the veins in the foot, how do they change, what advantages and disadvantages do they have?
When do you need an operation for varicose veins?
The doctor recommends the operational pathway of treatment with venous insufficiency in cases where, against the backdrop of medication therapy in the patient, the disease progresses quickly.In other words, surgery in varicose veins remains the only way to improve the patient's condition.
In surgical practice, cutting the veins of the lower extremities is performed in different ways.All of them have their pros and cons, indications, vary in technical characteristics and price.The cost consists of many points: the complexity of the surgery, the qualification of the doctor.Before the procedure, the patient should suffer an examination, take tests.
Diagnosis is needed to exclude potential contraindications.
The standing foot surgery is performed in the following cases:
- Strong growth of subcutaneous veins;
- The advanced phase of varicose veins;
- Trophic ulcers in the lower extremities as a result of varicose veins;
- Acute blood circulation in the legs, as a result of which the patient constantly has symptoms: pain, severity and discomfort, leg fatigue;
- Acute form of thrombophlebitis (inflammation of the venous walls).
Surgical intervention has absolute and relative contraindications.The first includes malignant hypertension, coronary heart disease, pregnancy.Relative prohibitions include infectious and inflammatory processes in the body, dermatological manifestations at the site of intervention, the patient's age over 70 years.
Operation with varicose veins of the lower extremities is a quick and effective way to eliminate pathology.The patient will return to the usual life without trying the suffering caused by the disease.
Sclerosis and laser coagulation for varicose disease
Sclerosis for VRV is performed by different methods.Microosclerotherapy - the drugs are inserted into the affected ship, which glues the walls.It allows you to block a vein, it will not move in it anymore.The priest of manipulation in a private clinic is about 5000 rubles.The duration of the procedure is 15-20 minutes.
A variety of procedures - ecosclerosis.Such a technique is used when the diameter of the affected vein is over one centimeter.The operation is performed under ultrasound control.With the help of manipulation, you can reduce the vessel, restore normal blood flow.
Peny sclerotherapy involves the introduction of a substance, which, in contact with oxygen, is transformed into foam.This method is considered the safest.Thanks to it, it is possible to flatten the blood flow to the affected vessel.
Surgery in varicose veins with a laser is a relatively new way to fight the disease.
Distinctive features of laser intervention:
- There is no need to make a cut, which avoids forming a scar or scar.
- Through a small puncture, a laser light enters the vein, which studies the waves of light.Using it, distribute a damaged ship.
- Relapses rarely develop - approximately 5% of patients.
Laser treatment rarely leads to complications, which acts as an undoubted plus.Minus includes the cost of the procedure - from 35,000 rubles.This amount does not include tests and examination, consulting a doctor.
Combined phlebectomy and endovasal electrocagulation
Combined phlebectomy is a common technique for varicose heat therapy.Cuttings and puncture are minimal size.The operation is performed under epidural or general anesthesia.
To remove a sore vessel under the skin, the surgeon makes a cut to 15 mm.A special probe equipped with a top is presented through it.
After its extraction, the veins are withdrawn.Remove the plot from the groin in the middle of the lower leg.With the help of small puncture, it is possible to extract small veins/channels.
After the manipulation is completed, the limbs are the bandage using an elastic bandage or the patient sets the internal compression.
As with laser treatment, combined phlebectomy is not suitable for everyone, as the cost of surgery is high.
Endovasal electrocagulation involves removal of subcutaneous vessels.If you compare it to the radio frequency prison, then the technique is more dangerous.
Shipping for the treatment of varicose veins of lower extremities
Displacement of low extremities - traditional surgery for TRV feet.Removing the veins with this method is practiced more often.This is largely due to the fact that patients seek help from late physicians, and in severe cases, minimum invasive techniques do not give the desired therapeutic effect.
The shift for varicose veins has several stages.In the first stage, the doctor makes a small cut in the groin.After that, they pull a vein in the place where it flows into a deep vein in its thigh.Next, branch mouths are distinguished and excited (depending on the indications, their number may vary from 1 to 7).
This action requires the doctor's attention, because if you forget even a branch, this increases the risk of relaxed varicose veins in the patient several times.This is why such surgery is performed only by highly qualified and experienced doctors.
Second stage of intervention - make a cut on the ankle (only from the inside);The initial department of large branches and veins under the skin is distinguished.They are bandages, after harassment.Then a special device is inserted into the venous cleaning, which is performed at the top.Through it, remove the whole vein.
Characteristics of dressing technique:
- Elongated channels, in other words, varicose joints are removed through small incisions;
- If the veins of disability were found during the procedure, then they are bandages, after their excise tax.
Affected areas that require removal are diagnosed with ultrasound.The displacement is distinguished by a brief duration of the rehabilitation period when compared to the traditional operation to remove the veins.
Other methods of surgical treatment of varicose veins
Endoscopic dissection is a kind of vein connection.The particularity of the technique is the use of endoscopic equipment, which allows interference away from trophic disorders within the area of healthy tissue.
In surgical practice, two methods are used - with gas supply and not -plague.It is believed that the technique of supplying gas in the sub -phase space is more effective.With this operation, a cheaper work cavity is formed, the risk of post -operative complications decreases.
Surgery involves removing blood vessels with VRV through the effects of a low temperature regime.The method is considered to be completely safe.But this operation is not performed in all clinics, as it requires modern equipment and high qualifications of the doctor that can manipulate.
With cryodestration, there is a certain risk of complications.They are associated with a medical error - if the doctor mistakenly calculates the depth of the frost, then damage healthy tissue, which leads to various violations.
Venation radio frequency ablation for varicose veins has the following characteristics:
- High efficiency, the risk of relapse of the disease is low.
- Lack of side effects.
- Small trauma.
- Minimal injury to the ship.
With the radio frequency ablation, the veins destroy the inner wall of the vessel by radiation radiation.As a result, the vein lumen narrows.The surrounding (healthy) fabrics do not suffer during manipulation.The operation is performed under local anesthesia on outpatient basis.
After the presentation of the anesthesia, the veins are done in the lower leg area.A disposable catheter is inserted into the boat, which is equipped with an emitter.They promote the device in the place where the subcutaneous is poured into the deep vein.Then the catheter is slowly removed - during its extraction, the ship radiates from the inside.
The place of injection after the intervention is closed with a bandage, and a compression hose is put on the limbs.
Characteristics of post -foot rehabilitation period
After surgery in the lower extremities, the unpleasant consequences can develop.Side effects do not always develop and not in all patients.They are possible for any type of operation for varicose veins.
The most common side effects include the appearance of hematomas, seals under the skin.Patients complain of leg pain, severe swelling, impaired sensitivity to places of puncture or cuts.
Most of these symptoms develop independently within a month.Some phenomena can last up to 3-4 months.Edema and pain syndrome can disappear, and then appear spontaneously with an increased foot load, against the background of damage when the weather changes.
After surgery, the patient should:
- Wear compression underwear;
- Do not freeze heavy objects;
- Run an active lifestyle (swimming, hiking, cycling);
- Make the therapeutic foot massage from varicose veins;
- Balanced to eat.
As a prevention of restoring varicose extension, it is necessary to check the body weight, abandon your shoes and clothing, take medication prescribed by the attending physician.In a sitting position, you can't throw your foot on foot.During sleep, place a pillow under your feet so that the limbs are slightly above the body position.