Surgical intervention for varicose veins

Varicose veins are a problem that requires advanced treatment. Surgery for varicose veins allows you to get rid of the problem at different stages of its manifestation for a long time, unless there are contraindications. For a successful procedure, you must strictly follow the rules of preparation and rehabilitation.

Surgical removal of leg veins with varicose veins

Indicators for

When conservative treatment and folk remedies are not effective, surgical removal of the leg veins is prescribed for serious pathologies. Tips for surgery:

  • problems with the circulatory system, the patient feels fatigue and pain in the legs during the day and gets tired quickly with moderate effort;
  • swelling of the legs that do not respond to medication;
  • lower extremity injuries;
  • trophic ulcers and other serious skin lesions;
  • genetic pathologies of the circulatory system;
  • advanced stage of thrombophlebitis.

What to do to prepare?

Before surgery for varicose veins of the lower extremities, the patient undergoes a series of tests aimed at determining contraindications.When all results are obtained, the date and time are set. Surgical intervention is requiredCleansing enema before surgeryspecial body training:

  • It is recommended that the patient switch to a slag-free diet 3 days before surgery. Exclude meat, fatty and fried foods, sweet pastries and bread.
  • Apply a cleansing enema in the evening before the procedure.
  • It is better to eat only low-fat cottage cheese, yogurt, porridge the day before removal. Drinking green tea and water is allowed.
  • It is forbidden to eat 8 hours before the procedure.
  • You should also exclude alcohol and smoking for at least 3 days.
  • The legs and groin should be shaved the day before the operation.
  • Women are advised to remove nail polish.

Types of operations and techniques

Modern medicine offers several ways to remove veins and capillaries in the legs. Each is characterized by its own characteristics. The most common types of operations:

  • phlebectomy;
  • sclerotherapy;
  • laser correction.
Phlebectomy - the problem vessel is removed with two incisions

Phlebectomy

Such an operation to remove the veins in the legs is effective in stages 1 and 2 of varicose veins. As a rule, these are hereditary problems of the circulatory system. During the procedure, shallow incisions 3-5 cm wide are made along the vein in the patient's groin and leg. A venous extractor is inserted through the upper hole - this is a special device that resembles a round wire with a tip. With this tool, the doctor removes the patient's artery. Incisions are made and sterile dressings are applied. After 3 days, the patient is discharged from the hospital. The recovery period lasts 2 months.

In the early stages of the disease and in the case of uncomplicated diagnosis, not the whole vessel, but the damaged part is removed. Such surgery is performed under local anesthesia. After successful removal, hospitalization is not required and the patient is sent home. In addition, varicose veins are treated in an outpatient setting.

Sclerotherapy

Eliminate varicose veins in the legs by sticking. During the operation, a sclerosant is injected under the skin using a needle. Under the influence, the vessel walls grow together and the blood flow inside stops. Over time, the process of falling occurs and there is no trace of the disease at the site of the procedure. In this way, it is possible to remove the veins in the leg veins only with confidence that the deep veins pass well. Otherwise, the procedure is contraindicated. The dose of the drug and the frequency of single injections are determined separately in each case. As a rule, up to 5 injections can be given in each session, and the procedure can be repeated up to 6 times with an interval of 1 month. After the operation, the treated area is covered with an elastic bandage to stop blood circulation.

Sclerotherapy should only be performed by an experienced specialist. Arterial artery injections are dangerous to health.

Laser removal of blood vessels

Laser removal of blood vessels

A painless way to treat varicose veins in the legs without injections or incisions. During the operation, the damaged vessel is exposed to a stream of light that operates it. Different types of lasers are used for veins and arteries. For example, the movement of light streams to remove the blue mesh arteries is not effective for red veins. The type of laser radiation and the wavelength are selected individually according to the depth and diameter of the vessel. Additional cooling ointments or ice are used during the operation.

Another type of laser vessel removal is endovenous laser coagulation. During the procedure, a micro-hole is drilled in the area of the damaged vessel and a light guide is placed in the lumen. With its help, the vein is soldered, the blood flow inside it stops and continues through healthy veins. All movements are controlled by ultrasound, which eliminates errors and does not exceed 2 hours. Sometimes local anesthesia is required. After removal, apply a bandage from an elastic bandage or compression stockings. Endovenous surgery for varicose veins of the lower extremities does not require hospitalization. Properly and without complications, the procedure allows you to return to normal life in a few hours.

Postoperative rehabilitation to remove varicose veins

The recovery period after surgery is extremely important. When done correctly, the risk of relapses or complications is minimized. Phlebologists have developed basic guidelines for complete rehabilitation:

Prohibition of bad habits for complete rehabilitation after surgery
  • exclusion of bad habits;
  • to follow a proper diet;
  • regular charging;
  • first, minimize contact with water;
  • protection of skin from ultraviolet radiation in spring and autumn;
  • elimination of heavy physical force;
  • use of compression underwear;
  • use of venotonics;
  • application of antibacterial and antiseptic creams;
  • regular replacement of sterile dressings.

What are the consequences of this?

The types of operations described rarely cause complications. However, in most cases it is possible with phlebectomy. Cuts cause bleeding and bruising. Also, non-compliance with the rules of rehabilitation during the recovery period can lead to unpleasant consequences,One of the consequences of the operation may be the entry of infection into the body. whom:

  • swelling of the legs;
  • hyperpigmentation;
  • numbness;
  • neovascularization;
  • erythema;
  • decreased sensitivity of the lower extremities;
  • get an infection.

The most dangerous complication may be thromboembolism. Lack of timely medical care can lead to disability or death.

Contraindications

If present, removal of varicose veins in the legs:

  • diseases of the heart and cardiovascular system;
  • infectious diseases;
  • acute chronic diseases;
  • skin damage, including rash;
  • high blood pressure;
  • pregnancy or lactation;
  • old age

Short result

The operation is performed in cases where drug treatment does not work. During the operation, the patient can quickly return to normal life. In addition, the risk of relapse is minimized if rehabilitation rules are followed. However, the choice of procedure is made by the doctor based on the characteristics of the patient's body.