With advanced forms of varicose veins, you cannot do without surgery.During surgery, the affected areas are removed.Depending on the patient's condition, the main or small subcutaneous vessels in which the venous joints were formed.With the walking phlebectomy, small cuts are made and the veins affected by varicose veins are removed through them.
Varicosis surgery (its types)
How do they do the operation?A phlebologist, together with the patient, choose surgery of an operation that will get rid of the problem.Varicose vein operation in the foot:
- The most common method of getting rid of varicose veins is phlebectomy.The surgeon can perform an operation according to the Muller, Bebcock or Nart method.
- Stripping.The technique allows you to remove a large subcutaneous varicose vein, including all its branches.To do this, make a cut in the inguinal folding area.With total stripping, Vienna is completely drawn through an additional knee -made cut.All venous branches are removed through small incisions.
- Miniflebectomy.The form of a minimally invasive operation.The difference is that limb varicose vessels are removed not through cuts, but through points.
- In certain cases, endoscopic dissection allows you to get rid of varicose veins.The endoscope is inserted into the cutting in the problem area.Vienna is connected.
- Many prefer to do laser coagulation.The doctor determines which part is required to remove, presents a light of light in it.Laser surgery is performed under ultrasound control and sound anesthesia.For the introduction of the flower plane, they do not make a cut, but a hole in the form of a puncture.
- Radio frequency ablation is considered a rapid and less traumatic appearance.A separate radio frequency catheter is inserted into the problematic site, which touches the walls of the ship with electricity and glues them.But sometimes a radio frequency technique with this disease may not help get rid of the pathology.
- Small surgical techniques also include sclerosis.A sclerosant is inserted into the dishes of the problem using injection, which from the inside acts on the venous walls, gluing them.Depending on the indications, ecosclerotherapy or sclerosis according to the foam shape method (filling with special foam) can be performed.
Important!The patient cannot choose which surgery to perform it.The decision should be made about a phlebologist: the doctor should assess the condition of the venous canal, the overall state of health of the applied person and then recommend the most appropriate methods to get rid of the pathology.
The purpose of the therapy
If the venous joints stick out and cause discomfort, you should contact a phlef.Doctors recommend operational therapy only in cases where you cannot do without intervention.After surgical treatment and the end of the rehabilitation period, the condition of the patients improves.They mark a change in the shape of the legs, lack of pain, feeling of severity, limb landization.Moreover, the risk of developing complications that develop as a result of varicose lesions can be lowered.Surgical intervention in time allows us to prevent the development of thromboembolism.Surgery also reduces the risk of thrombophlebitis.
Type what kind of surgical treatment to choose?
Operation to remove varicose veins in the foot.Sometimes surgeons offer some treatment options for a choice.Patients need to know which forms of interventions allow you to recover as soon as possible.If we turn to a phlebologist at a time when the disease has not yet passed in a neglected form, the doctor may offer:
- miniflebectomy;
- sclerosis;
- short strip;
- laser coagulation;
- Radio frequency ablation.
After these interventions, the recovery period is minimal.If the condition allows, you can choose one of these methods.In advanced forms, with a significant lesion and high length of the enlarged canal, preference should be given to traditional phlebectomy, and not hope for rapid coagulation or sclerosis.
Laser surgery: Is there any effect?
Varicosis surgery with a laser.The endovasal laser coagulation method allows you to get rid of the disease without cutting the limbs and the extent of the affected areas of the venous canal.Surgeons only make a small puncture for presenting a laser light.Under the influence of the rays, the vein is coagulated, and over time is absorbed.What is the best operation or laser?The laser therapy method is considered very effective, the relapses are extremely rare.But such coagulation does not have a preventive effect: varicose veins can affect other parts of the canal.Processed ships disappear over time.Patients can return to ordinary life immediately after the end of the coagulation.
Indications: In what stages does the intervention advise?
Vascular surgeons recommend that patients do in the following cases:
- the course neglected of the disease;
- wide area of damage;
- pathological growth in cones size;
- circulatory disorders leading to pain, feeling of fatigue;
- formation of trophic lesions;
- Non -Employment trophic ulcers;
- Irritations of thrombophlebitis.
In the initial stages of varicose veins of the lower extremities, doctors recommend conservative treatment.With the effectiveness of conservative methods, sclerotherapy is advised.The second phase of vascular canal damage is called subcompensation.Laser coagulation, radio frequency ablation and other minimum invasive therapy types will allow you to quickly get rid of varicose lesions.In the third phase of decompensation, phlebectomy is most often recommended, although in some cases laser coagulation allows you to get rid of pathology.
The effectiveness of treatment
In this title, varicose veins will be provided before and after surgery, photo.All methods of surgical therapy are intended to get rid of problem vessels.This helps to restore blood flow.At the same time, patients get rid of cosmetic defects and discomfort:
- elongated venous joints;
- nets and vascular stars;
- the ends of the limbs;
- pain;
- feelings of gravity and rigidity;
- convulsions.
The pros and cons
Varicose veins, operational and counter.An indisputable advantage of surgical treatment is the rapid removal of the pathology.It is best to prioritize minimum invasive methods, during which patients practically do not feel pain, and post -operative recovery period and normalization passes quickly.Do you have operation for varicose veins?The disadvantages of surgical treatment include the possibility of developing complications.With phlebectomy, the patient returns to normal life not soon.After 2-4 days, some still feel pain, the temperature even rises in a number of patients.Disadvantages of minimum invasive techniques Most people include their cost.
A list of possible complications
Before sending the patient to the operating table, a phrase must indicate which problems may arise.Varicose veins in the legs, surgery (consequences), among the most common complications of therapy are found:
- Skin seals that appear in sections, puncture;
- Bruises, usually disappear within a few weeks, in rare cases they can be seen for up to 4 months;
- Pain is observed in the first days after traditional phlebectomy;
- In the post -surgery period, with considerable loads, swelling occurs;
- With mechanical damage to the lymph vessels, lymphostasis develops: this complication is treated by conservative methods.
Important!When you touch an ankle, the discomfort occurs when nerve endings were damaged.Over time, the condition improves, special therapy is not required.
Rehabilitation
Rehabilitation after functioning of varicose veins of the lower extremities (and not only).The course of recovery period depends on the type of therapy.After traditional phlebectomy, it is important to follow all the recommendations of the attending physician.For 2 days after removing the affected areas, it is prohibited:
- drive a car;
- Get hot baths;
- the weight of lifting;
- Drink alcohol.
You can reduce the possibility of post -operative complications from massage.Anydo foot contributes to a faster redistribution of blood flow.In the rehabilitation period, designs were prescribed.If necessary, sedatives can be described.
Diet
Diet and post -operative ways in varicose veins.For the rapid recovery of patients and preventing the return of varicose veins, attention should be paid to food.The menu should have large quantities with anti -inflammatory products.Fat, harmful dishes will have to be abandoned.After minimal invasive interventions in the post -surgery period, it is also recommended to observe a diet.It is not intended to deliver, but in preventing new types of losses.Emphasis is advised to make vegetables, fruits, seafood, and cereals.The most useful are:
- carrots, bell pepper, cabbage, tomatoes, all types of greenery;
- apples, grapes without black seeds, strawberries, citrus;
- cereals from crops of cereal;
- Vegetable oils (sunflower, squash, olive);
- mussels, shrimp, squid, oyster, sea cabbage;
- Nuts (some cores a day).
Attention!All seafood saturate the venous system with elastan.This is necessary for normal redistribution of blood flow without prejudice on healthy vessels.
The choice of bandages
Which bandages are needed after the operation of varicose veins?The use of broad elastic bandages is considered mandatory.The affected leg should be wrapped over 3 months after surgery, this can prevent possible complications.After that, you can switch to a special knit after surgery.Socks should be worn for at least 3 months on a leg operated.In the future, compression linen is desirable whenever there is a long standing load.When using minimal invasive types of relinquishment of pathology, it cannot be forgotten for compression knitwear dresses.You can find more details about how to use a bandage on the relevant pages and forums.
The process of phlebectomy
Operation for varicose veins of lower terms.Previously, the skin is treated with an antiseptic, a damaged place is distinguished and the vessels are removed.Removal of parcels is performed under anesthesia for 1-2 hours.In obesity, surgeons make cuts that open access to the veins.They are worn in joining with luggage and excited areas.They draw the problem cutting ends with the help of probes.
List of Contraindications
Unfortunately, not everyone will succeed in getting rid of the expansion of varicose veins using surgeons.Contraindications include:
- hypertension;
- advanced forms of the disease;
- coronary heart disease;
- the patient's advanced age;
- The development of infectious processes that occur in severe forms;
- eczema, erysipelas and similar lesions;
- 5-9 months of pregnancy.
To find out if it is possible to get rid of vascular channel varicose vessel patients through cuts, it is necessary with an experienced phleolologist.Perhaps he would recommend that coagulation with a laser ablation or radio frequency.
Treatment of varicose veins without operation
Is it possible to cure varicose veins without surgery?At 1-2, doctors advise paying attention to the possibility of conservative treatment, which prevents further development of the vascular bed pathology.Many advise alternative medicine.To prevent the disease, doctors also recommend the use of knitwear with compression, and not immediately directed to minimal invasive methods.Various creams, ointments, tablets, gel also allow you to improve the condition of the vascular canal.They should be used when the first symptoms of the disease.They are also recommended to all people belonging to the risk group.The choice should be stopped on the tools, during which heparin was used.In parallel, it is advisable to buy medicines that increase the vein tone.They belong to the Venotonics group.Complications that cause medication in patients can be read in instructions.How else to cure varicose veins without surgery?Hirudotherapy of the limbs of problems in this pathology is known.Lie bites contribute to blood liquefaction, improve blood flow, and remove pathology in the initial period.Varicose veins without surgery.You can also use blue clay for varicose lesions.It is advisable to take the baths from it.Some apply diluted clay to the consistency of thick thick sauce in the affected limbs.Complications when using clay do not occur, the development of pathology in some patients is suspended.Therefore, many advise it.
Free treatment
Many of them have the question of whether the treatment of varicose veins is paid?Given high prices for medical services, many are interested if it is possible to remove free problem veins.With a strong desire to reach surgeons, you can record with the most common mandatory medical insurance policy.It is necessary to take a direction from the vascular surgeon, submit all the necessary tests, get an opinion from the therapist.With a package of documents, you need to return to the surgeon and sign up for an operation to get rid of the varicose veins of the affected limbs.With the development of discomfort in the lower extremities, the appearance of venous joints, vascular stars or nets, consult with a phlef.If necessary, it can drive the ship's ship to ultrasound.Following this examination, a decision is made to advise the removal of problems with problems.The method of renouncing the varicose veins is determined by the doctor along with the patient.You can get rid of varicose veins using surgical techniques.In the early stages of the disease, all doctors advise minimal invasive operating methods.