Many people know the problem of varicose veins.At the advanced stage of the disease, they use surgery.There are several types of surgical intervention for varicose veins, each differs in its own characteristics.Patients must know these nuances, the possible consequences and the necessary rehabilitation.
Statistics show that each fifth person suffers from varicose veins.The consequences of such a disease are extremely unpleasant, so they must be treated.The operation is a cardinal method because patients are tormented by fears about their needs.
If the patient accepts surgery, he receives certain advantages:
- The choice of methodology: there are several types of operations with such a disease that it provides an individual approach to each patient;
- quickly get rid of the problem;
- Ins close (all manipulations are carried out under anesthesia);
- After the rehabilitation period, you can return to a normal life, which was impossible due to problems with the legs;
- Modern methods are low-traumatic and provide a cosmetic effect.
An operation is always an intervention, so patients often turn doubts about its necessity.Such a treatment really has drawbacks:
- the risk of being among the small percentage of people who did not help;
- the need for rehabilitation;
- possible consequences;
- the risk of relapse;
- Cost: With extended lesions or the choice of a modern methodology with a cosmetic effect, you will have to separate from a certain sum of money.
Symptoms of varicose veins can indicate dangerous changes in the venous system, which can cause serious complications to death.In this case, the operation is necessary.
To the elimination of veins with varicose veins, they use certain indications:
- acute thrombophlebitis;
- Pathological expansion of subcutaneous veins;
- Varicuse expansion of the subcutaneous veins with increased fatigue of the legs, a pastability (reference) or swelling;
- the growth of trophic changes in soft tissues with the ineffectiveness of conservative treatment;
- the appearance of trophic ulcers;
- Input of blood outputs.
Surgical intervention involves the use of various drugs (anesthesia, anesthesia, disinfection), so the patient should warn specialists in current or chronic diseases, an allergic reaction to any substance.It is important to report the drugs currently taken.Even vitamins and food supplements are important.
If the skin in the field of surgery is damaged, there are hematomas, ulcers or abscesses, a preliminary treatment is necessary.A specialist names it.
Before the procedure itself, it is necessary to prepare the area which will be used:
- wash;
- Remove the varnish on the nails;
- Brown hair on your feet, other ways of depilation cannot be used;
- If there is general anesthesia - to make a cleaning enema the day before.
After the operation to eliminate varicose veins on the legs, you will need rehabilitation, so you should prepare and take clothes, shoes and essential items with you.
Operational elimination methods of varicose veins on the legs
Modern medicine offers many options for surgical treatment of varicose veins.Use the following options:
- Phleectomy;
- microfalencotomy;
- stripping;
- sclerotherapy;
- Laser coagulation.
Each methodology has its own characteristics.The procedural algorithm is also different.
This is the name of the operational elimination of the subcutaneous veins, which are pathologically extended.After such an operation, the blood flow is standardized and getting rid of the swollen veins provides a cosmetic effect.
Anesthesia for the operation can be local or general.They select an individually anesthesia means, focusing on the characteristics of the patient and the volume of the manipulations to come.
Separately, a complex phleectomy should be taken into account, uniting several methods at a time.Each step of such an intervention can be an independent operation:
- Cultectomy.This term is called the dressing and excision process of the affected area.For large subcutaneous veins, the proximal distribution is carried out, for small subcutaneous-distales.
- Counting.This manipulation is also known as safenectomy.During the procedure, the trunk of the affected vein is removed.
- Flood of perforating veins.It is supracatic or progressive.The first option means dissection of the fascia and is considered less traumatic.
- Miniflectomy.At this stage, varicose nodes or unique tributary veins are deleted, which are affected by varicose veins.For such an intervention, small bites are made.
How does phleectomy surgery take place to eliminate varicose veins?The effect of a complete presence on the operation will provide this video:
This procedure is also called miniflectomy.The procedure has received its name due to the minimum intervention manipulations - all manipulations are carried out by small perforations.
After the perfect puncture, the affected ship is extracted with a special hook.Then it is crossed by pliers and withdrawn.
After surgery, perforations are sealed with a bactericidal patch.Make sure to wear compression linen - it is individually selected.
How easy and fast a microfeletomy is, you can see this video:
Such an operation is soft, because for its ends, small cuts are carried out at the ends of the affected vein.The same day, the patient can go home.
Depending on the variety of the operation, the location of the cuts changes: one is always carried out in the area of the popliteal pit and the other in the groin or the ankle.
Recently, another type of such manipulation appeared - Cryostropping.During the operation, only one incision is practiced by which Cryosond is introduced.Due to the effect of low temperature, the vein is frozen with the functional part of the probe.This allows you to tear it and remove it.Due to the cooling of the tissues, the vessels shrink, therefore, after surgery, hematomas or bleeding does not occur.
Some experts do not consider this technique as surgery, because it consists of injections.
This technique is absolutely painless.The patient does not need prolonged rehabilitation, and after handling, it is even necessary to walk.Such an intervention does not cause complications.
Laser technologies are gaining more and more popularity in medicine.To use the laser for varicose veins, you must first pass certain tests.Laser coagulation is called Endovazale operation.
The laser influence provides a prison, that is to say the adhesion of the assigned ships.This happens due to the heating of their internal walls.After such an operation, the seams do not need to be made - the puncture site is closed with a bandage.
Do you want to make sure that the effectiveness of the deletion of the veins with a laser?Then watch this video:
The characteristics of the rehabilitation period depend on the method that operation has been carried out for varicose veins.Few traumatic manipulations allow the patient to recover and start ordinary life much faster.
In any case, it is necessary to follow certain rules:
- Make dressings with elastic bandage.This measure is necessary in the first days following the operation.Thanks to the elastic bandage, the position of the veins is fixed.
- Wear compression linen.The wearing of such golf or stockings should be round -Le -Clock.Such a measure is necessary to restore blood circulation.The period during which such a linen must be worn is determined individually.This generally does not take more than 2 months.
- Reception of Venotonia.These drugs have an angioprotective effect, that is to say, strengthen the venous walls and restore their tone.
- Moderate physical activity.Large loads must be avoided, but the muscles must be developed.To do this, use physiotherapy exercises - any exercise must be agreed with the doctor.
- No more vitamin C. It is necessary to strengthen immunity and reduce swelling.Black blackcurrants, kiwi and citrus fruits must be included in power.
- The use of seafood. Oysters are not available for everyone, but everyone can enrich the diet or algae.These products are necessary to strengthen vascular walls and increase their tone.
- Turn on the products with Kumarin.These include garlic, onion, olive oil, lemon, cherry, cherries and red currants.These foods standardize blood coagulation, which is important to prevent blood clots.
- Vegetable fibers.They are in the lenses, oat flour, apples, celery and leafy vegetables.These products are necessary to normalize gastrointestinal tract - violations of its work increase the risk of varicose veins several times.
- Eat honey with nuts, hazelnuts or chestnuts.This mixture increases the elasticity and elasticity of the vascular walls.
- Observe the alcohol consumption mode.In addition to simple water, it is worth consuming teas based on plants and freshly pressed juices.
- Refusal of alcohol.
- Less salt.
- Refusal of candies, pastries, soft drinks, fatty meat, smoked and spicy dishes, fried food.
It is important to remember that if vein problems, it is necessary to normalize and maintain their weight.This is particularly important after the operation to reduce the risk of relapse.Good nutrition should become a lifestyle.
- Relapse of the disease.It occurs due to a predisposition to varicose veins.Often the patients themselves cause such complication with their lifestyle.
- Scars.This complication is inevitable after phleectomy.It can be avoided if the operation is low-traumatic, but sometimes, according to the indications, only a cardinal intervention can be carried out.
- Thromboembolie.
- The nerves damage.It can occur during the operation.This complication is extremely rare.
- DYSESThesia.This means a change in the perception of stimuli.For example, the cold can be perceived by heat - and vice versa.
- Perforation of venous walls.
- Burn (with laser coagulation).
Modern medicine offers various methods of surgical intervention for varicose veins.Each technique has its advantages and disadvantages, but it is necessary to select an appropriate option individually for each patient.A prerequisite for almost all operations to remove the veins is compliance with the rules of the rehabilitation period.
What types of operations are carried out with varicose veins, and how the postoperative period passes
Varicose (varicose veins) are a disease that affects blood vessels.It spreads more often among women.The causes of occurrence can be diverse.This is due to clogging of the veins, due to poor blood flow.Varicosis is hereditary in nature, but occurs at the same time due to various factors, for example: sedentary work, overweight, pregnancy and others.When ships lose their old elasticity, they develop and form knots.With age, varicose veins are more and more, you must therefore contact specialists.Hopefully "it will pass" it is not worth it.Will not pass!
Today, medicine is quite developed, so vascular surgeons carry out operations for the varicose veins of the lower limbs in several ways, depending on the severity and the stage of the negligence of varicose veins.All this is resolved individually.On the exam, the doctor will advise which method of carrying out an operation for the varicose veins will be optimal, and speaks of his passage, then the person decides.
Each operating method to eliminate varicose veins on the legs has its advantages and disadvantages.A traditional operation is a section of the skin along the painful vein.Above all, the result will be a hundred percent, but the scars along the whole leg will remain.Modern mini -invasive operations are often carried out - with a minimum number of cuts.Here - there will be almost no scars, but the consequences in the postoperative period can occur.
Methods and types of operations to eliminate varicose veins on the legs:
- Flancotomy.It is a traditional intervention method when expanding veins.It is used for advanced varicose stages, when the whole vein is affected, the surface of which is removed.As a rule, after such an operation, the veins and the nodes no longer appear and do not bother, but the scars remain.
- Laser coagulation.The surgeon adjusts the internal wall of the vein using special laser equipment, following which light in Vienna was born.
- Microfleetomy.This is a partial method when the affected areas of the veins are eliminated through small slots.
- Counting.Vienna is completely deleted using a probe.It is introduced at the start of the vein and displayed at the end.Thus, few incredibles come out, and the vein turns out to be and deletes.The stripping is most often carried out to remove the vein from the inguinal fold to the knee hole, or from the knee hole to the ankle.
- With the advanced stage of varicose veins and pronounced thrombophlebitis
- If the varicos light is more than 1 cm in diameter
- With a larger volume of damaged veins
- In the presence of large knots
When the varicose veins on the legs are not very launched, the operation to remove it is easier and without consequences, which is why it is important not to build components for years, but to consult a doctor.
Indications and consequences after varicose vein surgery
Surgical intervention for varicose veins is a sufficiently popular procedure because it is rarely possible to overcome such a disease without surgery.The neglected varicose veins definitively require surgery, and in the early stages, the doctor advises procedures and exercises to strengthen the veins.In all cases, the doctor, in each individual case, will weigh the advantages and disadvantages, before carrying out surgery for varicose veins.
The main surgery indications for the varicose veins of the lower limbs:
- varicose veins, accompanied by increased fatigue and swelling of the legs;
- Varices, which has reached the stage of trophic ulcers;
- violation of the flow of blood (sometimes without the absence of varicose veins);
- pathologically widened subcutaneous veins;
- Thrombophlebititis.
It should be recalled that only a specialist will see the image complete, and he can say if the operation for varicose veins is for you!