Varicose veins are a specific disease of the venous department vessels, accompanied by improper functioning of the valves and damaged blood outflow.From "Latin varicose" can be translated as "bloating", which corresponds completely to the visual appearance of the disease.Operation for varicose veins of the lower extremities is the most common and effective method of treatment.
When conservative treatment does not help
Treatment of varicose veins provides several options.In the early stages, conservative therapy is determined, but sometimes even in this period they can describe an operation.
The reasons for surgical intervention are as follows:
- Physiological pathology - it is understood that the development of varicose veins is not provoked by a secondary factor, but exactly the characteristics of the body or inheritance;
- Extreme phases of varicose veins when conservative medicine is already powerless;
- the presence of trophic ulcers in the lower extremities;
- violation of the blood flow to the lower extremities, directly affecting the general condition of the patient;
- Sudden blockage of blood vessels (thrombophlebitis).
Contraindications
Despite the inefficiency of conservative therapy, operations are not used in all situations.
Contraindications to Varicose veins surgery:
- continuous increase in blood pressure or tendency to this disease;
- severe infectious pathologies;
- Severe heart disease (recently suffered myocardial heart attacks, coronary disease);
- an age exceeding seventy years;
- Dermatological diseases of an inflammatory nature - eczema, psoriasis;
- Pregnancy (second half of the term).
In each individual case, the phlebologist independently evaluates the patient's condition and makes a decision to appoint a type of functioning for varicose veins.
Vienna Types
Surgical treatment of varicose veins of the lower extremities provides several ways to influence the focus of the problem.
Flexolectomy
The most common type of surgical intervention, which predicts the removal of varicose veins.
This method involves applying a small cut to the skin in the area of varicose expansion.After that, the affected vein area is completely removed.
Removing the veins in the foot this way lasts about an hour, the patient is discharged from the hospital within one to two days.The effectiveness of the method reaches a fairly high percentage, however, with discrepancies with the doctor's prescription, serious complications are possible.
Miniflebectomy
Miniflebectomy is a method for treating varicose veins, which means skin points in the lesion area instead of cuttings.The operation is performed under local anesthesia in a daily hospital.This means that after completing medical manipulations, the patient goes home almost immediately.
MINIFLEBECTOMY Benefits:
- lack of need for general anesthesia;
- outpatient conditions;
- minimum number of contraindications;
- minimal skin damage;
- Lack of rehabilitation period.
Miniflebectomy for varicose veins is often used as an auxiliary method or used in combination with other types of operations.
Sclerotherapy
Foot vein sclerosis - determination of a varicose area using an ultrasound examination.After that, a special solution is inserted into the affected vein, which glues varicose veins, preventing blood flow.Thanks to surgery, blood supply to the lower extremities is restored, and trophic ulcers gradually heal.
There are 2 methods of sclerotherapy:
- Echosclerotherapy- The operation is used for the diameter of the vein with varicose veins more than one centimeter.This method is based on the examination of the problem area and the subsequent entry of a particular substance.It narrows the lumen of the vessel, restoring blood flow.
- The use of chalk- The safest and most effective type of surgical intervention, which provides for the introduction of a special foaming substance into a varicose vein.The lumen of the ship completely overlaps, saving the patient from pathological manifestations.
Sclerotherapy for varicose veins is used in a complex form.
Removing veins with a laser
Removing varicose veins with a laser is the most modern, technological and safe method of impact on varicose areas.The principle of surgery is based on skin puncture in the field of varicose vein lesions and the introduction of a laser light inside.The radius distributes the varicose vein area without consequences for the patient's body.
Laser coagulation is a type of laser surgery, whose action leads to joining varicose veins, blocking blood flow.
Rh
RFA veins of lower extremities - radio frequency barrier.The principle of surgery is based on the beer of the skin area with the subsequent presentation of the ultrasound sensor.It radiates special microwaves that affect varicose veins, leading to their coagulation.The positive side of the operation is the possibility of dosing the waves, thereby adjusting the process of climbing veins.
training
Surgical treatment of varicose veins, regardless of the method, is a very serious manipulation, which predicts a wide preparatory phase:
- Inspection and consultation by the surgeon.
- Ultrasound for varicose veins is a mandatory diagnostic method that allows you to determine varicose areas.
- General blood test and urine.
- Biochemical blood test.
- Blood coagulation indicators.
- ECG.
- X -Ray of clues.
- Blood pressure control.
On the verge of surgery, it is necessary to limit yourself to a soft meal, and in the morning appear in a medical institution on an empty stomach.In order for the anesthesia not to damage the body, it is necessary to provide information about the possible allergies and medicines, which such reaction may appear in advance.
Post -surgery
The post -surgery period after removing the varicose veins in the foot persists smoothly and in most cases without complications.Specific recommendations depend on the type of operation.For example, if after a phlebectomie, the patient needs 2-3 days for recovery, then after removing the laser of varicose veins, he returns home on the day of surgery.
Those patients who need a sick break, the document is issued for a period that provides for the possibility of going to work depending on the type of activity.If the profession is not accompanied by physical exercise and the long-term finding of a person standing during the day, the sick rest is issued for a period of 5-7 days.Otherwise, a job disability certificate may have a period of up to 2-3 weeks.In each individual case, the doctor makes a decision based on the post -surgery indicators.
Preventing registration
The varicose vein treatment surgery provides a number of preventive measures:
- The first days after surgery to remove varicose veins, you should use elastic bandage in the field of puncture or cuttings;
- Use compression linen - socks, golf;
- After surgery, limit the growth of any weight, and within six months - in a volume of not more than 10 kg;
- Limit sports to small jogging, walks, swimming;
- monitor excess weight;
- Over time, subject to medication therapy courses aimed at restoring vein tone and excluding varicose veins formation;
- timely examinations to the doctor;
- reduce the use of coffee and tea;
- Make your feet gymnastics;
- Use free shoes;
- Most often being in the fresh air and leading a healthy lifestyle.
In the first days after surgery to remove varicose veins, it is necessary to exclude the use of hot baths, severe physical exercises, including driving a car, as well as restricting smoking and drinking alcoholic beverages.
The cost of surgical intervention
The pricing of the functioning of varicose veins depends on many nuances.This includes both the examination of the physician and the additional exams, which cannot be distributed.
As a rule, when the examination is going through the same clinic where surgery is planned, the cost of services will be lower if manipulations were to be carried out in different countries.
Asking which operation is most effective, in this case you can safely focus on prices.Despite the fact that laser removal of varicose veins is the most expensive method, it is more effective, painless and does not predict relapses.