Treatment of varicose veins on the legs using drugs is not always has a positive effect. Particularly difficult to treat varicose veins, if it is in running stage. In this case, operative intervention – the only possibility of removing the pathology. For many people, the operation seems to be a terrible procedure, so long afraid to go to the doctor, relying on some domestic forms of treatment. The disease however continues to progress, and the patient's condition deteriorates.
When it is necessary to do?
Operation of varicose veins of the lower extremities is appointed under the following circumstances:
- if the subcutaneous veins are dilated due to physiological pathology;
- if the disease is in running stage, when the treatment of varicose veins medicines helena folk remedies no longer help;
- in the formation of venous ulcers in the skin of the skin;
- if there is a breach of the vascular circulation, in consequence of which the patient is experiencing constant fatigue, quickly tired of, the sensation of pain and heaviness in the legs;
- if it was acute thrombophlebitis;
- when there were trophic skin lesions.
For some patients surgery is varicose veins on the legs may be contraindicated. Factors, prevention of surgery, are as follows:
- hypertension;
- severe infectious disease;
- coronary artery disease;
- the patient's age (over 70 years);
- skin diseases – eczema, erysipelas inflammation, etc.;
- the second half of pregnancy.
Surgery is the most effective and safe treatment options varicose veins. An experienced doctor will be able to quickly remove the pathology, and the patient returns to normal life, without experiencing the suffering of those who caused him the illness.
Types of interference
View rapid intervention, is defined depending on the individual characteristics of the flow of the disease. Some types of operation, suitable for one person, may completely suit other. Before prescribe surgery, the doctor examines the form of the disease, the symptoms, as well as the probability of the occurrence of complications.
Surgical
The most time-consuming and complex process, associated with a high probability of complications, is phlebectomy operation to remove varicose veins. Its prescribed only in cases where other treatment methods are not able to have many-something the beneficial effect. In the process of this surgery groin of the patient they do small (3-5 mm) incisions, through which are affected veins tie in that the place where it empties into the deep veins, then its the waves and pull of the legs using a special probe. After the removal of the vein at the location of the cuts, insert the solution seams. The operation takes 1 to 2 hours, wherein the patient is in the hospital no more than one day, then went home. Type of phlebectomy is a procedure such as phlebectomy, in which on the body are carried out no cuts and punctures. This method allows you to perform the operation with less trauma to the skin sheets and to shorten the period of rehabilitation. Stripping – one more type of surgical treatment of varicose veins. During this procedure, it is captured is not the whole of vienna is completely, but just her small section, which was a varicose enlargement. Removal is carried out through punctures in the skin, which allows you to avoid overlapping the seams.
Hardening of the
Less traumatic method of surgical intervention is considered sclerotherapy. It lies in the fact that by using ultrasound studies shall determine the exact location of the dilated veins, into which introducing a special substance (sclerosant). This substance holds together the affected blood vessels, preventing the flow of blood through them. After this operation, at the site of the diseased vein formed scar tissue, will disappear swelling. The patient will cease to worry about the severity and pain in the legs, and if there trophic ulcers, heal rapidly. Sclerotherapy, is of two kinds:
- Echo-guided sclerotherapy. This operation is valid in that case, if the diameter of the affected veins reached 1 cm and more. First vienna examined using a special device – two-sided scanner, then under his control is carried out puncture, after which the vein introduces a sclerosant. This procedure allows to reduce the diameter of the affected vessel and to restore the normal movement of blood in it.
- The hardening of the foam. The most safe and completely painless kind of sclerotherapy. Into the affected vessel applied with a special foam, which fills it and stops the flow of blood inside this vessel.
For maximum effect usually spend a few procedures sclerotherapy. Recurrence of varicose veins after her almost do not exist.
Laser coagulation
Surgery to remove varicose veins veins on foot laser is considered the most effective technology views the struggle with varicose veins and helps to eliminate the pathological enlargement of the veins in 90% of patients. During this procedure cuts the tissues is not possible, that allows, to avoid cosmetic defects. Through a puncture in the skin of the injected laser light pipe that emits light waves. Under their influence there is the dissolution of the patient's vessel. This method has a low number of repetitions – the repeated cases of the formation of varicose veins arise only in 5% of patients. It can be used, and in severe cases where the veins reach a large size.
Possible consequences and status in the postoperative period
Almost all kinds of transactions carried out for the removal of varicose veins of the legs, pass safely and cause some complications in very rare cases. The greatest probability of complications and difficult course of rehabilitation period observed during phlebectomy. In the field of remote vienna may occur hematoma, sometimes the cuts can flow out of the blood, because in the vicinity is the influx of other veins. For 2-3 days after surgery, some patients can rise the temperature. This happens due to aseptic inflammatory processes in the blood that accumulate under the skin. If the accumulated blood will be very much, the veins can form lumps, painful to the touch. If the skin over the lumps acquired a reddish tint, it means that is started by a bacterial inflammation. In this case, you will need immediate hospitalization. Other possible complications after surgery may be:
- Numbness of the skin, the sensations of pain. Arise in the event that during the operation, the damaged nerve endings. Over time the pain of the lost and the sensitivity of the skin to recover.
- Bruises. Are produced during the phlebectomy, because it is a pretty traumatic surgery. After some time, usually no more than a month, it disappears completely. When minimally invasive methods of treatment (sclerotherapy helena laser coagulation) bruises almost never stay.
- Swelling. May occur, if sick no need to the doctor's instructions post-operative period – a lot of moves, not wearing special clothes, helena to great physical stress.
After surgery, most patients lead an inactive lifestyle. Due to inaction can occur is a dangerous phenomenon, as it is an acute thrombosis of deep veins of the lower extremities. To prevent this, it is necessary to do special exercises, follow the diet and take the medication that prevents thrombosis.
Recommendations for the prevention of recurrence
If surgery to remove varicose veins veins was successful, there is always the risk of re-emergence of the disease. To the probability of occurrence of relapses was not significant, it is necessary to observe preventive measures:
- lead an active lifestyle – exercising, often walk in the fresh air;
- in a sitting position, care must be taken to hold your body was straight, not put one foot on the other, because it sees to disruption of venous blood flow;
- fighting with being overweight;
- moderately consume coffee and tea;
- every morning to perform leg exercises;
- giving up too tight and narrow footwear and clothing.
Varicose veins – it is a disease, which, even after full cure requires adherence to a certain lifestyle. Preventive measures after the operation will have to adhere to is the first few months, and throughout life. Varicose veins – a disease where there is narrowing of the walls of the blood vessels deep vein and slows blood flow. This disease is strongly younger nowadays. This happens due to the sedentary way of life (although the constant work on the legs, it can trigger a flare-up of the disease), the movement only on transport, excess weight, environmental situation in the world, a hereditary predisposition to diseases of the blood, etc. the Early stage of varicose veins nice bucking the conservative methods of treatment. But if the disease has gone far and continues to progress, then you should think about the operating method of solving the problem. The truth as defined by a qualified surgeon the operation to remove the veins – it is a guarantee complete cure from the exhausting exhausting disease. Today, these operations are carried out by highly qualified professionals in medical centers, equipped with the latest equipment, and do not pose any danger for the life and health of the patient.
Indications for surgical intervention
Vein removal apply in the following cases:
- extensive varices, the extensive the greater the size of the vein;
- improper enlargement of the subcutaneous veins;
- strong swelling and rapid fatigue of the legs;
- pathological the violation of the outflow of blood in the veins;
- trophic healing of ulcers;
- acute thrombophlebitis and clogged veins.
Restrictions and contraindications
The operation is not appointed in the cases:
- the running condition of varicose disease;
- hypertension 3 degrees and coronary artery disease;
- severe inflammatory and infectious processes;
- senile age;
- 2 and 3 trimester of pregnancy;
- skin diseases in the stage of exacerbation (eczema, mug, dermatitis, etc.)
Before the operation is carried out a thorough investigation of the venous system of the patient, but also to the general diagnostic evaluation. Emergency operation is assigned when the clogged vein, recurrent thrombophlebitis and healing of venous leg ulcers.
Ways to rapid intervention
Surgery to remove veins on the legs, is performed using several modern methodologies.
Phlebectomy — it is a popular
In the early stages of the disease spends and phlebectomy. Preparation of this type of operation is the basic. The patient takes a shower, and a fully shaves his legs and groin. It is very important that before the operation the skin on the leg was quite healthy and the skin veil is not violated. Before the operation the patient cleanses the intestines and carrying out research on allergic reactions to drugs. The operation takes up to 2 hours under local anesthesia. The removal of the subcutaneous veins are completely safe for the human body. During the implementation of the operations can spend the extravascular correction of the valves to restore the outflow of blood. The operation begins with the incision of a length of up to five cm in the groin and in the length to two inches at the ankle. The other incisions are performed under the big venous knots. The cuts are shallow and narrow. Through an incision in the groin into a vein in place of the vein extractor (in the form of a fine wire with a round tip on the end). With this tool, the surgeon removes the damaged vienna. Then the cuts overlap the seams and the operation is considered to be more. Of course, keep up with closing a sterilized bandage and a top-placing bandage elastic. Within 1-2 days the patient can already move independently. After phlebectomy, the patient wears compression stockings (helena bandages) over the course of 2 months, and also accepts the principles of venotonicos to use a vein. In some cases it is prescribed and phlebectomy, in this case on the leg is done by small incisions (under local anesthesia), through which he removes the damaged part of the vein, helena even vienna completely.
Sclerotherapy — painless removal of varicose veins
Today special popularity has acquired the echo-guided sclerotherapy— treatment of varicose vein injections. When it is in the veins of the introduced substance sclerosant, which destroys the inner layer of blood vessels, after which the middle layer of the fused and form the falling of vienna. This method is the most gentle, but to achieve a strong effect, it is necessary to perform several procedures and take about six months of rehabilitation. Such a kind of operative intervention, as well as foam sclerotherapy can be used only at the detriment of the veins of small diameter and in a large number of "spider veins". Into a vein is introduced blowing a sclerosant, the effectiveness of which increases due to the large square of the increase in the interaction on the inner side of the container. And in addition, on the basis of its special consistency of the foam a long time remains in the container, thereby increasing the duration of action of the drug on the affected blood vessels. Therefore, when foam sclerotherapy number of visits decreases in time.
Laser in phlebology
The most advanced method of removing the veins – laser, that intravascular laser coagulation. The surface of the vein from the inside is processed with a laser through a hardly noticeable defect. In this case, the leg overlaps the sterile elastic bandage, and five hours later the patient is able to walk independently. Both of these methods are considered malotravmaticheskaya and painless. The patient, if desired, can go home the same day on their feet.
Possible consequences
After all, even the most delicate surgery to remove the veins on the feet left bruises, hematomas and other implications, which will be a while worry. Some time after the operation sleep better with the raised legs to improve blood flow. A relatively common complication after surgery is the re-development of varicose veins, if a patient is a birth predisposition, but also it doesn't change her lifestyle. Very rarely damaged during the operation of the neighboring blood vessels helena nerves. But it is a complication is completely excluded by a qualified professional. After the phlebectomy at the feet remain inconspicuous small scars.