Varicose veins are a specific disease of the vessels of the venous department, accompanied by improper valve operation and impaired blood drainage.From the Latin "cramp" can be translated as "flatulence", which fully corresponds to the visual image of the disease.The operation for varicose veins of the lower extremities is the most common and most effective treatment method.
If conservative treatment does not help
The treatment of varicose veins ensures several options.Conservative therapy is prescribed in the initial phases, but sometimes even during this time you can prescribe an operation.
The reasons for surgical interventions are as follows:
- Physiological pathology - it goes without saying that the development of varicose veins is not provoked by a secondary factor, but exactly the properties of the body or inheritance;
- The extreme stages of varicose veins when conservative medicine is already powerless;
- the presence of trophic ulcers on the lower extremities;
- Violation of blood flow to the vessels of the lower extremities that directly influence the general condition of the patient;
- Sudden blocking of blood vessels (thrombophlebitis).
Contraindications
Despite the inefficiency of conservative therapy, operations are not used in all situations.
Contraindications for surgery for varicose veins:
- constant increase in blood pressure or the tendency towards this disease;
- Severe infectious pathologies;
- Severe heart disease (recently myocardial heart attacks suffered, coronary disease);
- an age of more than seventy years;
- Dermatological diseases of inflammatory nature - eczema, psoriasis;
- Pregnancy (second half of the term).
In each individual case, the doctor evaluates the patient's condition independently and decides on the appointment of a kind of operation for varicose veins.
Types of Vienna
The surgical treatment of varicose veins of the lower extremities ensures various ways to influence the focus of the problem.
Fleet
The most common type of surgical intervention, which provides for the surgical removal of varicose veins.
This method includes the use of a small cut on the skin in the area of seizure.After that, the affected area of the vein is completely removed.
The removal of veins on the legs takes about an hour, the patient is released from the hospital in one or two days.The effectiveness of the method achieves a sufficiently high percentage, but the prescription of the doctor is possible, however, serious complications.
Mini -fleece
Mini fleeing bectomy is a method of treating varicose veins that implies in the area of the skin in the area of the lesion instead of cutting.The operation is carried out under anesthesia in a day hospital.This means that the patient goes home almost immediately after the end of medical manipulations.
Advantages of the mini -fleeing bectomy:
- lack of need for general anesthesia;
- outpatient conditions;
- Minimum number of contraindications;
- Minimum injuries to the skin;
- Lack of rehabilitation phase.
The mini -fleeing bectomy for varicose veins is often used as a auxiliary method or used in combination with other types of operations.
Sclerotherapy
Sclerosis of veins on the legs - determination of a cramp area using an ultrasound examination.After that, a special solution is inserted into the affected vein, which sets varicose veins and prevents blood flow.Thanks to the operation, blood supply to the lower extremities is restored, and trophic ulcers are gradually healing.
There are 2 methods of sclerotherapy:
- Echosclerotherapy- The operation is used for the diameter of the varicose vein of more than one centimeter.This method is based on the examination of the problem area and the subsequent entry of a special substance.It narrowed the lumen of the vessel and restores the blood circulation.
- The use of foam- The safest and most effective type of surgical intervention that provides for the introduction of a special foam substance into a varicose vein.The lumen of the vessel completely overlaps and saves the patient from pathological manifestations.
Sclerotherapy for varicose veins is used in a complex form.
Remove veins with a laser
Removing varicose veins with a laser is the most modern, most technological and safe method of influence on varicose areas.The principle of operation is based on the puncture of the skin in the area of varicose vein lesions and the introduction of a laser light.The beam dissolves the varicose vein area without consequences for the patient's body.
Laser coagulation is a kind of laser surgery, the effect of which leads to soldering varicose veins and blocks the bloodstream.
Rhinoceros
RFA of the veins of the lower extremities - radio frequency disabilities.The principle of the operation is based on the puncture of the skin area with the subsequent introduction of the ultrasonic sensor.It radiates special microwaves that affect the varicose veins, which leads to their coagulation.The positive side of the operation is the possibility of dosage waves, which regulates the process of gluing veins.
Preparation
The surgical treatment of varicose veins, regardless of the method, is a sufficiently serious manipulation that provides for an extensive preparation phase:
- Inspection and advice of the surgeon.
- Ultrasound for varicose veins is an obligatory diagnostic method with which you can determine seizures.
- General test of blood and urine.
- Biochemical blood test.
- Blood coagulation indicators.
- EKG.
- X -Ray the breast.
- Control of blood pressure.
On the eve of the operation, it is necessary to limit yourself to a mild meal and to appear on an empty stomach in a medical facility in the morning.So that anesthesia does not damage the body, information about allergies and possible medication must be provided that such a reaction can occur in advance.
Postoperative period
The postoperative period after removing varicose veins on the legs runs smoothly and in most cases without complications.Specific recommendations depend on the type of operation.For example, if the patient needs 2-3 days for recovery after a phlebectomy, he returns home after the laser removal of varicose veins on the day of the operation.
The patients who need a health vacation will be issued for a period of time that offers the possibility of going to work depending on the type of activity.If the profession is not connected to the legs during the day with physical exertion and long -term finding a person, the health vacation will be exhibited for a period of 5 to 7 days.Otherwise, a certificate of employment at work can have a period of up to 2-3 weeks.In each individual case, the doctor makes a decision based on the indicators of the postoperative period.
Registration prevention
The operation for the treatment of varicose veins provides for a number of preventive measures:
- In the first few days after the process of removing varicose veins, you must use elastic bands in the field of punctures or cuts.
- Use compression laundry - stockings, golfs;
- Limit the climb of the weights and within six months - in a volume of no more than 10 kg;
- Limit sport to small runs, walks, swimming;
- Monitor overweight;
- Over time, medication underwent therapy courses to restore the tone of the veins and the exclusion of the formation of varicose veins;
- timely exams in the doctor;
- Reduce the use of coffee and tea;
- Make your legs gymnastics;
- Use free shoes;
- Lead more often in the fresh air and a healthy lifestyle.
In the first few days after operation to remove varicose veins, it is necessary to use the use of hot baths, severe physical exertion, including driving a car as well as smoking and drinking alcoholic beverages.
The costs for surgical interventions
The price for the operation of varicose veins depends on many nuances.This includes both the doctor's examination and the complex of additional exams that cannot be submitted.
If the test is in the same clinic in which the operation is planned, the service costs in the same clinic are lower if the manipulations have been carried out in different locations.
If you ask which process is more effective, you can certainly concentrate on prices in this case.Despite the fact that laser removal of varicose veins is the most expensive method, it is most effective, painless and does not cause relapses.