The treatment of varicose veins using medicines, physiotherapy methods and compression lines does not always lead to a positive result, especially in the third stage of the disease.In this case, the only way to help the patient is an operation.
For many patients, the operation is a kind of terrible process that you want to avoid in all possible way.Patients are often drawn to the last, do not contact the doctor, treated with folk remedies.However, if medication does not help, unconventional medicine is even more.
A timely surgery for varicose veins can protect against many negative consequences.No need to be afraid.There are minimally invasive techniques that are characterized by a high degree of efficiency and low trauma.The choice of one or the other method of surgical treatment is selected by a phlebologist.
Consider which methods that are removed from the veins on the legs, how do you differ, what advantages and disadvantages have?
When do you need an operation for varicose veins?
The doctor recommends the operating path of treatment with venous insufficiency in cases where the disease quickly progresses in the patient against the background of drug therapy.In other words, the operation over varicose veins remains the only way that improves the patient's condition.
In surgical practice, cutting the veins of the lower extremities is carried out in different ways.All have their advantages and disadvantages, indications, the technical features and the price.The costs consist of many points: the complexity of the company, the qualification of the doctor.The patient must be subjected to an examination before the procedure.
Diagnosis is required to rule out probable contraindications.
The operation on the legs on the legs is carried out in the following cases:
- Strong increase in subcutaneous veins;
- Advanced stage of varicose veins;
- Trophic ulcers on the lower extremities due to varicose veins;
- Acute blood circulation in the legs in which the patient has constant symptoms: pain, severity and symptoms, fatigue of the legs;
- Acute form of thrombophlebitis (inflammation of the venous walls).
Surgical intervention has absolute and relative contraindications.The first include malignant hypertension, coronary heart disease and pregnancy.The relative prohibitions include infectious and inflammatory processes in the body, dermatological manifestations at the scene of the patient over 70 years.
Operation with varicose veins of the lower extremities is a faster and effective way to eliminate the pathology.The patient will return to ordinary life without experiencing the suffering that caused the disease.
Sclerosis and laser coagulation in disease diseases
The sclerosis for VRV is carried out with various methods.Microosclerotherapy - medication is inserted into the affected container that sets the walls.In this way you can block a vein, it is no longer moved.The price for manipulation in a private clinic is approximately 5000 rubles.The duration of the procedure is 15-20 minutes.
A variety of procedures - echosclerosis.Such a technique is used in cases where the diameter of the affected vein is over one centimeter.The operation is carried out under the control of the ultrasound.With the help of manipulation, you can reduce the vessel and restore normal blood flow.
The Peny Sklerotherapy includes the introduction of a substance that is converted into foam into contact with oxygen.This method is considered the safest.Thanks to this, it is possible to improve blood circulation in the affected ship.
Operation on varicose veins on the legs with a laser is a relatively new way of combating the disease.
Differentiation characteristics of laser intervention:
- No need to make a cut that avoids the formation of a scar or scar.
- A small puncture inserts a laser light into the vein that examines the light waves.Loosen a damaged ship with it.
- Relapses rarely develop - about 5% of patients.
Laser treatment rarely leads to complications, which acts as a undoubtedly plus.The minus includes the costs of the procedure - of 35,000 rubles.This amount does not contain tests and examination, a doctor's consultation.
Combined phlebectomy and endovazal electrocoagulation
A combined phlebectomy is a common technique for seizure therapy.The cuts and punctures are minimal sizes.The operation is carried out under epidural or general anesthesia.
To remove a aching ship under the skin, the surgeon makes an incision up to 15 mm.A special probe that is equipped with a tip is introduced by it.
After its extraction, the veins are pulled.Remove the diagram from the bar to the middle of the lower leg.With the help of small punctures, it is possible to enlarge small veins/channels.
After the manipulation has been completed, the limbs are bound using an elastic association, or the patient is interpreted compression underwear.
As with laser treatment, the combined phlebectomy is not suitable for everyone because the costs of the operation are high.
The endovasal electrical cloagulation contains the removal of subcutaneous vessels.If you compare yourself with the radio frequency prison, the technology is more dangerous.
Stripping for the treatment of varicose veins of the lower extremities
Low extremities striping - traditional operation for TRV legs.Removing veins with this method is most frequently practiced.This is primarily due to the fact that patients seek help to the doctor late, and in severe cases, minimally invasive techniques do not have the desired therapeutic effect.
The strip for varicose veins has several stages.In the first stage, the doctor makes a small cut in the groin area.Then pull a vein at the place where it flows into a deep vein on her thigh.Next, the mouths of the tributaries are differentiated and cut out (depending on the information, their number of 1 to 7 can vary).
This action requires the doctor's attention, because if you only forget a tributary, this increases the risk of relaxed varicose veins in the patient several times.For this reason, such an operation is only carried out by highly qualified and experienced doctors.
The second stage of the intervention - make an incision in the ankle (only from the inside);The initial department for tributaries and large veins under the skin is differentiated.They are bound after the expansion.Then a special device is introduced in the venous release, which is carried out in the upper section.Remove the entire vein.
Features of stripping technology:
- In other words, expanded channels are removed by small cuts;
- If insolvent veins were found during the procedure, they are bound after consumption.
Ultrasound are diagnosed with the affected areas that require a distance.The strip is differentiated by a short duration of the rehabilitation period compared to traditional operation for removing veins.
Other methods for the surgical treatment of varicose veins
The endoscopic dissection is a kind of league of veins.The special feature of the technology is the use of endoscopic devices that enables the intervention far away from trophic disorders in the area of healthy tissue.
In surgical practice, two methods are used - with gas supply and not -gaze.It is believed that the technology is more effective with the supply of gas to the subfascial space.A free work cavity is formed in this operation and the risk of complications after the operation is reduced.
Cryosurgery contains the removal of blood vessels with VRV due to the effects of a low temperature regime.The method is considered to be completely safe.However, this operation is not carried out in all clinics because it requires modern equipment and high qualifications from the doctor that can manipulate.
There is a certain risk of complications for cryodestruction.They are associated with a medical error - if the doctor incorrectly calculates the depth of the frost, they damage healthy tissue, which leads to different violations.
The radio frequency dilation of veins for varicose veins has the following functions:
- High efficiency is the risk of relapse to the disease.
- Lack of side effects.
- Small trauma.
- Minimum vascular injury.
During the radio frequency ablation, veins destroy the inner wall of the vessel by means of radiation of radio frequency.As a result, the lumens of the veins narrow.The surrounding (healthy) substances do not suffer during manipulation.The operation is carried out on an outpatient basis under local anesthesia.
After the introduction of anesthesia, the veins are produced in the area of the lower leg.A disposable catheter is inserted into the ship that is equipped with an emitter.They promote the device to the place where the subcutaneous flows into the deep vein.Then the catheter is slowly removed - the vessel is irradiated from the inside during its extraction.
The injection site after the intervention is closed with an association and a compression stocking is placed on the limb.
Features of the rehabilitation period after the operation on the legs
After the operation over the lower extremities, unpleasant consequences can develop.Side effects do not always develop and not in all patients.They are possible for any kind of operation for varicose veins.
The most common side effects include the occurrence of hematoma, seals under the skin.The patients complain about pain in the legs, severe swelling and a impairment of sensitivity in the places of punctures or cuts.
Most of these symptoms take place independently within one month.Some phenomena can take up to 3-4 months.Edema and pain syndrome can disappear and then spontaneously occur with an increased load on the feet against the background of the injury when the weather changes.
After the operation, the patient needs:
- Wear compression underwear;
- Do not lift heavy objects;
- Lead an active lifestyle (swimming, hiking, cycling);
- Perform the therapeutic massage of the legs from varicose veins;
- To eat balanced.
As preventing the relapse of the seizure, it is necessary to check the body weight, give up tight shoes and clothing, to take medication prescribed by the applicable doctor.In a seated position you cannot throw your leg on your leg.Put a pillow under your feet in your sleep so that the limbs lie slightly above the position of the body.