The treatment of varicose veins using drugs, physiotherapeutic and compression linen methods 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, the operation is a kind of terrible procedure that they are trying to avoid any possible ways.Often, patients are pulled to the last one, do not turn to the doctor, treated with folk remedies.But, if the drugs do not help, then unconventional medicine is even more so.
A timely operation for varicose veins can protect many negative consequences.No need to be afraid.There are unvasive techniques that are characterized by a high degree of efficiency and low trauma.The choice of one or the other method of surgical treatment is selected by a phebologist.
Consider by what methods are the veins deleted on the legs, how do they differ, what advantages and disadvantages have?
When do you need an operation for varicose veins?
The doctor recommends the operational route of treatment with venous insufficiency in cases where, in the context of drug treatment in the patient, the disease progresses rapidly.In other words, the operation on varicose veins remains the only means that will improve the condition of the patient.
In surgical practice, cutting the veins of the lower limbs is carried out in various ways.All have their advantages and disadvantages, the indications, differ in technical and price characteristics.The cost includes many points: the complexity of the operation, the qualification of the doctor.Before the procedure, the patient must undergo an examination, take tests.
The diagnosis is necessary to exclude probable contraindications.
The operation on the legs on the legs is carried out in the following cases:
- Sharp increase in subcutaneous veins;
- Advanced stage of varicose veins;
- Trophic ulcers on the lower limbs as to the suite of varicose veins;
- Acute blood circulation in the legs, as a result of which the patient constantly has symptoms: pain, gravity and discomfort, fatigue of the legs;
- Acute form of thrombophlebitis (inflammation of venous walls).
Surgical intervention has absolute and relative contraindications.The first includes malignant hypertension, coronary disease, pregnancy.Relating prohibitions include infectious and inflammatory processes in the body, dermatological manifestations instead of intervention, the age of the patient over 70 years.
The operation with varicose veins of the lower limbs is a quick and effective means of eliminating pathology.The patient will return to ordinary life, without undergoing the suffering caused by the disease.
Sclerosis and laser coagulation for varicose disease
Sclerosis for VRV is carried out by different methods.Microosclerotherapy - Medicines are introduced into the affected vessel, which sticks the walls.This allows you to block a vein, it will not move there.The price of manipulation in a private clinic is around 5000 rubles.The duration of the procedure is 15 to 20 minutes.
A variety of procedures - echosclerosis.Such a technique is used in cases where the diameter of the affected vein exceeds one centimeter.The operation is carried out under the control of the ultrasound.Using handling, you can reduce the ship, restore the normal blood flow.
Sclerotherapy Peny implies the introduction of a substance which, in contact with oxygen, is converted into foam.This method is considered the safest.Thanks to this, it is possible to level the blood circulation in the affected ship.
The operation on the varicose veins on the legs with a laser is a relatively new way of fighting against the disease.
Distinctive characteristics of laser intervention:
- No need to make an incision, which avoids the formation of a scar or a scar.
- Thanks to a small puncture, a laser light is introduced into the vein, which studies light waves.Use it, dissolve a damaged ship.
- Relapses rarely develop - about 5% of patients.
Laser treatment rarely leads to complications, which acts as an indisputable.The least includes the cost of the procedure - from 35,000 rubles.This amount does not include tests and examination, a consultation with the doctor.
Combined phleectomy and endovazal electrocoagulation
Combined phleectomy is a common technique for varicose heating treatment.Cups and perforations are minimum sizes.The operation is carried out under epidural or general anesthesia.
To remove a painful ship under the skin, the surgeon makes an incision up to 15 mm.A special probe equipped with a point is introduced through it.
After its extraction, the veins are drawn.Remove the groin layout in the middle of the lower leg.With the help of small bites, it is possible to increase small veins / conduits.
At the end of the manipulation, the members are bandaged using an elastic bandage or the patient puts in compression underwear.
As with laser treatment, combined phleectomy is not suitable for everyone, because the cost of the operation is high.
Endovasal electrocoagulation implies the elimination of subcutaneous vessels.If you compare yourself to the radiofrequency prison, the technique is more dangerous.
Netherlands for the treatment of varicose veins of the lower limbs
Stripping of low ends - Traditional surgery for TRV legs.Deleting veins with this method is most often practiced.This is mainly due to the fact that patients ask for help from the late doctor and, in serious cases, mini-invasive techniques do not give the desired therapeutic effect.
The undressing of varicose veins with several steps.At the first step, the doctor has a little cut in the groin.After that, they shoot a vein at the place where she flows into a deep vein on her thigh.Then, the tributaries are distinguished and excised (depending on the indications, their number may vary from 1 to 7).
This action requires the doctor's attention, because if you even forget a tributary, it increases the risk of relaxed varicose veins several times in the patient.This is why such an operation is only carried out by highly qualified and experienced doctors.
The second stage of the intervention - Make an ankle incision (only from the inside);The initial department of tributaries and large veins under the skin is distinguished.They are bandaged, after having excised.Then, a special device is introduced into the venous clearance, which is carried out in the upper section.Through it, remove the whole vein.
Characteristics of the stripping technique:
- The extended conduits, in other words, the varicose nodes are removed by small cuts;
- If insolvent veins were found during the procedure, then they are bandaged, after having expanded them.
The affected areas that require withdrawal are diagnosed with ultrasounds.The stripping is distinguished by a short duration of the rehabilitation period, compared to the traditional operation to eliminate the veins.
Other methods of surgical treatment of varicose veins
Endoscopic dissection is a type of veins ligature.The particularity of the technique is the use of endoscopic equipment, which allows intervention far from trophic disorders in the healthy tissue area.
In surgical practice, two methods are used - with gas supply and non -Gaze.It is believed that the technique with the gas supply to the subfascial space is more effective.With this operation, a freer work cavity is formed, the risk of complications after reducing surgery.
Crychurgery implies the elimination of blood vessels with VRV by the effects of a low temperature diet.The method is considered to be entirely safe.But this operation is not carried out in all clinics because it requires modern equipment and high qualifications of the doctor who can handle.
With cryodestruction, there is a certain risk of complications.They are associated with a medical error - if the doctor incorrectly calculates the depth of the frost, damages the healthy tissues, which leads to various violations.
Radiofrequency removal of veins for varicose veins has the following characteristics:
- High efficiency, the risk of relapse of the disease is low.
- Lack of side effects.
- Small trauma.
- Minimum injury of ships.
With radiofrequency removal, the veins destroy the internal wall of the ship using radiofrequency irradiation.Consequently, the light of the vein shrinks.The surrounding (healthy) tissues do not suffer during handling.The operation is carried out under local ambulatory anesthesia.
After the introduction of anesthesia, the veins are made in the lower leg area.A disposable catheter is introduced into the ship, which is equipped with a transmitter.They promote the device where the subcutaneous flows into the deep vein.Then, the catheter is slowly removed - during its extraction, the ship is irradiated from the inside.
The injection site after the intervention is closed with a bandage and a compression bottom is put on the member.
Characteristics of the rehabilitation period after leg surgery
After surgery of the lower limbs, unpleasant consequences can develop.The side effects do not always develop and not in all patients.They are possible for any type of surgery for varicose veins.
The most common side effects include the appearance of hematomas, seals under the skin.Patients complain of pain in the legs, severe swelling, altered sensitivity in places of perforation or cuts.
Most of these symptoms take place independently in a month.Some phenomena can last up to 3-4 months.Edema and pain syndrome can disappear, then appear spontaneously with an increased load on the feet, on the bottom of the injury, when the time changes.
After surgery, the patient needs:
- Bring compression underwear;
- Do not lift heavy objects;
- Conduct an active lifestyle (swimming, hiking, cycling);
- Perform therapeutic massage of the legs from varicose veins;
- Balanced to eat.
As a prevention of the relapse of the expansion of varicose veins, it is necessary to control body weight, to abandon shoes and cramped clothes, to take medication prescribed by the attending physician.In a sitting position, you cannot throw your leg on the leg.During sleep, put a pillow under your feet so that the limbs are slightly above the position of the body.