Varicose veins are specialized diseases of vessels -the venous departments, accompanied by improper valve surgery and affected blood flow.From the Latin "varicose" can be translated as "bloating", which corresponds to the visual picture of the disease.The operation for varicose veins from the lower leg is the most common and effective method of treatment.
When conservative treatment does not help
Varicose vein treatment provides several options.In the early stages, conservative therapy was prescribed, but sometimes even during this time they could prescribe operations.
The reason for surgical intervention is as follows:
- Physiological pathology - it is understood that the development of varicose veins is not provoked by secondary factors, but exactly the characteristics of the body or heredity;
- Extreme levels of varicose veins, when conservative drugs are powerless;
- the presence of trophic ulcer in the lower leg;
- violations of vessels in the lower leg, directly affecting the general condition of the patient;
- Sudden blockage of blood vessels (thrombophlebitis).
Contraindications
Despite the inefficiency of conservative therapy, surgery is not used in all situations.
Contraindications for surgery for varicose veins:
- continuous increase in blood pressure or the tendency of the disease;
- severe infectious pathology;
- severe heart disease (recently -recently suffered from myocardial heart attack, coronary disease);
- Age over seventy years;
- Dermatological diseases of inflammation - eczema, psoriasis;
- Pregnancy (second half of terms).
In each individual case, a doctor's phlebologist independently assesses the patient's condition and makes a decision on the appointment of a type of surgery for varicose veins.
Vienna type
Surgical treatment of varicose veins from the lower leg provides several ways to influence the focus of the problem.
Flebectomy
The most common type of surgical intervention, which provides the removal of the surgical varicose veins.
This method involves the use of small pieces on the skin in the field of varicose development.Subsequently, the area affected by the veins is completely removed.
The removal of the veins in this way lasts for about an hour, the patient is released from the hospital in one to two days.The effectiveness of this method reaches a high percentage, however, with non -compliance with a doctor's prescription, serious complications are possible.
Miniflebectomy
Miniflebectomy is a method of treating varicose veins, which implies a skin puncture in the lesion rather than a wound.The operation was performed under local anesthesia at the hospital a day.This means that after the end of medical manipulation, the patient returns immediately.
Benefits of MinafeBectomy:
- lack of need for general anesthesia;
- Outpatient conditions;
- the minimum number of contraindications;
- minimum skin injury;
- Lack of recovery period.
Miniflebectomy for varicose veins is often used as an additional method or used in combination with other types of surgery.
Sclerotherapy
Sclerosis of the veins in the foot - determination of varicose areas using ultrasound examination.Subsequently, a special solution was introduced into the affected veins, which attached varicose veins, preventing blood flow.Thanks to surgery, lower blood supply to the legs is restored, and trophic ulcers gradually heal.
There are 2 sclerotherapy methods:
- Echosclerotherapy- Operation is used for varicose vein diameter more than one centimeter.This method is based on the inspection of the problem area and the inclusion of the next special material.It narrows the lumen of the vessel, restoring the blood flow.
- Foam use- The safest and most effective type of surgical intervention, which provides the introduction of special foaming material into varicose veins.The lumen of the vessel completely overlaps, saving the patient from the pathological manifestation.
Sclerotherapy for varicose veins is used in complex forms.
Removes veins with lasers
Removing varicose veins with laser is the most modern, technological and safe effect on varicose areas.This principle of operation is based on the skin of the skin in the field of varicose vein lesions and the introduction of laser light into.This beam dissolves varicose veins without the consequences for the patient's body.
Laser freezing is a type of laser operation, an action leading to varicose vein soldering, prevents blood flow.
Rh
RFA from lower leg vein - radio frequency obstruction.This principle of operation is based on the puncture of the skin with the next introduction of the ultrasound sensor.It emits a special microwave that affects varicose veins, leading to their freezing.The positive part of the operation is the possibility of a dose wave, thus controlling the blood vessel process.
Preparation
Varicose vein surgery, regardless of the method, is a serious manipulation, which provides a wide phase of preparation:
- Inspection and consultation by the surgeon.
- Ultrasound for varicose veins is a mandatory diagnostic method that allows you to determine the varicose area.
- General test of blood and urine.
- Biochemical blood test.
- Blood clotting indicators.
- ECG.
- X -Ray chest.
- Blood pressure control.
On the eve of the operation, it is necessary to limit yourself to light meals, and in the morning to appear at a medical institution on an empty stomach.In order for the anesthesia to harm the body, it is necessary to provide information on the allergy and the possibility of medications in which such reactions may appear first.
Post -operative period
The postoperative period after removal of varicose veins in the legs is smooth and in most cases without complications.Specific suggestions depend on the type of operation.For example, if after phlebectomy, the patient takes 2-3 days for recovery, then after removal of varicose vein laser, he returns home on surgery day.
Patients who need sick leave, the document is issued for a period of time providing the possibility of working depending on the type of activity.If the profession is not associated with physical and long-term efforts to find someone during the foot during the day, sick leave is released for 5-7 days.Otherwise, a certificate of inability to work may have up to 2-3 weeks.In each individual case, the doctor decides based on the postoperative period.
Prevention of registration
Operations for the treatment of varicose veins provide a set of preventive measures:
- The first day after surgery to get rid of varicose veins, you need to use elastic bandages in the field of punctures or incisions;
- Use compression linen - socks, golf;
- After surgery, limit any increase in weight, and within six months - in total not more than 10 kg;
- Limit sports to small runs, walking, swimming;
- monitor excess weight;
- In time, undergo a course of drug therapy aimed at restoring the tone and the exclusion of varicose veins;
- timely examination at the doctor;
- reduce the consumption of coffee and tea;
- Is gymnastics your feet;
- Use free shoes;
- More often in fresh air and lead a healthy lifestyle.
On the first days after surgery to get rid of varicose veins, it is necessary to exclude the use of hot baths, heavy physical energy, including car driving, as well as limiting smoking and drinking alcoholic beverages.
Surgical intervention costs
The price of varicose veins depends on many nuances.This includes examination of doctors and additional examination complexes, which cannot be supplied.
As a rule, when the examination is taking place in the same clinic where the operation is planned, the cost of service will be lower if the manipulation is carried out in different places.
Asking which operations are more effective, in this case, you can focus on the price.Although the removal of varicose vein laser is the most expensive method, it is the most effective, painless and does not provide for tremors.