The purpose of varicose vein surgery is to normalize blood flow through the deep veins. So, if there is an indication for varicose vein surgery, you should not hesitate to do it, because the sooner it is done, the faster the blood flow will normalize, improve or cure the disorder. and other complications of varicose veins.
Indications for the removal of varicose veins
- With extensive varicose veins;
- If the hemispheric veins are pathologically dilated;
- If varicose veins are accompanied by leg fatigue and more swelling;
- If there are signs of a violation of the flow of blood on the face - a feeling of heaviness, swelling, increased feeling of fatigue of the legs, even without varicose veins;
- If there are nutritional skin disorders that do not respond to conservative treatment (with or without varicose veins);
- Varicose veins accompanied by trophic ulcers;
- A varicocele is also performed in the clinic for acute thrombophlebitis of venous insufficiency.
Contraindications to varicose vein ablation
- In the final stage of varicose veins;
- With hypertension;
- With ischemic heart disease;
- With a serious infectious process;
- The patient's advanced age;
- Inflammatory processes in the legs, eczema, pyoderma, erysipelas, etc. v.
- They did not perform varicose vein surgery and during the second half of pregnancy.
Recommendations before varicose vein surgery
Preparing for a varicose vein surgery is straightforward:
- Take a shower;
- Shaving legs is completely surgical;
- Before surgery, the skin of the leg must be healthy, without pustules;
- If the operation is scheduled to be performed under general anaesthesia, it is imperative to administer a cleansing enema on the eve of the operation;
- Come to the operation in the state of shoes and loose clothes;
- If you are taking any medication, be sure to tell your doctor about it;
- During surgery, many different medications may be used, and if you are intolerant or allergic to any medications, especially novocaine and iodine-containing substances, inform your doctor. your surgeon about this.
Varicose vein removal procedure
In varicose vein surgery, diseased veins are simply removed. This takes about 1-2 hours. Removal of the hemispheric veins does not impede normal and safe blood flow to the body, since no more than 10% of the blood normally flows through the hemispheric veins (namely, they are affected by varicose veins). ). 90% of venous blood is transported by deep veins and is known as the links of the legs. Therefore, when removing the subcutaneous veins, these vessels easily carry the burden of blood circulation by themselves. After surgery, there is almost no visible scar left, only 4-5 mm.
If malfunctioning venous valves are detected, correction of inoperable venous valves is performed to restore normal outflow of blood. After vein surgery, you need to follow a number of recommendations, the main of which is elastic compression.
After surgery, patients are recommended to use elastic bandages or elastic stockings for 1. 5-2 months. In addition, to restore the function of the operated leg, venotonic drugs are prescribed.
However, such operations still come with a high risk of scarring. Recently, methods have been developed that make it possible to perform valvuloplasty of the great hemisphere veins without resection of the veins. These varicose veins treatment maneuvers are very effective, but they are still very complex and are mastered by a small group of specialists.
Rehabilitation
After phlebotomy, the recommendations will be different for each patient - it all depends on the degree of varicose veins in the patient, the presence of chronic diseases, the general state of health, as well as the nature and scope of the surgery. Therefore, after intravenous intervention, listen carefully to your surgeon and follow their recommendations.
From the first hours after activity, it is recommended to rotate, bend the legs, etc. v. And simply raising the end of the bed 8-10 cm will significantly improve venous blood flow.
The day after surgery, to treat varicose veins, dressings are made using compression knits or elastic bandages for both legs from the tip of the toe to the knee joint. It is only allowed to walk after dressing. In addition, after the removal of the veins, physiotherapeutic exercises and light massage are recommended to prevent the formation of thrombus.
7-10 days after surgery, you should not do aerobics, gymnastics or exercise bikes, as well as go to the sauna and bath. On days 8-9, the sutures are removed and a course of physiotherapy exercises and water procedures is prescribed. Elastic compression is required for at least 2 months after suture release.
Exercises for people with varicose veins are especially important for the elderly. This is an ideal prevention of postoperative complications - slowing of the flow of blood in the veins and thrombosis after surgery. It is possible that medications will also be prescribed to prevent blood clots.
The cosmetic effect after varicose veinectomy largely depends on the stage of varicose veins, the specifics of the venous system, and the presence or absence of complications of venous insufficiency. So, in the early stages of varicose veins, the size and number of scars can be minimized. If varicose veins are ignored and are accompanied by trophic ulcers, dermatitis, and widespread pigmentation, these cosmetic defects remain even after surgery, along with small scars at the wound sites. surgery.
The cosmetic effect of a phlebectomy is critically dependent on an individual's predisposition to scar tissue formation. In some people, even if the skin is severely damaged, a thin scar will form. Others, even with very small lesions, have a tendency to form coarse keloids that protrude above the skin's surface.
Microflebectomy (microflebectomy)
In recent years, surgical removal of small tumors (microflebectomy) has become increasingly popular.
Miniflebectomy is the removal of veins through small punctures in the skin. This procedure does not require a large incision like varicose vein surgery. Depending on the stage of the varicose veins, microscopic excision may not require hospital visits or general anesthesia. Miniflebectomy can be performed on an outpatient basis with minimal local anesthesia. The price of a small amputation depends on the length of the vessel at issue.
After removing varicose veins, bruises form on the legs. The bruise will disappear on its own after 2-3 weeks, after 1-2 months there is practically no trace of varicose veins and there is still an incision.
If you need specialist advice, make an appointment with a phlebologist at the medical center! Call and explain in detail the treatment of varicose veins in the legs at our clinic.