Treatment of varicose veins in the legs with the help of drugs is not always a positive effect. Particularly difficult varicose veins heal, if he is in an advanced stage. In this case, the surgical intervention the only Option is the elimination of the pathology. For many people process, a terrible procedure, so that you can go for a long time afraid to the doctor, on some of the homemade forms of treatment. Disease will continue to progress, and the patient's condition deteriorate.
If you do need to?
Surgery for varicose veins of the lower extremities in the following circumstances:
- if the subcutaneous veins are enlarged as a result of the physiological pathology;
- if the disease is in an advanced stage, when the treatment of varicose veins medications or natural remedies will not help;
- in the formation of trophic ulcers on the skin layers;
- if faults occur in the vascular blood circulation, in consequence of which the Patient has a constant fatigue learns, quickly gets tired, feels pain and heaviness in the legs;
- if acute Thrombophlebitis formed;
- if there is trophic changes to the skin.
For some patients, surgery on varicose veins on the legs can be contraindicated. Factors affecting the implementation of the Operation:
- High blood pressure;
- severe infectious diseases;
- coronary heart disease;
- The age of the patients (over 70 years);
- Diseases of the skin – eczema, erysipelas, inflammation, etc;
- the second half of pregnancy.
The surgery is the most effective and safe Option for the treatment of varicose veins. An experienced doctor will be able to quickly eliminate the pathology and the Patient to a normal life back, without the feeling of suffering, which caused him the illness.
Types of Intervention
The type of surgery depends on the individual characteristics of the durchflieens of the disease. Some types of operations, suitable for one Person, may not come quite to the other. Prior to the appoint to surgery, the doctor the Form of the disease, the symptoms, but also the probability of development of complications is investigated.
Surgical
The time-consuming and complicated procedure, which is in connection with a high probability of development of complications, Phlebotomy surgery to remove the varicose veins. It is only in the cases when other treatments are not capable of any favorable effect. During this Operation, in the groin area of the patient's small (3-5 mm) incisions, through which the affected vein is ligated at the point where it flows in a deep vein, and then dissecting and stretching of the legs with the help of special probes. According to the distance from Wien to place incisions, absorbable sutures place. The Operation takes 1 to 2 hours, wherein the Patient is in a hospital more days, then may go home. Version phlebectomy is a procedure which will be as a Phlebotomy, the body, not the cuts and punctures. This method allows the implementation of the Operation with less damage to the skin and shorten the rehabilitation time. Stripping – a type of surgical treatment of varicose veins. During this procedure, all of Vienna not completely removed, but only a small part, which was of varicose veins. The removal is carried out through punctures in the skin, avoiding the stitches.
Hardening
Less traumatic method of surgical Intervention is considered sclerotherapy. It consists of a, that with the help of ultrasound determines the exact location of the enlarged vein, in the injected with a special chemical (sclerosant). This substance sticks to the affected blood vessels and prevents the flow of blood after him. After this Operation, at the site of the diseased veins, scar tissue, edema will disappear. Patients feeling of heaviness and pain in the legs, and if you place the wounds have torture, you heal faster. Sclerotherapy is of two types:
- Echo-guided sclerotherapy. This process use, if the diameter of the affected veins reached 1 cm and more. First Vienna investigated with the help of special devices – Duplex-Scanner, then under the supervision of a puncture, then it is in a vein sclerosant. This process reduces the affected vessel in the diameter and restore the normal movement of blood to him.
- Hardening Of The Foam. Safe and completely pain-free type of sclerotherapy. In the affected vessel injected with a special foam that fills him, and interrupts the blood flow in this vessel.
For the maximum effect in several procedures, sclerotherapy cause. Recurrence of varicose veins after her almost never happens.
Laser coagulation
Surgery to remove the varicose veins on the legs with Laser is considered the most technologically the guise of the fight against varicose veins, and helps, a morbid enlargement of the veins in 90% of patients. While this procedure does not produce cuts fabrics, making beauty mistakes. Through a puncture in the skin Laser light guide, through the transmission of light waves injected. Under their influence the resolution of the vessel of the patient comes. This method is characterized by a low number of relapse – back cases of the formation of varicose veins repeated occur only in 5% of patients. It can be used, and in severe cases, when the veins large sizes.
Possible consequences and Status in the post-operative Phase
Almost all types of surgery for the removal of varicose veins of the legs, and cause any complications in very rare cases. The greatest likelihood for complications and a severe course of the rehabilitation phase is observed, if phlebectomy. In the area of Remote-Wien hematomas can occur, and sometimes the cuts, the blood can flow, because the tributaries in the vicinity of the other veins are located. 2-3 days after surgery in some patients, the temperature can rise. This happens due to the aseptic inflammation processes in the blood under the skin. If the accumulated blood is very many, on the veins clots can form, painful to the touch. If the skin over the lump acquired a reddish tint, then a bacterial infection began. In this case, need urgent hospitalization. Other possible complications after surgery can be:
- Numbness of the skin, pain. They arise when, during the surgery, nerves were damaged. With time the pain will disappear and the sensitivity of the skin recovered.
- Bruising. Form for phlebectomy, since it is enough atraumatic surgery. After a while, usually not more than a month, they will disappear completely. In the case of minimally invasive methods of treatment (sclerotherapy or laser coagulation), which is almost never blue spots.
- Edema. You are not able to occur if the Patient follows the doctor's instructions in the post-operative period – a lot can be moved, wearing special clothes or undergoes a major physical burden.
After the surgery, most patients continued inactive life-style. Due to a lack of movement may arise, is a dangerous phenomenon, such as acute deep vein thrombosis of the lower extremities. To prevent this, you need special exercises, a diet and taking medication that prevents thrombosis.
Guideline developed (p. u. for the prevention of relapse
If the Operation for the removal of varicose veins has been successfully carried out, consists of a is always the risk of a renewed development of the disease. The probability of relapse was insignificant, preventative measures must be adhered to:
- lead an active lifestyle – Sport, more often go for a walk in the fresh air;
- in the seats you have to follow, the attitude is flat, not a foot to the other, since this leads to impairment of venous blood flow;
- fighting with being overweight;
- . moderate coffee and tea drinking;
- every morning, carry out gymnastics of the legs;
- give up too narrow and tight shoes and clothes.
Varicose veins is a disease that also requires that, after full cure, the adherence to a certain life. Preventive measures after the Operation, not the first couple of months, and during the whole life must follow. Varicose veins is a condition in which the narrowing of the vascular walls of the deep veins and slows the flow of blood. This disease is strongly tapered in our time. This happens due to lack of exercise (although a constant work on the feet and the onset of the disease), movement can only trigger on the Transport, of obesity, of the ecological Situation in the world, the inherited predisposition to diseases of the blood, etc. in early stage of varicose veins a good conservative method of treatment is suitable. But if the disease is already far and forward, you should think about the operating method for the solution of the problem. Properly trained doctor performed surgery after the removal of the vein is a guarantee for a complete cure from the sweltering grueling disease. Today, such operations are equipped of highly qualified specialists in medical centers, with the most modern equipment, and pose no threat to the life and health of the patient.
Indications for operative intervention
Vein remove use in the following cases:
- extensive varicose veins, sweeping through the large surface of the vein;
- false enlargement of the subcutaneous veins;
- severe swelling and fatigue of the legs;
- pathological to violation of the outflow of blood in the veins;
- trophic unhealed wounds;
- acute thrombosis and obstruction of the veins.
Restrictions and contraindications
The operation is not assigned, in the following cases:
- the started condition of the disease;
- Hypertension 3 degrees, and coronary heart disease;
- severe inflammatory and infectious processes;
- Age The Age;
- 2 and 3 trimester of pregnancy;
- Skin diseases in the acute stage (eczema, erysipelas, eczema, etc)
Before the Operation, a careful examination of the venous System of the patient, as well as a broad diagnostic investigation. Emergency surgery assigned when constipation of the veins, recurrent Thrombophlebitis, and the non-healing trophic geschwre.
Methods of operative intervention
Surgery to remove the veins with the help of several modern techniques.
Phlebotomy — it is popular
In the early stages of the disease, a phlebectomy is performed. The preparation for this type of surgery is the elemental. The Patient takes a shower and is fully leg and groin shaved. It is very important to the skin prior to surgery on the leg was completely healthy and the skin does not hurt. To clean before the Operation, the diseased bowel and research on allergic reactions to drugs. The surgery takes up to 2 hours under local anesthesia. Removal of the Vena saphena Magna is absolutely safe for the human body. During the Operation of an extra-vascular correction valves for the restoration of the outflow of blood can. The Operation begins with a cut length up to five cm in the groin and a length of two cm on the ankle. The remaining sections are under great venous node. The cuts are not deep and not wide. Through an incision in the groin into the vein, venous extractor is injected (in the Form of thin point lines with a round tip at the end). With this tool, the surgeon removes the affected vein. Then on the cuts and seams of the operation is considered complete. Of course, the foot sterilized bandage to close the top and put an elastic Bandage. After 1-2 days the Patient is able to move independent from each other always. After phlebectomy, the Patient stockings (or bandages) are to be borne within 2 months, and also takes venotonic to the work of the veins. In some cases, a phlebectomy prescribe, in this case, the leg small incisions (under local anesthesia), by the damaged parts away from Vienna or Vienna to be even completely.
Sclerotherapy — pain free removal of varicose veins
Today special popularity echo-guided sclerotherapy— injections purchased for the treatment of varicose veins. It is in a vein of the substance sclerosant, the vessels of the inner layer of the blood, according to which the bourgeoisie merged to form opadanie Vienna. This method is most of all a friendly, but the lasting effect of multiple treatments should take about six months for Rehabilitation. This type of surgery, and foam sclerotherapy can be used only if there is damage of veins with a small diameter and a large number of "spider veins". In the vein of bubbles of sclerosant is injected, the efficiency increases due to the large increase in the interaction with the inner side of the vessel. And in addition, due to its special consistency of the foam keeps for a long time in the vessel, whereby the contact time of the drug on the affected vessels. Therefore, in foam sclerotherapy, the number of sessions is reduced significantly.
Laser in phlebology
The modern method for removal of veins – Laser, the intravascular laser coagulation. The surface of the veins treated by Laser barely perceptible puncture. In this case, the foot sterile placed elastic bandage, and five hours later the Patient can go to. Both methods are considered to be malotravmaticheskaya and painless. If desired, you can go to the Patient home on the same day, stand on their feet.
Possible Consequences
After each, the Operation for the removal of veins remain the bruising, hematomas, and other consequences, interfere some of the time. To improve for some time after the surgery better with raised legs the flow of blood to sleep. A relatively common complication after surgery is the development of varicose veins is not when the Patient changed to an inherited predisposition, and it is also my life style. It is extremely rare to damage during the Operation of an adjacent vessel or nerve. But this complication is completely excluded in the case of a qualified professional. After phlebectomy on the legs is unobtrusive, small scars remain.