A varicose veins treatment for the legs using the drugs don't a positive effect. In particular, it is difficult to cure varicose veins, when at an advanced stage. In this case, the surgery was the only option to eliminate the pathology. For many people, an operation that was a terrible procedure, so they are a long time afraid to go to the doctor, relying on the form of an at-home treatment. A disease still in the progress of the patient's condition is deteriorating.
When to do it?
A surgery of varicose veins of the lower limb, is assigned to circumstances is the following:
- if the vein is the saphenous increased due to physiological pathology;
- if the disease is in advanced stages of varicose veins treatment when a folk remedy medications are not helping;
- the formation of a trophic ulcer of the skin;
- if violations occur, vascular blood flow, in which a patient's constant fatigue, quickly gets tired, feels pain, heaviness in the legs;
- a acute thrombophlebitis;
- if you have any nutritional skin lesions.
Some patients the surgery, varicose veins in the legs may be contraindicated. Obstacles to a surgical procedure, or:
- high blood pressure;
- a serious infectious disease;
- the coronary artery disease;
- the age of the patient (70 years);
- skin diseases – eczema, erysipelas, etc.;
- the second half of pregnancy.
The surgery is the most effective, safe treatment option for varicose veins. A doctor with experience will be able to quickly remove the pathology, the patient returns to normal life, without suffering her disease.
Interventions
The type of surgery depends on the individual characteristics of a disease. Certain types of operations, suitable for a man can be to another is not working. The surgery the doctor will consider before the form of the disease, symptoms, and likelihood of complications.
Surgical
The most time consuming, complex procedure associated with a high likelihood of complications, phlebectomy is surgery to remove the varicose veins. The doctor only in the case when other treatments are not able to express any favourable effect. The process of this operation in the groin area of the patient to a small (3-5 mm) is cut, through which the affected vein is ligated in a place where a clearing deep vein, then cut, and then pulled the leg using a special probe. After removing the veins, the cuts imposed absorbable sutures. The action is 1-2 hours, until the patient to the hospital less than a day, then go home. A type of procedure is phlebectomy, phlebectomy, for example, in which the body is not made, the cuts and recesses. This method allows you to operate with less injury to the skin, to reduce the period of rehabilitation. Strip is another type of surgical treatment of varicose veins. Of course, this is A extract whole procedure is not entirely in Vienna, it's just a part of it that was exposed to the varicose veins. The disassembly during the through holes in the skin, which avoids suturing.
Sclerotherapy
Less traumatic method of surgical intervention is considered sclerotherapy. This lies in the fact that with the help of ultrasound, a is determined by the exact location of the dilated veins, to which a special substance (sclerosant). This is the material of the adhesive are affected veins, preventing the blood to flow through them. A after surgery, to patient a formed blood vessels in scar tissue, reduce the edema. Not patients feel A heaviness, and pain in the legs, and if you've had ulcers, they'll heal quickly. Sclerotherapy van van of two types:
- Echo-guided sclerotherapy. This operation is used if the affected vein diameter reached 1 cm or more. The first is that the veins test tool using a special – duplex scanner, so that under his supervision made a puncture, and then a vein sclerosant. This procedure allows to reduce the diameter of the vessel concerned, or to restore the normal blood flow in.
- The sclerosing foam. A safe, completely pain-free form of sclerotherapy. The affected vessels are injected with a special foam, it fills to stop that and the blood flow inside the vessel.
The maximum effect usually multiple treatments sclerotherapy. Recurrence of varicose veins after this almost never happens.
The photocoagulation
Surgery to remove varicose leg veins by the considered to be a technologically such band is the most advanced struggle for the varicose veins, eliminate abnormal dilatation will help in the cases of 90%. During the procedure, the incisions tissue not made, which allows, to avoid cosmetic defects. Through puncture a skin type guide the light, which emits light waves. During an action, is termination of the patient in a vessel. This is a method number of a short relapse – cases, the development of varicose veins occur only 5% of patients. This can be applied in severe cases when the veins are large in size.
Possible consequences, but the status of the post-operative period
To Almost all kinds of operations to eliminate the varicose veins of a legs, safely, because of very rare complications cases. The highest probability of severe complications leakage of a rehabilitation following a period when phlebectomy. In an area removed from the vein can cause the bruising, and sometimes cuts bleeding, like other subordinates in the veins. 2-3 days after the surgery, some patients may increase the temperature. It is due to This that a sterile inflammation of the blood accumulates under the skin. Pent-up blood If a lot of the veins may form lumps, painful to the touch. If the skin is a lot of acquired a reddish tone, then started with a bacterial infection. In this case you will need urgent hospital treatment. Other possible complications after surgery may include the following:
- A numbness of a skin of the pain. They occur when an operation damaged nerve endings. Over time, the pain ceases, the skin sensitivity is restored.
- The bruises. Formed phlebectomy since it is a pretty traumatic surgery. After a period of time, usually no more than a month to completely disappear. If minimally invasive treatment (laser varicose veins or blood clotting) bruising is almost never left.
- Swelling. They can appear, if you don't have to a patient prescribed the post-operative period – you move a lot don't wear special clothes, or exposed himself to great physical stress.
After the surgery, the patients lead a sedentary lifestyle. Inactivity may occur to such a dangerous phenomenon of acute deep venous thrombosis of the lower limbs. To prevent this, you need to do special exercises, diet, medication that prevents blood clots.
Recommendations for the prevention of recurrence
Even then, if an operation to remove the varicose veins successfully carried out, that there is always the risk of disease occurrence. A recurrence probability was negligible, determine you need to take preventive measures:
- lead, active lifestyle, playing sports, often walk in the fresh air;
- in a sitting position to ensure that the posture was smooth, that did not put one foot in front of the other, as it leads to violations of venous blood flow;
- a fight obesity;
- moderately consume coffee, tea;
- every morning, finally gymnastics feet;
- leaving too tight, narrow shoes and clothes.
Varicose veins disease, which after a full course of treatment adherence requires a certain lifestyle. Preventive measures after the operation must comply with a few the first month of my entire life. Varicose disease, in which a van narrowing of a vessel wall, a deep veins and slow blood flow. This is much a disease younger these days. It is due to This that the sedentary lifestyle (although a constant work on the legs can trigger an outbreak), move only on a traffic weight environmental a situation, a world, a general predisposition to blood diseases, etc. in the Early stages of varicose veins, it is suitable to be a conservative treatment methods. But if it is too a disease, but it is still progress, you need to think about the operational solution to a problem. Right qualified surgeon for the surgery to remove the veins – a guarantee of full recovery from debilitating and exhausting diseases. Today, such operations are carried out by highly qualified professionals in medical centres equipped with the most modern equipment do not pose a risk to the life of the fajbiológia, a patient.
Signs to the surgery
Vein removal is used in the following cases:
- extensive varicose veins, which is a large area of a vein;
- incorrect expansion of the saphenous veins;
- severe swelling and fatigue in the legs;
- abnormal a violation of the outflow of blood in the veins;
- not healing trophic ulcers;
- acute thrombosis and venous occlusion.
Restrictions and contraindications
The operation is not assigned in the following cases:
- running condition of a varicose disease;
- high blood pressure 3 degrees or coronary heart disease;
- severe inflammatory and infectious processes;
- senile age;
- 2 3 trimester of pregnancy;
- skin disease exacerbation stage (eczema, erysipelas, dermatitis, etc.)
Before surgery, conduct a thorough investigation of the venous system of the patient, and uncle sanyi a diagnostic tests. Emergency surgery should be appointed, if blockage of the veins, thrombophlebitis, and not at regular intervals-healing ulcers.
Type of surgical intervention
Surgical removal of veins in a leg to perform it may be more modern techniques.
Phlebectomy is a popular
An early stage of the disease performed phlebectomy. Preparing for this type of operation is the most elementary. The patient went to take a shower and completely shave the legs, groin. It is very important that before the surgery, a skin, the leg was perfectly healthy, and the skin is not broken. Before the surgery the patient a clean intestines, and may conduct research on allergic reactions to drugs. An action, astringent to 2 hours, under local anesthesia. Remove the vein saphenous is completely safe for the human body. During the operation, can be filled with a extravascular correction of valves to restore the flow of blood. The operation begins with a up to five incision length-cm in the groin, long and a two cm on the ankle. The other is a incisions are made on the basis of high venous nodes. The cuts are shallow, narrow. Through an incision in the groin into the vein, the venous extractor (in the form of wire round a thin tip at the end). With the help of this tool, the surgeon removes the affected vein. Then incisions are sutured, a operation has ended. Of course, the legs closed, sterile gauze, placed on top of a rubber band. After 1-2 days the patient may already move independently. After phlebectomy, the patient is wearing stockings (or bandages), 2 months venotonic the restoration of the veins. In some cases, appoint the phlebectomy, in this case, the feet did ban a small incision (under local anesthesia) through which removes the damaged parts of Vienna Vienna completely or it can even.
Sclerotherapy is a painless removal of varicose veins
Today is a special popular, a ban gained by echo-guided sclerotherapy— treatment of varicose veins by lethal injection. When this vein substance sclerosant, which destroys the inner layer of blood vessels, the middle layer melted form in the fall of Vienna. This method is the most gentle, but the lasting effect is to spend a few procedures, as well as approximately hat art rehabilitation. This type of surgery, and foam sclerotherapy can be used only when the harm to the veins of small diameter, the large number of "vascular stars". A vein blowing sclerosant, which increase the effectiveness, since a large increase in the area of interaction with an inner side of a ship. Furthermore, because a special texture of the foam is left of a ship increasing the exposure time of the drug, the affected vessels. Therefore, when the foam sclerotherapy session number is decreased significantly.
The phlebology
A method is advanced to a vein removal – laser, the intravascular coagulation. On the surface, a vein from the inside working up to an through a barely noticeable puncture. In this case, the legs covered with a sterile elastic bandage, and then five hours later, the patient is able to walk. Both methods can be considered malotravmaticheskaya, and pain-free. A patient can go home one day, a leg.
Possible consequences
After all, even the most sensitive a surgery to remove veins in a leg abrasions, bruises and other consequences, that there will be a period of time, to be disturbed. Time after an operation for A better sleep, raised leg, to improve blood flow. A fairly common complication after the surgery, the recurrence of varicose veins, if patient a's general disposition, and he has not changed his lifestyle. Very rarely damage during the operation, the adjacent vessel or nerve. But this is absolutely a complication excluded that a qualified professional. After phlebectomy leg still inconspicuous small scars.