Phlebectomy. Vein removal for varicose veins Surgery to remove a vein
Varicose veins are a “middle-aged” disease, both women and men of any age suffer from it. With the initial development of varicose veins, patients do not attach much importance to the emerging signs. But as the disease progresses, the symptoms become more severe.
What treatment should be preferred?
Varicose lesions of the venous vessels of the lower extremities is a serious danger to the life of the patient.
It can cause dermatitis, the formation of trophic ulcers, bleeding, which deprive not only the opportunity to work, but also lead to disability. The neglected form is not amenable to conservative treatment.
Varicose veins on the leg give the formation of blood clots, which at any time can come off and lead to death. Varicose veins can only be defeated by surgical treatment.
Indications for surgery
Surgical interventions are performed by experienced surgeons if:
Contraindications
There are certain moments when it is impossible to resort to surgical intervention, including:
In these cases, conservative treatment is used to alleviate the patient's condition. If this is the initial stage, it is recommended to wear compression underwear, which will keep the stretched walls of the vessels in good shape.
Lotions applied to the affected areas have a positive effect. For this, yogurt, a decoction of wormwood, hop infusion, alcoholic tincture of Kalanchoe, cabbage leaf with honey and others are used.
Hirudotherapy is successfully used, in which leeches thin the blood with their saliva and thereby help blood circulation through the veins of the legs. Pharmaceutical ointments, creams, medical plasters, gels, medications are prescribed.
But it is important not to miss the onset of the disease, since at a late stage of development, the operation of varicose veins is inevitable.
Protruding nodes on the veins are the result of varicose veins.
This happens due to the fact that the valves on the saphenous vein lose the ability to tightly close, thereby preventing blood flow in the opposite direction.
Modern medicine is able to choose its own method of surgical treatment for each patient.
Methods can be combined and respect the interests of the result.
There is only one principle - it is necessary to normalize the blood flow in the leg and prevent the risk of a pathological process.
Preparing for the operation
Phlebectomy requires careful preparation. It is necessary to undergo a full examination of analyzes, hardware studies.
Before the operation of varicose veins, the patient is given a cleansing enema, all the hairs are shaved off the legs.
The patient must be sure to inform the doctor about the allergic reactions he has to medications.
Types of surgery
There are several methods of surgical intervention, among which there are classical types and innovative ones, using new techniques and equipment.
It was first performed by a Swiss surgeon. A sharp narrow-pointed scalpel and a large needle are used, which penetrate the affected area.
This mini-surgery does not involve suturing, and the penetration fields are tightened with a plaster. This is a delicate work that requires a lot of experience and skill from the surgeon.
An excision is performed under local anesthesia. During the intervention, the surgeon makes two punctures through which the dilated venous sections are removed.
Advantages:
- after such an invasion, no scars remain on the skin;
- gives a cosmetic effect.
The method can be used on its own or as part of a larger impact.
The recovery period is short, leaves no traces and is in demand in aesthetic terms. It is recommended to wear compression underwear.
Before the operation, an ultrasound duplex scan of the venous tract is performed, marking is done by phlebography (a contrast agent is injected). Additionally, the results of the biochemical composition of urine and blood are studied.
The essence of the operation consists of subcutaneous pulling out of blood vessels using a metal probe. Incisions are made, through which the ligation of the varicose vein is performed. This method is also used in modern medicine.
The varicose vessel is taken out in parts by tunneling, using the stitching of the affected segment of the vessel with catgut.
The aesthetic perception of the skin after such treatment leaves a not very pleasant impression.
Cons of the method:
- spinal anesthesia is performed;
- traumatic and dangerous in its postoperative period;
- leaves scars after excision.
Short squeaking
This is a gentle treatment for varicose veins, which allows you to eliminate the affected segment. Before the operation, the coordinates of the affected vein and the length of the segment are precisely determined. After two small incisions, the affected varicose vein is removed.
The method has its advantages in terms of the recovery period, minimizing injuries.
The equipment allows the most accurate penetration into the walls of blood vessels.
Disposable catheters are used, the temperature of heating and extraction is controlled.
All pain is minimized.
Advantages of the method:
- allows you to solve problems on both legs at the same time;
- it is possible to carry out reconstruction on the veins;
- gives excellent aesthetic results.
Endoscopic vein dissection
The impact is carried out by a special apparatus - an endoscope. It gives a complete picture of the internal lesion of the vein.
The peculiarity of the treatment lies in the use of new technologies that make it possible to remotely insert into the veins. The endoscope "views" the affected segments, selects the desired one.
In addition, the device allows you to determine the edges of the tibia on the lower leg even in the most obese patients.
A low-traumatic method of treatment for vein pathology. During the operation, a light guide is used, which is inserted into the affected area using an ultrasound scanner.
The laser beam closes the varicose vein and stops its functioning. This is the latest method of combating the disease, recognized throughout the world.
Under the influence of a laser beam, “gluing” of the affected area occurs.
The procedure is performed on an outpatient basis, takes 30 to 45 minutes, and does not require incisions. After surgical treatment, blood does not enter the soldered vein and chooses normal venous lines.
Indications for the method
If classical methods of surgery are not suitable for the patient due to his health characteristics, laser coagulation is chosen. The method allows you to quickly and permanently get rid of varicose lesions without disfiguring the legs with incisions or sutures.
Advantages of laser coagulation:
Contraindications for this method:
How to avoid complications?
Almost any intervention causes certain consequences and complications. Ultrasound will highlight the dilated tributaries, prescribe sedatives. Internal vascular treatment will avoid:
- damage to the lymphatic system and nerve passages;
- injuries to nearby tissues;
- puffiness;
- pain sensations;
- loss of sensation in the area of removal of the affected vein.
Rules of life after such treatment
Varicose veins after surgery require special attention to prevent recurrence or complications on the leg. It is necessary to increase the tone of the venous vessels, for this:
A sedentary lifestyle is contraindicated after surgery. Already in the first postoperative hours, you need to sit down and do light exercises for the legs.
With varicose veins, surgery is considered the most optimal solution. But there is an opinion that after such an intervention, the disease is able to return after a few years. Statistics show that the possibility of recurrence is high only in cases where the intervention was not fully performed.
Proper operation gives a 95% guarantee that the disease will not return even after many years.
Surgery for varicose veins requires serious experience from the doctor in the field of vascular surgery. If the procedure is performed by an experienced and qualified specialist, the percentage of complications is minimal. In such cases, after a few hours the patient is able to walk.
When performing surgical treatment, certain principles are distinguished s:
- Elimination of the pathology caused by the discharge of blood into the superficial veins from the deep ones;
- Removal of superficial veins that have been dilated by varicose veins;
- Carrying out traditional operations.
The goal of any operation in this direction is to eliminate congestion in the affected areas of the superficial veins. In fact, I just delete them. But doctors also achieve another goal - to eliminate the pathological discharge of blood into the superficial veins of their deep ones. The principle of the operation of varicose veins on the legs is the removal of those veins under the skin that have incompetent valves.
This is done because the vein is dilated and overflowing with blood that has stagnated. There is an increase in pressure on the walls of blood vessels, soft tissues adjacent to the affected area, skin and subcutaneous tissue. This leads to the expansion of the tributaries extending from it, and the perforating veins that connected the deep network of veins with the superficial one. Such operations for varicose veins of the lower extremities are tolerated by patients quite easily.
Operations
Only a phlebologist is able to decide whether it is advisable to carry out the operation. For example, women who plan to give birth in the future are usually offered to postpone the operation, since in the process of childbirth the progress made during the surgical procedures is reduced to zero.
Combined phlebectomy
The most common type of surgery for varicose veins. All cuts and punctures are minimal. Manipulations are performed under epidural anesthesia or general anesthesia. To remove a large vein under the skin, the doctor makes an incision of just 1.5 cm. it is through it that a probe-phlebactrator is inserted into the vein, which has a tip.
After removing the probe, the vein in the area from the groin to the middle of the lower leg is removed. Small punctures allow you to remove small veins and ducts. This part is called a miniphlebectomy. After the intervention, either elastic bandages or compression stockings are used. The cost of surgery to remove varicose veins in the legs using this method is much higher than that of the classical version of surgical intervention.
Endovasal electrocoagulation
Such manipulation involves the use of current to remove subcutaneous vessels. When compared with radiofrequency obliteration, this method is considered more dangerous. Also, the impact on the vessels with current is considered more dangerous, even when compared with classical surgery. Therefore, they resort to it in rare cases.
Cryosurgery
Vessels will be removed during surgery for varicose veins due to low temperatures. The technique is considered safe if the clinic has the appropriate modern equipment and a specialist who is able to correctly carry out the manipulations. 
In the Russian Federation, this method is not common, and therefore it is impossible to say how much an operation to remove varicose veins of this type costs. During the operation, there is a risk of harm to the patient. With cryotherapy, there is always a chance of not calculating the freezing depth, which can lead to damage to surrounding tissues.
Endoscopic dissection
This method involves ligating and excluding from the bloodstream the affected vessels that connected the deep and subcutaneous networks. The process uses endoscopic probes. Another variant of the technique is transillumination phlebectomy.
Stripping is a traditional operation for varicose veins of the lower extremities, despite the particular popularity of small surgical interventions. Removal of the saphenous vein in this way is considered a common way to cure a patient of an illness. This is primarily due to the fact that patients usually go to the doctor too late for treatment with minimally invasive methods.
Plus, not every clinic is able to perform minimally invasive surgical operations.
The first stage of the operation consists in making a small incision near the inguinal fold. After that, the saphenous vein is isolated in the place where it flows into the deep vein on the thigh. Next, the doctor identifies and crosses the mouths of the tributaries (depending on the indications, there may be 1-7 of them). Such an action requires special care and thoroughness, since even 1 forgotten inflow can lead to a relapse of the disease.
Therefore, the operation to remove varicose veins on the legs is performed exclusively by experienced vascular surgeons. While the basic steps are being taken, the doctor should also cut the great saphenous vein where it joins the deep vein of the thigh.
The next step is to make an incision in the ankle area from the inside. After that, the surgeon highlights the initial section of the tributaries and a large vein under the skin. They intertwine and intersect. Next, a special device is inserted into the venous lumen, which is carried out to the very top incision. With the help of such an instrument, the entire vein is removed. Varicose nodes, that is, dilated tributaries, are removed through small incisions with special tools.
Veins recognized as insolvent are subjected to ligation with further crossing. The localization of the affected areas is determined by ultrasound before surgery. This diagnostic technique is called a Doppler study.
The operation for varicose veins has positive reviews from doctors, but it is generally accepted that the best option for surgical intervention when removing tributaries is best done using miniphlebectomy.
Sclerotherapy after surgery will help reduce the volume and trauma of surgery. At the end of the operation, elastic bandages are applied to the patient. Within a few hours after the completion of the surgery, the patient is able to walk independently and can be discharged.
Such early activation of patients after surgical procedures will prevent vein thrombosis and other postoperative consequences.
The main disadvantage of surgery for varicose veins on the legs is the scars remaining after the operation. But making incisions with this type of operation is necessary. This allows you to reach places where surgery is required.
Saving on incisions usually leads to the fact that the operation for varicose veins in the legs is performed insufficiently, and therefore the risk of the disease returning as soon as possible increases. Therefore, patients should not influence the surgeon before surgery by asking for small incisions. Careful performance of the operation will allow the patient to remember the disease for many years.
Phlebosclerosing therapy
There are a number of options for phlebosclerosing therapy. Before surgery, varicose veins are usually treated with sclerosing therapy. It makes it possible to reduce the risk of bleeding during surgery and vein thrombosis after surgery. In this case, the puncture method of administering the drug is used at any time, but the catheter method is used exclusively during the operation.
If the puncture method is not used during the operation, then usually the procedure is carried out in a specially equipped room using all the necessary antiseptics. First, larger veins are closed by a specialist, and then smaller ones. The drug is administered, as a rule, from top to bottom. The patient's vein is punctured in a vertical position. When it is already necessary to administer the drug, then it is laid.
If it is necessary to perform a puncture operation of varicose veins on the lower extremities of a lingual vessel or veins of the entire circumference of the leg, then several sessions are required.
After the patient has undergone a sclerosing procedure, he should be observed by a phlebologist for about 3 years from the moment of the last injection. When the drug is administered, the patient is put on an elastic bandage on the limb. Bandaging is repeated for about 2 weeks. In the first week, the bandage is not removed at all.
It is especially important for the patient to walk in the first half hour after the procedure and during the day as a whole. Sleep with your legs elevated and avoid prolonged standing or sitting.
The catheter technique is also called intraoperative sclerobliteration.
Subcutaneous veins and their altered areas are marked on the leg. In the course of the operation, the tributaries of a large vein under the skin are bandaged with a supragroinal access. Next, the saphenous vein, as well as perforating vessels, is crossed and tied up directly. A catheter is inserted into the severed vein, the vein is sutured, and the wound is bandaged. While the catheter is pulled through the vein, the drug is injected.
Radiofrequency ablation of veins
This procedure is considered the most effective, but at the same time with low risks of trauma and side effects. In fact, this is a new direction of phlebology. Vessels are minimally injured, as is the likelihood of complications. In this case, the pain is practically absent. Therefore, this technique is considered the most optimal in the treatment of varicose veins.
The inner shell of the vessel wall under radiofrequency radiation is destroyed. As a result, the lumen of the vein narrows and disappears, and the tissues surrounding it do not suffer at all. Only local anesthesia is used during the operation for varicose veins, and the manipulations themselves are carried out on an outpatient basis.
In order for the intervention to be carried out correctly, the process is controlled by duplex angioscanning.
When anesthetics are introduced, a vein is punctured in the lower leg area (approximately the upper third with pathological processes of the upper vein and in the lower third with small pathology). A disposable catheter is inserted into a vein. It is equipped with an emitter.
This device is advanced to the place where the subcutaneous vein flows into the deep vein system. When the catheter is removed in stages, the vessel receives radiation from the inside. The puncture site after the operation to remove varicose veins on the legs is covered with a bandage, and an elastic stocking is put on the leg.
After half an hour, when the patient "diverges", he is allowed to go home. If the patient is not engaged in heavy physical labor, then he can work the very next day.
Peculiarities
There are a number of features that occur after the operation of varicose veins of the lower extremities. Side effects are not always and not everyone, but they are also possible, as with any other type of surgical intervention.
The most common are the following:
- bruises;
- Seals under the skin;
- Violation of sensitivity in the places of intervention;
- puffiness;
- Pain.
Most side effects go away in about a month. Some of them are able to make themselves felt up to four months. But swelling and soreness can persist with increased stress on the operated area, injury, weather changes, and so on.
Side effects do not pose a danger to the patient and gradually fade away. But at the same time, the patient must remember that the predisposition to varicose veins still remains, and therefore the preservation of the previous negative conditions that could affect the development of the disease is unacceptable.
In some cases, the treatment of varicose veins requires the use of radical methods of treatment. One of them is a phlebectomy procedure (surgery to eliminate varicose veins in the legs).
Radical therapy can be used in cases where medical and alternative treatments do not have the desired effect and the disease continues to progress. The essence of the method is the complete or partial removal of the affected vein. During the procedure, the following therapeutic effects can be achieved:
- Normalize the outflow of blood.
- Eliminate cosmetic defects.
- To remove not only the vein affected by the disease, but also to eliminate pathological discharges of blood in the leg area.
Carrying out such a procedure is not considered a serious operation. Modern techniques allow you to perform the necessary manipulations quickly and minimize the risk of postoperative complications.
Removal of veins for varicose veins is required in severe cases of the disease:
- The formation of trophic disorders, the development of thrombophlebitis.
- With violations of the sensitivity of the lower extremities.
- With the development of extensive varicose veins.
- With intense manifestations of the disease: a constant feeling of fatigue (even at rest), the development of intense pain, swelling.
- With pathological expansion of the saphenous veins.
Patients should be aware that if proper treatment is not carried out in a timely manner, the consequences can be serious and irreversible.
Preparing for the operation
Before performing surgery, it is imperative to consult with doctors of the following specialties: angiosurgeon or phlebologist. The doctor prescribes a preliminary examination: ultrasound, blood test.
Before the operation, you should stop using drugs, the active substance of which is acetylsalicylic acid. This precaution minimizes the risk of hematoma or bleeding during or after the procedure.
The patient's further task is simple: take a shower and get rid of hair in the area of the operated limb.
Possible contraindications
The procedure is not carried out with the development of deep vein thrombosis, with a persistent increase in blood pressure and coronary heart disease, the development of inflammatory diseases in the lower extremities (eczema, erysipelas, pyoderma).
A contraindication to the procedure may be the advanced age of the patient, the second half of pregnancy, the presence of infectious diseases in the progression stage.
If the patient develops trophic disorders that are not amenable to drug therapy and are not associated with varicose veins, the doctor may cancel the operation.
How is the operation
In modern medicine, the technique of combined phlebectomy is most often used. The procedure is carried out under anesthesia. The essence of the method is to carry out the following steps:
- Crossectomy procedures - in this case, the surgeon cuts the saphenous vein at the point where it flows into the deep vein.
- Stripping procedures (removal) of the great saphenous vein affected by the disease. Manipulation is carried out using a special device - a probe of small diameter. During the manipulation, veins can be removed only in the thigh area, or the great saphenous vein can be completely removed.
In order to minimize injury to the surrounding soft tissues, the affected vein may be removed through small incisions using a narrow probe. In this case, the process of postoperative scarring decreases and the risk of hematoma formation decreases.
In the event that the operation is performed in order to eliminate cosmetic imperfections, then the angiosurgeon performs punctures no more than 5 mm, as a result of which almost imperceptible scars remain.
There are methods for removing veins, in which there are practically no scars.
If it is required to remove an extensive trunk of veins, including from both legs, then the doctor will most likely insist on a saphenectomy procedure, a traditional surgical intervention.
How is the rehabilitation period
The process of recovery of patients after surgery is very fast. After 2-3 days, the patient can be discharged home. The recovery period can take up to several weeks. At this time, the patient is issued a special sick leave. It is necessary to follow all the doctor's instructions in order to quickly return to the usual way of life and not provoke the development of possible complications.
During the first few days after the operation, the patient may find the formation of bruises and seals. To eliminate such phenomena, the use of Heparin ointment or Lyoton externally may be recommended.
Already 2-3 days after the operation, the patient can be discharged home
14 days after the removal procedure, the patient will be re-examined by the attending physician.
If the recovery process goes well, a follow-up examination will be recommended no earlier than 60 days later. In the future, a second ultrasound examination of the veins of the lower extremities will be scheduled to verify the effectiveness of the operation.
The doctor's instructions for each individual patient may differ. It all depends on a large number of factors: the presence of concomitant chronic diseases, the stage of development of varicose veins, the results of surgical intervention.
- During the first few hours, the patient is categorically not recommended to perform flexion and extension of the operated limbs.
- In order to normalize the outflow of venous blood, the doctor may advise you to raise the edge of the bed by 10 cm.
- 24 hours after the procedure, the patient will be assigned a dressing. In this case, the use of elastic bandages or compression stockings is required: both limbs are bandaged from the bottom up to the knees.
- The patient can get up and start moving only after the dressing has been performed.
- In order to reduce the risk of blood clots, a course of therapeutic massage and physical education may be prescribed.
During the recovery period, the patient must necessarily use compression stockings and take medications prescribed by the doctor. For at least 60 days, the use of an elastic bandage or elastic stockings is required around the clock.
After the operation, it is necessary to use an elastic bandage or compression stockings.
In the future, the patient will be recommended moderate physical activity: swimming, cycling, gymnastics. It is recommended to refrain from weightlifting and excessive power loads. The patient is also not recommended to visit the sauna, take a hot bath, baths, carry weights, abuse alcohol and smoke.
A positive therapeutic effect will have a contrast shower and baths with the addition of apple cider vinegar, sea salt and essential oils.
The cost of removing varicose veins of the lower extremities ranges from 24,000-26,000 rubles and depends on the degree of development of the disease and the clinic.
The advanced stage of varicose veins often leads to surgical intervention. When damaged inflamed veins cannot be restored by conservative methods, an operation for varicose veins comes to the rescue, which has certain indications and contraindications for carrying out. In view of the possibility of serious complications, doctors often prefer surgical intervention. How is the removal of varicose veins on the legs, when it is worth resorting to surgery, what types of intervention exist, the article will tell.
What types of transactions exist
Today, vascular surgery offers several solutions to the problem of varicose veins. Doctors can offer not only a standard operation to remove veins for varicose veins, but also innovative techniques.
The main types of surgical intervention for varicose veins of the lower extremities include:
- Phlebectomy (venectomy) is an operation for varicose veins that allows you to remove a damaged vessel. Surgical intervention is performed by performing a small incision in the groin area (3-5 mm). In this zone, ligation is carried out, followed by stretching of the vein. After the operation, minor complications are often encountered, the sutures should not cause much discomfort to the patient, they are self-absorbable. In total, the patient is in the postoperative period in the hospital for no more than 2 days. The price of an operation to remove veins in the legs for varicose veins is 35,000-60,000 depending on the region and the choice of clinic.
Interesting!
Miniphlebectomy is popular among doctors and patients when minimally invasive intervention is not possible. The operation involves the performance of pinpoint punctures.
This type of surgery allows you to reduce the time for restorative rehabilitation, reduce the risk of complications, and a smaller area of the skin is affected during the operation. Miniphlebectomy for varicose veins will cost the patient an average of 45-70 thousand rubles.
- This type of intervention, like stripping, allows using punctures to remove varicose veins on the legs without completely pulling out the entire vein. Only the area that has undergone inflammation is subjected to removal. Stripping has fewer complications than classical surgery.
- Laser coagulation is a method that allows you to eliminate the symptoms of pathology with the help of exposure to a laser beam. It penetrates "inside" the skin at the site of the lesion of the vessel, the inflamed area is glued together, which leads to the cessation of its functioning. The operation is expensive, but has a minimum number of complications. The advantage of laser coagulation is the absence of damage to the skin. The price of surgery on the legs is from 35,000 rubles.
- Radiofrequency obliteration. The latest method, it helps to eliminate the problem of the legs through the introduction of disposable catheters. The operation has a number of advantages - it allows surgeons to reconstruct veins, it is possible to treat both legs at once, as a result, the patient receives a high aesthetic result. The price differs slightly from laser coagulation and costs from 35,000 rubles.
- Sclerotherapy - involves minimal intervention on the legs and veins. It is produced by introducing a special substance that allows you to "glue" and further "destroy" diseased vessels. The operation requires several procedures. As a result, the patient receives healthy legs and an aesthetic appearance, elimination of the problem. The average cost of the procedure is 3000-9000 rubles, depending on the complexity and number of sessions performed.
Indications for surgery
Like any surgical intervention, surgery for varicose veins of the lower extremities involves a certain number of indications, vascular surgeons are guided by them. Always before the appointment, doctors try to study the medical history as detailed as possible, conduct all the necessary examinations, and take a number of tests. After, if the patient has no contraindications, the doctor suggests surgical treatment of varicose veins.
Vein surgery for varicose veins is necessary in the following situations:
- The disease is protracted, there is a risk of complications;
- When the veins increase in size due to physiological pathologies;
- If it is impossible to cure the disease with conservative methods and folk remedies;
- In the presence of acute thrombophlebitis;
- If there are complications ();
- In the presence of constant pain, fatigue and swelling of the legs;
- The affected area is more than 50%;
- Normal blood flow is disrupted.
Surgical treatment of varicose veins does not always involve the removal of veins in the legs. Today, there are many techniques that involve the absence of a skin incision. To reduce the risk for surgical scalpel intervention, it is worthwhile to seek help from specialists in time and carry out adequate therapy of the lower extremities.
Contraindications
Not always the operation is the only indication on the way to the recovery of the legs. Vascular surgeons may postpone intervention for a number of reasons, or even offer the patient only the option of conservative supportive treatment.
Specialists may refuse to remove veins for varicose veins for the following reasons:
- The presence of hypertension;
- Problems with the cardiovascular system (ischemia);
- The advanced age of the patient;
- Waiting period for a baby
- Severe infectious skin lesions;
- Eczema, erysipelas;
- Infectious diseases.
Do not despair if the patient has contraindications for vein surgery. Today, alternative and traditional medicine can not offer a wide range of products and procedures to restore the legs and maintain the tone of the veins.
Possible complications, patient reviews
Surgery for varicose veins in the legs is performed in most cases in the absence of positive dynamics during conservative treatment or at an advanced stage of the pathology.
Specialists always warn the patient that unpleasant complications may occur after surgery. 30% of patients notice the consequences of surgery for varicose veins in the legs in the postoperative period. Medical staff explains at discharge what to do if complications occur.
Adverse effects after leg surgery include symptoms and situations:
- The formed knot and lumps in some parts of the veins arising from the accumulation of blood (is a variant of the norm, if it does not bring painful discomfort);
- Painful sensations, bruises, hematomas in the legs due to skin puncture are more common after phlebectomy;
- The development of thrombosis as a result of a sedentary lifestyle.
For any type of complication, it is better to consult a specialist. This will help avoid unpleasant consequences.
Today on the Internet there are many reviews about the operation for varicose veins on the legs. Most of them are positive.
I got rid of varicose veins with sclerotherapy. For a long time, she did not dare to have an operation, so there is extensive damage to the vessels. Almost all legs were strewn with small stars. To restore the veins completely, to give the legs a normal appearance, I had to go through more than 10 sessions. The treatment is not cheap, for the entire course of therapy I paid 45,000 rubles. But I'm satisfied with the result. The process itself does not bring pain and discomfort, the duration does not exceed an hour. As a result, I have healthy legs.
Ekaterina, 32 years old, Volgograd
According to the testimony of a vascular surgeon, an operation was performed to remove the veins, phlebectomy. In my situation, there was no other option, there was severe obesity, complications. The recovery phase was painless, fast, no more than a month. Now I wear compression, I drink maintenance pills. I am very pleased with the result, my legs stopped hurting, frequent fatigue, swelling of the veins and swelling disappeared.
Maria Igorevna, 43 years old, St. Petersburg
Recovery period
The recovery period can last from a week to several months. Its duration depends on the condition of the patient, the type of operation performed on the veins, and associated complications.
- Wearing compression underwear;
- Drink drugs that stimulate blood circulation and tonic veins;
- Take a course of vitamin therapy;
- Diet therapy;
- For about six months, do not lift weights in the field of surgery (more than 10 kg.);
- Avoid hypodynamia;
- Physical activity should be moderate (swimming, Pilates would be ideal);
- Bandage the leg with an elastic bandage.
If you follow the whole range of measures, the recovery course will be much faster and the development of a relapse will be unlikely.
To understand whether it is necessary to remove varicose veins on the legs with the help of surgery, you should consult a phlebologist. He will help you understand what stage the pathology is at, whether there is an option for conservative treatment, tell you what type of operation to choose if necessary, and refer you for a consultation with a vascular surgeon.
Today, new diseases appear every day, but no less actively progressing and long known to mankind. One of those is varicose veins. Such a disease can affect not only the veins on the legs, but also any place in the body. For example, a person may have varicose veins in the pelvis, esophagus, or uterus. The reasons for varicose veins are "sea". This includes excessive regular load on the legs, wrong lifestyle, hormonal problems, and so on. Sometimes the situation is so serious that the patient needs surgery on
Expansion of the veins in the legs
Even in well-developed countries of the world, doctors are not able to prevent the massive defeat of varicose veins. At first, the disease is not taken seriously. It is considered simply a problem that worsens the appearance of the legs. However, as the disease progresses, other more severe symptoms appear. There is swelling of the lower extremities, severe pain, the skin in the area of dilated vessels darkens, trophic ulcers may even appear, then the operation - removal of veins in the legs - is extremely necessary.
Although the root cause of the formation is a genetic predisposition, more serious stages of the disease occur when the legs are overloaded. In order for the disease to begin to progress, the body most often needs stress. It can be pregnancy, childbirth or just a sharp increase in physical activity. As a result, the pressure in the bloodstream of a person's legs rises and the normal operation of the valves is disrupted. This is the impetus for the progression of varicose veins.
secondary stage
Most often it occurs on the basis of already transferred vein thrombosis, as well as due to inherited diseases. Secondary expansion, or post-thrombophlebitic disease, is a serious problem, and if it is not given importance, then a deep pathological process begins in the circulatory system of the lower extremities.
This leads to the expansion of the saphenous veins and blockage of large vessels, as the valves do not have time to cope with the increasing pressure. Also, re-expansion of the veins can occur due to arteriovenous fistulas. In rare severe forms, the Klippel-Trenaunay syndrome develops, which also leads to the secondary stage of the disease.
Surgical operations on the veins of the lower extremities
When a person comes to despair in the fight against varicose veins, one has to resort to a surgical solution to the problem, namely the removal of the enlarged section of the venous vessels. If the operation is performed by experienced and conscientious surgeons, it can save a person from the disease and from the discomfort associated with it for many years.
Modern medicine has all the necessary developments and tools for a successful leg vein operation. An interesting new method of seamless technology. The affected areas of the circulatory system are removed using micropunctures.
After such an operation, suturing is not even required. The patient's leg is simply wrapped with an elastic bandage, and after only five hours he can already get up and walk a little. No matter how difficult the operation on the veins of the legs is, the consequences may still make themselves felt for some time. For example, the compression period after any surgical procedure can be from one to three months.
If a person has had trophic ulcers on his legs, then surgeons use endoscopic equipment. Gradually, the most painful and terrible methods of removing dilated blood vessels are being replaced by more civilized ones.
Operating methods
The most common treatment for varicose veins in the legs is phlebectomy.
Medications, including anesthesia, are administered through the epidural opening in the spine (using a catheter). This method contributes to high-quality pain relief, while maintaining consciousness, reducing harm and stress for the body.
Although at the moment many methods have been invented for the operation, the method is used more effectively. It consists of several stages.
The first step is called a crossectomy. It consists in the intersection of the great saphenous vein at the place of its confluence with the femoral. It is convenient to carry out such work from an incision in the inguinal part, this also allows you to freely bandage the tributaries that are close to the anastomosis.
The next part of the operation is the actual removal of a fragment of the great saphenous vein. In some cases, the required varicose vein surgery involves a small area of blood vessels in the femoral region only. And sometimes they use long stripping (this is the name of the removal of the vein itself), that is, the subcutaneous vein is completely removed - from the groin to the ankle.
In this case, the vessels are pulled out using a special probe. To understand how this withdrawal occurs, imagine how the stocking is turned inside out when removed from the leg. Approximately so the vein is taken out at full removal. This method allows you to preserve the integrity of the remaining elements of the circulatory system, do not damage the surrounding tissues, and avoid the appearance of scars and hematomas. If this is how the operation on the veins of the legs was performed, the rehabilitation will be faster and easier.
After the main trunk has been removed, they begin to eliminate the tributaries damaged by varicose veins. Moreover, if which connect the deep veins with the superficial ones, they are also susceptible to pathology, they must be bandaged. Dressings are performed from separate small incisions.
Preparing for the operation
In order for the operation on the vein on the leg to be successful, you need to properly prepare for it. The attending physician gives the necessary directions, among which there will necessarily be blood tests, urine tests, a cardiogram, and fluorography. Women will need to go through a gynecologist, and some patients still need to get permission to admit the operation from the therapist. You should also purchase a few elastic bandages at the pharmacy in advance and take them with you when you check into the hospital.
Phlebectomy is indicated for patients diagnosed with varicose veins associated with problems in the saphenous veins (large or small).
To whom phlebectomy is contraindicated
In no case should this method be used by pregnant and breastfeeding women. It is also worth considering the general condition of the patient and other pathologies to which he may be susceptible. Do not do phlebectomy for those who have exacerbated thrombosis or thrombophlebitis of the veins, as well as in the presence of purulent formations on the legs.
Foam sclerotherapy of veins
Sclerotherapy is a relatively new and successful method of treating varicose veins without traumatic intervention. Such operations are performed on the veins of the legs with a laser. Such sclerotherapy is especially effective in removing small dilated veins. And in the treatment of vascular networks, asterisks, this technique is simply irreplaceable.
Operations on the veins of the legs with a laser
With such an intervention, only the energy of the laser beam acts on the problem area, as a result of which the vein is thermally closed. The procedure has a relatively high cost, and it requires specially trained medical personnel.
Thanks to this method, it became possible to deal with the causes of the appearance of trophic ulcers. Such an operation - removal of veins in the legs - has become the most modern and effective, so patients quickly recover without feeling any negative consequences.
What is radio frequency obliteration?
This is no less safe and modern operation on the veins of the legs. Reviews about this technique are quite good. It is painless and easy to understand for the patient. However, after the surgical procedure, the legs may hurt for some time, and this method cannot be used to treat perforating veins.
The dangers of varicose veins
Alas, this problem is extremely common in society. On average, over 30% of the population has swollen veins. In 20% of cases, varicose veins are complicated by the appearance of trophic ulcers, and more than 25% of cases go into the stage of thrombophlebitis. This behavior of the disease can often lead to even more serious consequences.
Risks of thrombophlebitis
This complication occurs more often than others and carries with it a serious problem, as it can cause blockage of deep veins. It is caused by a slowdown in high-quality blood circulation in the vessels of the lower extremities. Leads to edema, trophic ulcers, darkening of the skin in the affected area.
What is a trophic ulcer?
Such an ulcer is a sign of a severe one. If not properly treated, it may not heal for a long time, even progress, damaging your legs more and more. After surgery on the veins, this problem is solved more easily.
Venous thrombosis and thromboembolism
Such thromboses can increase the risk of thrombophlebitis, and thromboembolism in general can lead to serious pulmonary and heart failure, which in half of the cases is fatal.
Recovery after surgery
Regardless of how the varicose vein surgery went, in order to recover, you need to follow the course prescribed by your doctor. When recommending treatment, the doctor will take into account how badly the veins were damaged, how much blood outflow is impaired.
After the operation on the vein in the leg has been carried out, the first 4 hours should be in bed. However, this does not mean that you need to lie still. The doctor will tell you how to bend your legs and what movements to make with your ankle joints to speed up recovery. Sometimes it will be necessary to bandage the lower limbs with an elastic bandage or even secure them in a raised state.
The next day the doctors will allow the patient to sit up. After both legs are bandaged with an elastic bandage, the patient will try to get up and walk around the ward.
Finally, everything is over, an operation was performed on the veins of the legs. Reviews about it, of course, can be both positive and negative. Nevertheless, we must not forget that it is necessary to maintain the health of blood vessels further. In this case, a special massage will come to the rescue, as well as regular walking. All this will help to avoid varicose veins today and in the future!
