The treatment of varicose veins on the legs medication will not always have a positive effect. It is especially difficult to cure varicose veins if it is at an advanced stage. In this case, surgical intervention was the only option to remove the pathology. Many people use a terrible procedure, so they are a long time afraid to go to the doctor, relying on some forms of home treatment. The disease progresses and the patient's condition deteriorates.
When a man have to do?
Surgery of varicose veins of the lower extremities is determined by the following conditions:
- if the saphenous vein is increased, because the physiological pathology;
- if the disease is advanced, kun or treatment of varicose veins medicines folk remedies will not help;
- the formation of trophic ulcers on the skin;
- if violations occur in the blood vessels of the blood circulation, where the patient experiences constant fatigue, quickly get tired, pain and heaviness in the legs;
- there is an acute thrombophlebitis;
- if you have trophic skin lesions.
For some patients, surgery of varicose veins in the legs can be against. Barriers to surgical measures include:
- hypertension;
- a serious infectious disease;
- coronary heart disease;
- the patient's age (over 70 years);
- dermatology – eczema, erysipelas, etc.;
- the second half of pregnancy.
Surgery is a safe and effective treatment option for varicose veins. An experienced physician can quickly remove the pathology, the patient and return to a normal life without suffering was causing her illness.
Intervention
The type of surgery depends on the individual characteristics of the disease. Some activities, suitable for one person may not work for another. Before surgery, the doctor will examine the form of the disease, the symptoms and the likelihood of complications.
Surgical
The most time-consuming complex procedure and is associated with a high probability of complications, phlebectomy is surgery to remove varicose veins. Prescribed It is useless when other treatments cannot be used in any beneficial effect. The process in the groin area this procedure the patient to make a small (3-5 mm) incisions, through which the affected vein was connected to the place where it empties into the deep vein, then cut and pulled the feet with special sensors. After removal of the veins surgeries use absorbable sutures. Surgery lasts 1-2 hours, while the patient is in hospital less than a day, then go to the state. Type is the procedure of phlebectomy, phlebectomy like, in which the body does not make and cuts punctures. This method allows for operation with less damage to the skin and reduces rehabilitation. Stripping is another type of surgical treatment of varicose veins. During this procedure is extracted from the Vienna are all fully, but it's a pointless part that was prone to varicose veins. The removal is carried out punctures in the skin, which avoids sewing.
Sclerotherapy
Less traumatic method of surgical intervention is considered sclerotherapy. It is the fact that it allows the ultrasound to determine the exact location of the enlarged veins, which enter a special substance (sclerosant). This well affect the adhesives of blood vessels, blocking the blood of the son flows through them. After surgery, place the patient the veins become scar tissue, reduce swelling. The patient ceases to feel and pregnancy pain in the legs, and if you have had a stomach ulcer, he will heal quickly. Sclerotherapy is of two types:
- Echo-guided sclerotherapy. This Operation is used if the affected vein diameter was 1 cm or more. First, the veins with the help of have examined the specific laite – duplex scanner, then make his control of the puncture, and then injected into the vein sclerosant. This Procedure can be used to reduce the diameter of the affected vessel normal and restores the blood of the son flow to it.
- The curing of the foam. The most safe and completely painless form of sclerotherapy. The affected vessels are injected with a special foam which sen and the need to stop the blood of the son of the flow inside the vessel.
For maximum effect, typically several treatments sclerotherapy. Recurrence of varicose veins after it almost never paid.
Laser photocoagulation
Surgery to remove varicose leg veins laser is considered the most technologically advanced kind of fight varicose veins and helps to eliminate the pathological dilatation in 90% of cases. During this process, the incision of the tissue are made, allowing you to avoid cosmetic defects. The skin Through a puncture in the type of laser light guide, which radiates light waves. Their activity, is the dissolution of the patient's vessel. This method is the low number of relapse cases unnecessary to the formation of varicose veins occur in 5% of patients. It can be used in severe cases when the veins reach large sizes.
The possible mode of surgery as a result and after
Almost all kinds of operations to remove varicose veins in the legs, safely and cause no complications in very rare cases. The highest probability of complications of a serious pr leak rehabilitation paid during the period after phlebectomy. The area to be removed into a vein can cause bruising, and sometimes wound can bleed, because there are other tributaries of the veins. 2-3 days after surgery, some patients may increase temperature. This is due to the aseptic inflammation of the blood of the son accumulate under the skin. If the accumulated blood has veins can very much form lumps, painful to the touch. If the skin over the lumps acquired a reddish tone, then began to a bacterial infection. In this case you will need urgent hospital treatment. Other possible complications after surgery may include:
- Numbness of the skin, pain. They occur, if during the operation had damaged the nerve endings. Over time, the pain goes away the skin and sensitivity is restored.
- Bruises. Form phlebectomy, because it is quite a traumatic surgery. After some time, usually not more than a month, he will completely disappear. When invasive treatments (sclerotherapy or laser coagulation) bruises are almost never lag.
- Swelling. View They can, if the patient would not be prescribed after surgery – a lot of moves, not wear special clothes or large to expose themselves to physical stress.
After surgery, most patients lead a sedentary lifestyle. Lack of can occur so dangerous festival during treatment of acute deep vein thrombosis of the lower limbs. To prevent it, a man need to do special exercises, diet and take medications that prevent the blood of the son of clotting.
Recommendations for the prevention of recurrence of
Even if the operation to remove varicose veins has been carried out successfully, there is always a table of recurrence of the disease. The probability of recurrence was low, it is necessary to observe preventive measures:
- lead an active lifestyle, doing sports, often walk in the fresh air;
- the sitting position is to ensure that the posture was smooth, put a fb in the second leg in the second, because it leads to violation of venous blood circulation;
- fight obesity;
- moderate consume of coffee and tea;
- every morning, perform gymnastics feet;
- give up too tight tight and shoes and clothes.
Varicose veins is a disease, which, though a complete cure requires adherence to a certain lifestyle. Preventive measures after surgery is to follow a few months first and whole life. Varicose veins is a condition in which there is a narrowing of the vessel walls of the veins slow down deep and the blood of the son flow. This disease is much younger nowadays. This is due to the lack of exercise (constant work on the legs though can trigger the onset of the disease), create unnecessary transport excess weight the environmental situation in the world, the overall tendency of the blood son of the diseases, etc. initial stage of varicose veins is very suitable for conservative treatment methods. But if the disease is far it is gone and continue to move forward, we should think, that the functional solution to the problem. A really skilled surgeon surgery to remove the veins – tae and complete recovery from the debilitating exhausting diseases. Today, the activity is carried out highly qualified specialists in the health centre is equipped with the most modern equipment and do not represent any danger to the life and health of the patient.
Indications for surgical intervention
Vein removal is used in the following cases:
- is varicose veins, which covers a large area of the vein;
- incorrect expansion of the saphenous veins veins;
- severe swelling and fatigue in the legs;
- pathological the violation of the outflow of blood from the boy in the veins;
- non-healing trophic ulcers;
- acute and venous thrombosis.
Restrictions and against
The training is not addressed in the following cases:
- the running condition of the varicose veins disease;
- hypertension 3 ° or coronary heart disease;
- severe inflammatory-infectious processes and;
- senile age;
- 2. and 3. trimesters of pregnancy;
- skin diseases in the stage of exacerbation (eczema, erysipelas, eczema, etc.)
Before surgery, conduct a thorough investigation of the venous system of the patient, the testing and is diagnostic. Emergency operation shall be appointed when the obstruction of veins, thrombophlebitis and recurrent non-healing wounds.
A variety of surgical procedures
Surgery to remove veins on the legs can be performed using several modern techniques.
Phlebectomy is a popular
The initial stage of the disease is to perform a phlebectomy. For the preparation of this type of training is most elementary. Shower the Patient and full legs and a shaved groin. It is very important that before surgery, the skin of the feet was perfectly healthy, and the skin is not broken. Before surgery the patient and cleanse the intestines do research allergic reactions to the medication. Training takes up to 2 hours under local anesthesia. Removal of the saphenous vein is completely safe for the human body. During the operation, can spend the extravascular repair the valve to restore blood lad flow. Training begins with an incision length of up to five groin cm, in length and two cm above the ankle. The rest of the incisions are made under large venous nodes. Cuts and low to narrow. Through an incision in the groin is injected into a vein of the venous extractor (in the form of a thin wire, which is round, located the content, its great). With this tool, the surgeon removes the affected vein. The incisions are sewn Then and training has ended. Of course, the foot is closed with sterilized gauze is placed on top and a rubber band. After 1-2 days the patient can move already independently. Phlebectomy, the patient wears stockings (or bandages) for 2 months and lasts venotonic restore veins. In some cases, to appoint a phlebectomy, in this case, the legs making a small incision (under local anesthesia) through, which removes the damaged part of the Vienna or even completely Vienna.
Sclerotherapy is the painless removal of varicose veins
Today is a special popularity was received echo-guided sclerotherapy— treatment of varicose veins injections. When this is intravenous substance sclerosant, which destroys the inner layer of the blood vessels, then the middle layers are fused in autumn and forming in Vienna. This method is the most gentle, permanent effect but a man should spend a few procedures and take about six months of rehabilitation. This type of surgery and foam sclerotherapy can be used in vain when the damage and the diameter of the veins small a large number of "vascular asterisks". Blow sclerosant into a vein, the effectiveness of which increases, due to the large growth area of interaction on the inner side from the beginning. And in addition, because of its special consistency of the foam dwell on the vessel, increasing the time exposure to the drug affects the vessels. Therefore, when the foam sclerotherapy number of sessions has decreased significantly.
Laser phlebology
The most advanced method of vein removal – laser, laser intravascular coagulation. The surface veins on the inside is treated with a laser through a barely noticeable hole. In this case, the foot is superimposed sterile bandage elastic, and five hours, if the patient is able to walk independently. Both of these methods are considered malotravmaticheskaya and painless. The patient can go to the state on the same day on their feet.
The possible consequences
After all, even the most gentle surgery to remove the veins of the foot are bruises, bruises and other consequences, which are for some time to disturb the. For some time after surgery, it is better to sleep elevate the legs to improve blood circulation. A fairly common complication of surgery on the recurrence of varicose veins after, if the patient has a tendency to the general and he has not changed his way of life. Very rarely, damage during operation, adjacent vessel or nerve. But this must be left to the complication of fully qualified expert. Phlebectomy legs remain inconspicuous small scars.