Treatment of varicose veins with the help of drugs, physiotherapeutic methods and compression linen does not always lead to a positive result, especially at the third stage of the disease.In this case, the only way to help the patient is surgery.
For many patients, the operation is some kind of terrible procedure that they try to avoid in all possible ways.Often, patients are pulled to the last, do not turn to the doctor, treated with folk remedies.But, if medicines do not help, then unconventional medicine is even more so.
A timely operation for varicose veins can protect from 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 another method of surgical treatment is selected by a phlebologist.
Consider by what methods the veins are removed on the legs, how do they differ, what advantages and disadvantages have?
When do you need an operation for varicose veins?
The doctor recommends the operational path of treatment with venous insufficiency in cases where, against the background of drug therapy in the patient, the disease quickly progresses.In other words, the operation on varicose veins remains the only way that will improve the patient's condition.
In surgical practice, cutting the veins of the lower extremities is carried out in various ways.All of them have their pros and cons, indications, differ in technical characteristics and price.The cost consists of many points: the complexity of the operation, the qualification of the doctor.Before the procedure, the patient needs to undergo an examination, take tests.
Diagnosis is necessary in order to exclude probable contraindications.
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 as a result of varicose veins;
- Acute blood circulation in the legs, as a result of which the patient constantly has symptoms: pain, severity and discomfort, fatigue of the legs;
- Acute form of thrombophlebitis (inflammation of the venous walls).
Surgical intervention has absolute and relative contraindications.The first includes malignant hypertension, coronary heart disease, pregnancy.Relative prohibitions include infectious and inflammatory processes in the body, dermatological manifestations at the place of intervention, the age of the patient over 70 years.
The operation with varicose veins of the lower extremities is a quick and effective way to eliminate the pathology.The patient will return to ordinary life, without experiencing the suffering that the disease caused.
Sclerosis and laser coagulation for varicose disease
Sclerosis for VRV is carried out by different methods.Microosclerotherapy - drugs are introduced into the affected vessel, which glues the walls.This allows you to block a vein, it will not move on it anymore.The price of manipulation in a private clinic is about 5000 rubles.The duration of the procedure is 15-20 minutes.
A variety of procedure - 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, restore normal blood flow.
Peny sclerotherapy involves the introduction of a substance, which, in contact with oxygen, is converted into foam.This method is considered the safest.Thanks to it, it is possible to level blood circulation in the affected vessel.
Operation on varicose veins on the legs with a laser is a relatively new way of combating the disease.
Distinctive features of laser intervention:
- No need to make an incision, which avoids the formation of a scar or scar.
- Through a small puncture, a laser light is introduced into the vein, which studies the light waves.Using it, dissolve a damaged vessel.
- Relapses rarely develop - approximately 5% of patients.
Laser treatment rarely leads to complications, which acts as an undoubted plus.The minus includes the cost of the procedure - from 35,000 rubles.This amount does not include tests and examination, a doctor’s consultation.
Combined phlebectomy and endovazal electrocoagulation
Combined phlebectomy is a common technique for varicose heating therapy.The cuts and punctures are minimal sizes.The operation is carried out under epidural or general anesthesia.
To remove a sore vessel under the skin, the surgeon makes an incision up to 15 mm.A special probe equipped with a tip is introduced through it.
After its extraction, the veins are drawn.Remove the plot from the groin to the middle of the lower leg.With the help of small punctures, it is possible to excise small veins/ducts.
Upon completion of manipulation, the limbs are bandaged using an elastic bandage or the patient puts on compression underwear.
As with laser treatment, combined phlebectomy is not suitable for everyone, since the cost of the operation is high.
Endovasal electrocoagulation involves the removal of subcutaneous vessels.If you compare with radio frequency prison, then the technique is more dangerous.
Stripping for the treatment of varicose veins of the lower extremities
Low extremities stripping - traditional surgery for TRV legs.Removing veins with this method is most often 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 give the desired therapeutic effect.
Stripping for varicose veins has several stages.At the first stage, the doctor makes a small cut in the groin.After that, they pull a vein in the place where she flows into a deep vein on her thigh.Next, the mouths of the tributaries are distinguished and excised (depending on the indications, their number can vary from 1 to 7).
This action requires the doctor’s attentiveness, because if you forget even one tributary, it increases the risk of relaxed varicose veins in the patient several times.That is why such an operation is carried out only 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 of tributaries and large veins under the skin is distinguished.They are bandaged, after excising.Then a special device is introduced into the venous clearance, which is carried out to the upper section.Through it, remove the entire vein.
Features of the stripping technique:
- Extended ducts, in other words, varicose nodes are removed through small cuts;
- If insolvent veins were found during the procedure, then they are bandaged, after excise them.
The affected areas that require removal are diagnosed with ultrasound.Stripping is distinguished by a short duration of the rehabilitation period, when compared with the traditional operation to remove veins.
Other methods of surgical treatment of varicose veins
Endoscopic dissection is a type of ligation of veins.The peculiarity of the technique is the use of endoscopic equipment, which allows the intervention far from trophic disorders within the area of healthy tissue.
In surgical practice, two methods are used - with gas supply and non -gaze.It is believed that the technique with the supply of gas to the subfascial space is more effective.With this operation, a more free working cavity is formed, the risk of complications after surgery is reduced.
Cryosurgery involves the removal of blood vessels with VRV through the effects of a low temperature regime.The method is considered to be fully safe.But this operation is not carried out in all clinics, since it requires modern equipment and high qualifications of the doctor who can manipulate.
With cryodestruction, there is a certain risk of complications.They are associated with a medical error - if the doctor incorrectly calculates the depth of frost, then damage healthy tissues, which leads to various violations.
Radio frequency ablation of veins for varicose veins has the following features:
- High efficiency, the risk of relapse of the disease is low.
- Lack of side effects.
- Small trauma.
- Minimum vessel injury.
With radio frequency ablation, veins destroy the internal wall of the vessel by means of radio frequency irradiation.As a result, the lumen of the vein narrows.The surrounding (healthy) fabrics do not suffer during manipulation.The operation is carried out under local anesthesia on an outpatient basis.
After the introduction of anesthesia, the veins are made in the area of the lower leg.A disposable catheter is introduced into the vessel, which is equipped with a emitter.They promote the device to the place where the subcutaneous flows into the deep vein.Then the catheter is slowly removed - during its extraction, the vessel is irradiated from the inside.
The injection site after the intervention is closed with a bandage, and a compression stocking is put on the limb.
Features of the rehabilitation period after surgery on the legs
After surgery on the lower extremities, unpleasant consequences may develop.Side effects do not always develop and not in all patients.They are possible for any type of surgery for varicose veins.
The most common side effects include the appearance of hematomas, seals under the skin.Patients complain of pain in the legs, severe swelling, impaired sensitivity in the places of punctures or cuts.
Most of these symptoms take place independently within a month.Some phenomena can last up to 3-4 months.Edema and pain syndrome can disappear, and then spontaneously appear with an increased load on the feet, against the background of injury, when the weather changes.
After surgery, the patient needs:
- Wear compression underwear;
- Do not raise heavy objects;
- Lead an active lifestyle (swimming, hiking, cycling);
- Do the therapeutic massage of the legs from varicose veins;
- Balanced to eat.
As a prevention of relapse of varicose expansion, it is necessary to control body weight, abandon cramped shoes and clothing, take medications prescribed by the attending physician.In a sitting position, you can not throw your leg on the leg.During sleep, put a pillow under your feet so that the limbs are slightly above the position of the body.