Patients diagnosed with varicose veins require surgery, any phlebologist will confirm it. With severe venous dysfunction, conservative therapy will not help, ointments and pills will relieve symptoms, but can not address the cause of the disease. Modern phlebology offers several options for solving the problem - from classic incisions on the affected vein area to minimally invasive techniques.
Varicose veins in the extremities are a common disease that women tend to suffer from. People who have to spend almost all day with their feet, patients with overweight, hereditary tendencies also fall into the risk zone. At first, the problem may be subtle. For some reason, blood flow declines, and the movement of blood from the bottom of the legs to the heart slows down. At the same time, lymph retention occurs, causing swelling and a feeling of heaviness in the legs. Gradually, the affected ducts become deformed, which further interferes with blood flow, provokes the formation of adhesions and blood clots, and deep vein pathology arises from the lower part of the leg.
The first stage of the disease is almost asymptomatic. At the end of the day, swelling of the ankles and feet is observed, the patient feels an interesting pain that disappears at rest. While contacting the doctor, the patient was given blood -thinning and venotonic medications. The second phase is characterized by an increase in blood vessels in the legs, they form a painful convex mesh. Bluish veins protrude above the surface of the skin, possibly micro -ruptured with small hematomas.
Level 2 varicose veins require immediate treatment under the supervision of a vascular surgeon or phlebologist. At this time, patients may be recommended sclerotherapy, by patching the affected duct. In phase 3, the convex knot forms a marked, the leg feels sore even at rest, the patient experiences seizures. Patients are advised to undergo surgery to remove veins in the legs using a scalpel or laser. At this stage, conservative therapy is powerless.
Severe pathology - deep vein thrombosis in the lower leg. The causes are blood stasis, leg injuries, tumors, long -term recovery after difficult surgery. Deep vein pathology in the lower leg is difficult to treat conservatively. To get rid of the threat, it is necessary to remove blood clots as soon as possible, and then do treatment with drugs that increase blood flow. Surgery to clean the deep veins from the bottom of the leg is not performed in every clinic; the procedure requires great skill from the surgeon.
An experienced phlebologist will help understand whether surgery is needed for varicose veins. At the first alarming symptoms and the most invisible lesions on at least one vein in the leg, it is necessary to consult a therapist who will refer to a narrow specialist. The patient underwent a test, the condition of the vessel was studied using ultrasound. Surgical treatment of varicose veins is the only option to get rid of the problem completely. The specialist must determine the time required to perform the operation, as well as choose the right technique. Before deciding on an intervention, it is necessary to look at the reviews of previous visitors to the clinic. Advice from third -party experts will also not hurt. Surgery to remove varicose veins in the legs is a serious procedure. The more advanced the disease, the more difficult the radical intervention for the patient.
Modern surgery offers several ways to solve the problem. An experienced surgeon should decide how to remove varicose veins in the legs. With average levels of varicose veins, minimally invasive techniques are recommended. Their advantages are a short recovery period, a lower risk of complications, and the absence of general anesthesia. Short -term leg vessel surgery is usually performed under local anesthesia without hospitalization.
One of the popular options is sclerotherapy. During the procedure, adhesive is injected into the affected vein, which stimulates the proliferation of connective tissue. The vascular cavity is filled, blood flow shifts to the deep veins. This procedure is contraindicated in the presence of blood clots. Disadvantages of this type of surgery for varicose veins include a high risk for recurrence. If the patient does not make lifestyle changes and lose weight, the problem will return.
Surgical treatment of varicose veins on the lower leg can be done using a laser. This technique is indicated for extensive vascular lesions located deep under the skin. Removing varicose veins in the legs requires great skill from a surgeon. The laser does not leave deep wounds, the postoperative period is much easier. Leg vein removal is performed under general or local anesthesia, the choice of anesthesia method depends on the patient's condition.
Another modern option is radio frequency surgery for varicose veins in the lower legs. It is recommended for vessels located just under the skin. In this case, the laser cannot be used to prevent burns. During surgery for varicose veins, a catheter is inserted into the affected vein and radio waves are sent directly to the damaged tissue. They become denser, the vessels are absorbed. After the procedure, there are practically no scars and scars on the skin. The disadvantage of this technique is the high price.
For convoluted vessels, a minimally invasive steam method may be offered. In this case, treatment of varicose veins is performed using a thin catheter inserted directly into the vessel. Steam enters through micro holes, the affected veins stick and disappear. Microparticles of hot distilled water enter the most complex plexus and completely eliminate the ugly convex mesh. This procedure can be performed by an experienced vascular surgeon with the necessary equipment. This technique is one of the most expensive, but the most effective.
In some cases, doctors will recommend a classic resection using a scalpel. It is indicated for varicose veins complicated by thrombophlebitis, persistent blood flow disturbances, severe leg swelling and the risk of trophic ulcers. Surgical treatment of varicose veins takes place in a hospital, using general or local anesthesia.
The easiest option is a classic phlebectomy. The indication for that is the early stages of the disease, impaired venous blood flow. The procedure lasts no more than 2 hours. The skin is carved with a scalpel at the groin and at the level of the ankle, and incisions are made over large knots. A venous extractor is inserted into the incision, with the help of which the damaged vessel is removed. Then sutures are applied to the skin, the legs are covered with sterile bandages, which are fitted with elastic bandages.
It is possible to operate on the affected vein in a less traumatic manner. Mini-phlebectomy is performed on an outpatient basis, each action of the surgeon is monitored by an ultrasound machine. With the help of special microinstruments, a puncture is made in the skin where the affected vein is removed. Sutures were not used, the puncture site was treated with antiseptic and covered with a sterile bandage. As early as 10 hours after surgery, the patient can walk.
The very important thing is recovery after surgery. While using minimally invasive techniques, the patient will be discharged immediately after the procedure. It is best not to return home by public transportation to avoid unintentional injuries. After removing a vein with varicose veins, the patient wears compression stockings or knee -high, in extreme cases, you can use an elastic bandage. The recovery period after minimally invasive techniques is short, no more than 2 weeks. Bed rest is not required, quiet walking and therapeutic exercises are recommended.
After leg vein surgery, patients should follow a gentle diet. In the early days, porridge over water, steam cuts, vegetable soups were allowed. All spicy, fatty, fried foods, smoked meats, pickles, sweets are prohibited. The menu must include fresh vegetables and fruits. It is important to avoid foods that can cause constipation or diarrhea. After varicose vein surgery in the lower part of the leg, any tension can provoke the appearance of dangerous blood clots. The diet should be light; excess calories will lead to weight gain. Mandatory recommendation - complete cessation of alcohol and smoking.
The postoperative period after leg vein removal is more difficult. If sutures are used, it takes at least 2 days for the patient to be allowed out of bed. You can fully recover in a few months, and during that time you must strictly adhere to all the doctor’s recommendations. In the early days, sterile bandages were changed daily, the skin was treated with antiseptics. This will eliminate the unpleasant consequences in the form of suppuration, inflammation and edema. If the sensation is painful in the postoperative period, the patient is prescribed analgesics in the form of tablets or injections.
Varicose veins after surgery require special attention. During the recovery period, patients are given blood -thinning medications. Need to take vitamins, especially ascorbic acid, which prevents thrombosis and improves blood flow. Proper recovery after surgery will help prevent complications and exclude recurrence of the disease.