All types of surgical treatment of varicose veins

I took treatment through conservative methods such as medication, physical therapy and support stockings – a great help in the early stages of the disease (including varicose veins 2 degrees), when there is swelling, pain, cramps of the lower extremities, and there was also a mesh of small vessels on the surface of the skin in this area.

However, if the varicose veins of the lower limbs acquired character (stage 3 and after), there is a significant deformation of large vessels, acute thrombosis, or the vessels is a disease that is located deep in the muscle layer, most likely, the time has come for more radical action.

An expert in the field of vascular surgery is likely to tell the patient that it is necessary to work in Vienna.

Many patients with venous surgical treatment of varicose veins seems to be a very painful, traumatic and life threatening phenomenon. Causes of varicose veins-operation, despite the urgent advice of doctors, has been postponed to a later date, the disease develops and the patient feels worse.

However, in some cases, surgery, varicose veins of the legs – the only opportunity for the patient to return to normal life, because after the removal of diseased varicose veins have no chance to come back in the affected areas, he's not in any pain and is not worried.

In this article we will talk about what is the surgical treatment of varicose veins, which type of such functions exist, as happened with the surgery, as well as the process of after surgery after removal of the veins.

Factors, that surgery is indicated

In order to understand whether the varicose veins the use of a particular patient, it is necessary to determine in what cases is surgery to remove the affected veins, when the ships to remove the legs seem to be the most appropriate and effective measure.

So, remove leg veins appear, if the following conditions:

• Varicose veins of the lower limbs have a physiological origin.
• Venous disease is acquired neglected nature, the veins of the leg is severely deformed, the limb is constantly sick, and the swelling subsides. Conservative treatment – medications, support stockings and folk methods do not bring the desired effect, is only a small relief.
• Surgical treatment of varicose veins of the lower extremities also recommended in the presence of trophic ulcers, struck the integuments of the calf of the foot.
• If the venous blood flow in the calf area disrupted so that pain, swelling, heaviness, lower limbs do not leave the patient, even if the entire night to rest.
• Surgery to remove the veins located in the calf region, and make the presence of thrombosis in the acute stage of progression.

So, when the doctors recommendations, the purpose of which is to carry out such operations as removal of the veins in the legs.

And if all categories of patients, this radical therapeutic measures is allowed, there are situations, when surgery to remove varicose veins is contraindicated?

When surgical intervention is not welcome

Some patients varicose vein removal is not recommended, because the condition of their body and some other circumstances. Remove the leg of venous functional method is not allowed if:

1. Is the heart-a serious disease, such as hypertension.
2. No need to do surgery, if the patient is diagnosed with any disease of an infectious nature.
3. Surgeons, whose specialty – the field of phlebology, refused to make use of, and remove malformed veins, if on the skin of the calf of the leg is clear of damage, abscesses, signs of eczema and rose diseases.
4. Surgery of varicose veins of the lower extremities is not recommended for the elderly, whose age limit is 70 years or more.
5. In addition, if women who are 2. and 3. trimester progresses, varicose veins, surgery is also contraindicated.

In other cases, where there are clear indications, surgery vessels the legs can be the most effective way to get rid of varicose veins, ensure the patient's recovery and return to full active life.

So surgery, varicose veins in the legs soon ceased to be a problem for the patient. As preoperative preparation of the patient before venous surgery for leg veins?

What you need to do before surgery

First of all, the doctor prescribes a set of diagnostic procedures such as duplex ultrasound vascular study, the results of which is known, of what use is the recommended if minimally invasive (sclerotherapy, laser or radiofrequency ablation) or a classic cut – the removal of the diseased vessels completely or partially.

As you know, minimally invasive methods of intervention do not require a long recovery – rehabilitation after surgery is rarely necessary.

In addition, the narrow diagnostic procedures, the patient is given the results of several tests, such as:

• The general analysis of blood.
• Biochemical analysis of blood.
• The general analysis of urine.
• Coagulation.
• Test results of serious infectious diseases, such as AIDS, all forms of hepatitis, sexually transmitted diseases. If you detect any of these ailments, the presence of a probability of cure, surgery can be postponed for a certain period of time, after which the patient must undergo a re-analysis.
• The heart curve.
• Therapeutic conclusion. A therapist is generalized information that has been obtained as a result of research, then the conclusion about the readiness of the patient to surgical intervention.

When it is positive the doctor considers that the patient has given direction to the operation, before which he must make immediate preoperative preparation. These measures are:

1. A bath or shower.
2. The complete removal of the hairs of the lower leg.
3. If the classic phlebectomy full anesthesia, the patient must also do an enema in order to cleanse the body.

A variety of functions

There are several types of vein surgery, now more of them.

Phlebectomy

The classical removal of the patient's venous vessel – phlebectomy is performed under general anesthesia. This is the most severe form of surgical procedure which includes several steps:

• A special procedure, when the first tug of the venous tributaries, and then directly to the varicose veins. Removal occurs at the junction of vessel branches and the trunk of the vein.
  This happens in the following way: an incision of the skin and soft tissue in the groin or behind the knee, in order to open up access to the blood vessels continue to drag.
• Stripping, which is removal of the venous trunk. Modern surgery is full of methods for this important operational stage, the most popular of which is the extraction of the patient's vessel further resection through a special sensor. This method is recognized as the most gentle and without injury to the patient.
• Phlebectomy – removal of varicose tributaries, small cuts, skin and soft tissue and the subsequent pulling of diseased vessels out further resection.

This surgery can be performed as a separate stage of the operation, and independently, when removal is the only part of the vein.

Sclerotherapy

Much more gentle intervention, a form is recognized as sclerotherapy of leg veins, which affect the vessels of a special needle was introduced for a special substance, which provides a further soldering to the veins and cupping the blood flow in it.

As a result, places, vessels, scar formation, and the symptoms of varicose veins are gradually fading.

Hardening is divided into main types:

1. The procedure, when the desired part of the ship prescribed in the results of duplex ultrasound performed puncture and entering the sclerosant. Thus, there is a narrowing of the deformed veins.
2. Foam sclerotherapy – soldering of blood vessels using a special foam composition.

Laser and radio frequency ablation

This minimally invasive surgical procedure, is considered the most modern and inexpensive, but the treatment of deep vein thrombosis, it is not suitable. The main advantages of this type of intervention is not considered, it does not require rehabilitation after surgery to remove veins, and any external damage to the skin.

To perform this function, with a laser-light guide has been brought to the medical ship, to direct the laser beam impinging on the inner surface of the veins and dissolves them.

This method is good, and the fact that the repeated recurrence of the disease after surgery on the veins can occur very rarely, not more than 5% of patients.

Surgery similar to laser ablation, it is recognized and radiofrequency coagulation, when the patient vessel sensor directed at the microwave cause bonding.

This surgery is indicated for varicose veins and large venous vessels.

The possible negative consequences

After surgery varicose veins of the lower extremities can be some complications, such cases are very few, as in most such interventions are without harm to your health.

So, the effects after surgery is veins the legs.

• The formation of large bruising at the site of resection, sometimes accompanied by local bleeding.
• Fever patient within the first three days after surgery. Why is this happening? If subcutaneous accumulation of blood, forming in places of cuts. If the blood came through and accumulated in large quantities under the skin, the result can be inflammation. When the blood has formed a lot of, can be formed infiltrates (seals), redness appear as a result of the patient requires urgent hospital treatment.
• Numbness of the skin occurs, if you were to affect the finish of the nerves. This complication is reversible, you just need to take some time and let your body recover.
• When the classic phlebectomy still hematoma, absorbable over time. In sclerotherapy and laser ablation, bruising almost non-existent.
• Swelling. Happens not always, but only, if the patient does not follow the doctor's advice after the intervention did not lead to a gentle life of constant load on the calf muscles, not wearing compression stockings.

Recovery time

Varicose veins after surgery (especially minimally invasive) does not hit the patient again, you need to carefully follow the doctor's advice after surgery. Among them are:

1. Careful to bandage the foot using an elastic bandage,
   worked the limb to be sick or to buy support socks, compression class, tell your doctor.
2. Everything heavier than 10 pounds, lifting for the first 6 months after surgery banned!
3. Preferably several times a week to devote to physical therapy. These can be sessions in the swimming pool, yoga, Hiking a moderate pace on a flat surface. In addition, there is a special set of exercises, venous-patients, details of which are better discussed with your doctor.
4. You need every day to take drugs.
5. A contrast shower is also very helpful. Temperature range should be about 20 degrees.

Conclusion

The effects of varicose veins it is much better to prevent than to undergo a long and painful treatment. Therefore, the following recommendations apply to patients who pass through the surgery to remove the veins, and those "risk group".

• Come into the habit of regular sports activity exercise, walk, bike.
• During the working day, alternating the position of "sitting" on the small promenade and on the contrary, prolonged standing on his feet a relaxing holiday.
• Greasy, too salty, smoked food, to remove!
• The exchange of strong black tea and coffee with green and white tea, fruit drinks and juices and soda waters.
• Wine and other alcoholic beverages should be consumed in small doses, and of existing varicose veins and after surgery to close completely.
• It is also important to stop Smoking tobacco products.
• In the presence of obesity or excessive fullness, weight need to normalize, sitting on a diet.
• All clothing and shoes should be comfortable, high quality and made of natural, breathable materials.

Remember! Your health is in your hands! Take care of yourself, be careful of your health, do not ignore the symptoms.