Treatment of varicose veins in the legs with the help of medications does not always have un positive effect. And especially difficult for the veins to heal if it is in an advanced stage. In this case, surgical intervention was the only option to remove the pathology. For many people the operation to be un terrible procedure so that are a long time a fear of going to the doctor, based on some forms of treatment of the house. The disease continues to progress and the patient's condition to deteriorate.
When it is necessary to do?
The surgery of varicose veins lower extremities and assigned under the following circumstances:
- if saphenous line and the line due to the increase of a physiological condition;
- if the disease is in an advanced stage, when the treatment of the drug, varicose veins, folk remedies do not help;
- in the formacio of trophic ulcers on the skin;
- if there are violations of vascular circulation in the blood of the, in which the patient experiences constant fatigue, quickly gets tired, it sent pain and heaviness in the legs;
- acute a thrombophlebitis;
- if you have any trophic lesions of the skin.
For some patients, the surgery of the legs varicose veins may be contraindicated. Barriers to surgical intervention are:
- hypertension;
- serious an infectious disease;
- coronary artery disease;
- the age of the patient (over 70 years);
- skin diseases – eczema, erysipelas, etc.;
- the second half of pregnancy.
The surgery and the treatment more safe and effective option for varicose veins. Experience as a doctor will be able to quickly remove the disease, the patient and the s has to go back to the normal life sense of suffering was the one who caused him the illness.
Interventions
The type of surgery will depend on the characteristics of the disease in individuals. Some types of operations, suitable for one person may not work for another. Before the surgery, the doctor examines the form of the disease, the symptoms and the likelihood of complications.
Surgical
The most laborious and complex procedure associated with a high probability of complications, phlebectomy, the surgery to remove the varicose veins. A prescribed only in cases in which others are able to, without treatments to exercise any favourable effect. In the process of this operation on the groin area of the patient to make a small (3-5 mm) incisions, through which the vein ligated affected in the place where it empties into the deep vein, then cut and does not stop out of the legs by means of special probes of l'. Original works of art of the removal of les in the veins cuts imposed dissolvable stitches. Operation jade l d '1 to 2 hours, while the patient is in a hospital in less than a day, then", " go home. The un type un procedure and phlebectomy phlebectomy, in which the body does not make cuts and punctures. Allows This method to operate with less injury to the skin and reduce the rehabilitation period. Stripping to another kind of treatment of the surgical varicose veins. In the course of this procedure extracted from all the Vienna, not completely, but only part of it was that the files exhibited a varicose veins. The elimination is carried out by a puncture through the skin, which prevents suture.
Sclerotherapy
Less traumatic the journal method of surgical intervention and considered sclerotherapy. It is found in the fact that with the help of the ultrasound determines the situation of the increasing exact of the veins, which introduces a substance that's special (sclerosant). This material glues the affected blood vessels, preventing blood flowing through them. Original work of art operation of l', to place the patient veins formed scar tissue, decreasing the oedema. The patient let me feel pain and heaviness in the legs, and if you've had ulcers, which will heal quickly. Sclerotherapy and one of two types:
- Echo-guided sclerotherapy. Use This operation s if the affected vein diameter reached 1 cm or more. First, the veins examined are with the help of a special device – a duplex scanner, then under its control carried out the puncture, and original works of art, and injected into a vein sclerosant. This procedure diameter allows to reduce the vessel of the patient and restore normal blood flow in it.
- Sclerosing The foam. The most secure and fully form painless sclerotherapy. In the vessels affected s injected with a foam of special, that it fills it I s stops the flow of blood to the interior of the boat.
For a un maximum effect, usually, several treatments of sclerotherapy. The Recurrence of varicose veins original work of art that almost never happens.
Laser photocoagulation
Surgery to remove varicose leg veins by laser and considered to be the most technologically advanced fighting with varicose veins and helps to eliminate pathologic dilatation in 90% of cases. During this procedure, incisions tissue not it does what it allows you to avoid examining cosmetic defects. Through a puncture in the skin type of laser light guide, which emits light waves. Under its action, there is a dissolution of the patient ship. This method has the un low number of relapse – cases of the formacio of varicose veins occur only in 5% of patients. It can be applied in severe cases when you reach in the veins large sizes.
Possible consequences and the state in the postoperative period
Almost all types of operations to remove varicose veins in the legs, they are safe and complications cause in very rare cases. The greater likelihood of complications and serious leakage of the rehabilitation period when it occurs phlebectomy. In the area of the removed vein can cause bruising, and sometimes cuts can bleed, as there are other tributaries of the veins. 2-3 original work of art days of the surgery, some patients may increase temperature. Due to This, an aseptic inflammation in the that accumulates sing s under the skin. If the will be much to sing accumulated in the veins can form lumps, painful to the touch. If the skin over the lumps acquires un to red, then began the un bacterial inflammation. In this case you will need urgent hospitalisation. Other possible complications original work of art surgery may include:
- The lack of sensitivity of the skin, pain. Produce It, if during the operation were damaged a nerve endings. With time, the pain will disappear, and the sensitivity of the skin will be restored.
- Blue. Format for phlebectomy as pretty and traumatic surgery. Original works of art of any time, usually not more than a month, they completely disappear. When minimally invasive treatments (sclerotherapy or laser coagulation) hematomas are not almost never remain.
- Swelling. Can appear, if not, the patient must be prescribed in the postoperative period – a lot of movements, do not wear special clothes or exposing themselves to great physical stress.
Original work of art of the surgery the majority of patients carry un sedentary lifestyle. Due to inactivity, can cause the un-phenomenon of acute dangerous thrombosis of deep veins lower limbs. Per evitar-ho, you have to do special exercises s, the diet and take drugs to prevent formacio of blood clots.
Recommendations for the prevention of the recurrence
Even if the operation to remove varicose veins was carried out with success, there is always the un risk of recurrence of the disease. What and the was likelihood of recurrence insignificant, and necessary to observe preventive measures:
- bring un style of life, to do sports active, often with a foot in the air free;
- in a sitting position need to make sure that his posture was smooth, not to put a foot to the other, as it leads to violations of venous blood flow;
- to fight against obesity;
- moderately consume coffee and tea,
- every morning, do gymnastics feet;
- abandon too strong and tight to shoes and clothing.
Varicose veins and a disease that even a complete original work of art d healing requires the monitoring of a certain style of life. Preventive measures work of art original operation must comply with the principle of a few months and throughout life. Varicose veins and a disease in which there is a reduction in the vessel walls of the deep veins and decreases the flow of blood. This disease very young and today. Due to This, the un sedentary lifestyle (still a work in legs constant can trigger the un outbreak), the movement, only in the transport of the excess of weight of the environmental situation in the world, a generic predisposition to diseases of the blood, etc. the first phase of varicose veins lends itself well to a conservative treatment methods. But if the disease has gone far and continues to progress, we have to think about the functioning of the solution to the problem. True un good surgeon the operation to not stop to remove the veins – a guarantee of his recovery, full of debilitating exhausting and diseases. Today, these operations are carried out by specialists in highly qualified medical centres equipped with the most modern equipment, and do not represent any danger to the health and the life of the patient.
Indications for surgical intervention
Vein removal s uses the following ca cases:
- extensive varicose veins, that a large covers the area of the vein;
- expansion saphenous vein incorrect in the veins,
- severe bloating and fatigue of the legs;
- pathological the violation of the exit of the blood in the veins;
- no healing trophic ulcers;
- acute thrombosis and occlusion of the vein.
Limitations and contraindications
Operation not assigned cases in the following:
- execution conditions of the disease varicose veins;
- hypertension 3 degrees or coronary heart disease;
- severe inflammatory and infectious processes;
- senile age;
- 2 and 3 trimesters of pregnancy;
- skin diseases in the exacerbation stage (eczema, erysipelas, dermatitis, etc.)
Prior to surgery, carry out the un study of the deep venous system of the patient, as well as a broad diagnosis shows. Emergency operation shall be appointed when the obstruction of the veins, thrombophlebitis and recurrent non-healing ulcers.
Type of surgical procedure
Surgery to remove the veins of the legs can be accomplished destinations through modern techniques.
Phlebectomy and un popular
In the early stages of the disease can be performs a phlebectomy. The preparation for this type of operation more and elementary. The patient pren a shower completely shaved and the leg and the groin. And very important that before the surgery, the skin of the legs was perfectly healthy and the skin is not broken. Before the operation the patient clean the intestines and carry out research into allergic reactions to drugs. L ' operation jade up in under 2 hours local anesthesia. Removal of the line saphenous vein and completely safe for the human body. During the operation, the pot on the extravascular correction of valves to restore the flow of blood. The operation incision begins with a length of up to five inches of the groin, and a length of two cm at the ankle. The rest of the incisions are made under large venous nodes. The cuts are shallow and narrow. Through an incision to l's groin injected in a vein of the venous extractor (in the form of a thin wire and round with a tip at the end). With the help of this tool, the surgeon removes the affected vein. Then, the incisions are sutured and the operation is ended. Of course, the leg is closed, a gauze sterilized I've put a on an elastic band. Original works of art 1-2 days, the patient can move independently. Original work of art phlebectomy, the patient takes stockings (or bandages) for 2 months and has venotonic for the restoration of the veins. In some cases, the name phlebectomy, in this case, the leg make a small incision (under local anesthesia) through which removes the damaged parts of Vienna, or even of Vienna completely.
Sclerotherapy and elimination of the pain varicose veins
Today, a special popularity was gained by the echo-guided sclerotherapy— treatment of varicose vein injections. When injected into a vein of the substance – sclerosant, which destroys the inner layer of blood vessels, then the middle layers are fused and form a fall of Vienna. This method, and the softer, but for a lasting effect that has on procedures and will take about six months for rehabilitation. This type of surgery, and foam sclerotherapy can only be used when the damage to the veins of small diameter and with a large number of "vascular asterisks". It will be The vein blow sclerosant, the efficiency increases which due to the large increase in the area of interaction with the side of the boat interior. And in addition, because of its particular consistency foam lingers in the boat, increasing the time of exposure of the drug to the affected blood vessels. Therefore, when foam sclerotherapy number of sessions is significantly reduced.
Laser in phlebology
The method most advanced vein removal with laser, this laser coagulation intravascular. The surface of the vein from the inside and processed by the laser through a barely noticeable puncture. In this case, the leg and covered with a sterile bandage elastic, and five hours later the patient and able to walk autonomous way. Two are These methods considered malotravmaticheskaya and painless. The patient can go home the same day on their feet.
Possible consequences
Original works of art of all, even the most gentle of the surgery to remove the veins of the legs are the bruises, wounds and other consequences that will have for a bit of time to bother. Some time of the operation works of original art and sleep better with the legs raised to improve blood flow. A force Marta complication original work of art, in the surgery of the recurrence of varicose veins, if you have it un patient generic predisposition and he has not changed his style of life. Very rarely damage during the operation, the side of the vessel or nerve. But this complication and excluded fully qualified d un specialist. Original work of art phlebectomy legs are still sent hardly visible small scars.