What surgery to remove varicose veins to prefer - how is the removal of varicose veins
Varicose veins are a pathological process affecting veins, disrupting their normal structure and thinning their walls.
This disease, in general, is not fatal, but if this process is started, then it can become a very serious problem.
Necessity of operation
The need for surgical intervention can only be determined by a doctor, who is based on a study of the whole organism. If the disease increasingly begins to bother with its symptoms, the walls of the veins begin to increase, it is necessary to seek advice.
It is better not to refuse the proposed operation. In many cases, it may be the only way to get rid of varicose veins.
Indications for surgery
There are special indications for surgery to remove varicose veins, which may cause the attending physician to suggest surgery:
- extensive varicose veins;
- excessively large pathological varicose veins;
- bright signs of blood outflow (swelling and high fatigue of the legs);
- acute thrombophlebitis;
- trophic ulcers.
Contraindications to surgery
There are also contraindications to the removal of varicose veins, in the presence of which any operation will be strictly contraindicated. These include the following:
- the patient is too old;
- late stage of disease development;
- infectious processes with complications;
- ischemic heart problems;
- acute hypertension;
- presence of serious skin diseases (pyoderma, eczema, erysipelas and others);
In cases where surgical treatment is impossible, the doctor looks for alternative methods of influence that can affect the disease and cure it.
Which veins usually require surgery
Each person has a system of veins, which can be conditionally divided into superficial, deep and communicative, which connects the previous two.
Most of the blood flow passes through the deep veins, and only about 10% is diverted to the subcutaneous veins.
Nevertheless, they are the ones who are able to be affected by varicose veins. If extensive bumps began to appear on the surface of the skin, as well as the symptoms became very bright, then intervention may be required
Preparing for the procedure
During surgery, the veins damaged by varicose veins will be removed.
It should be noted that there is no disturbance of normal blood flow, so there is no point in being afraid of the operation.
As a rule, traces after it disappear within a few months.
As a rule, long preparation before the operation to remove varicose veins is not required.
So, the necessary research is carried out without fail to identify the state of the body.
Beforehand, it is necessary to inform the surgeon about the presence of possible allergies to various drugs, as well as about which drugs were taken throughout the week.
Immediately before surgery, you should take a shower, shave the limb on which it will be carried out.
Types of operations
Each operation to remove varicose veins, no matter how different it is, will have the same list of contraindications and prescriptions for intervention.
The main differences will be in the way it is carried out, characteristic features and differences.
This type of intervention, like others, will be aimed at returning normal blood flow through the veins. Removal of the affected parts usually does not take more than two hours.
At the beginning of the operation, spinal anesthesia is performed. A vein with varicose veins is surgically removed through incisions of up to five millimeters using a special probe.
Before that, at the place where the varicose vein flows into the deep vein, it is tied up and only after that it is cut off.
It can be considered an analogue of phlebectomy, but it is performed in accordance with some peculiarities.
For example, a vein is removed through a puncture, not a cut. This allows you to achieve a quick recovery period and a high cosmetic effect.
In general, the entire operation is similar to phlebectomy.
This operation is intended for the day of removal of varicose veins on the legs. Initially, a probe is inserted through a small incision made in the groin area.
The vein is tied, an additional incision is made under the knee joint, through which the affected vein is removed. Its branches are removed through other small incisions.
The main positive difference of this type of intervention from others will be the fact that the rehabilitation period is rather short. Soon after, the patient will be able to return to a moderately active life.
This type of intervention involves removing only a portion of the affected vein.
Initially, the doctor determines the area to be removed, after which 2 punctures are made on it and through them they are removed.
Intervention has a high cosmetic effect.
In general, it is produced using a similar technology with atraumatic stripping.
Endoscopic Vein Dissection
Surgical intervention is performed using an endoscope, which allows you to control its progress.
During the operation, an incision is made on the affected varicose vein through which the endoscope is inserted.
Thanks to this, the doctor monitors its progress and minimizes possible negative consequences by an order of magnitude.
The vein is ligated through a small incision that is carefully measured. Usually, there are no special difficulties in the process of intervention, so it is successful.
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Endovasal laser coagulation
Laser coagulation is performed using the action of a laser on the affected area. In this case, the lumen of the vessel closes completely, and in the future it is completely absorbed.
The indication for this particular type of intervention is:
- expansion of the lumen in the veins;
- pathologically altered trunk veins have a straight course;
- signs of trophic disorders;
- a small number of tributary veins affected by varicose veins;
- large perforating faults on the tibia.
Removal of veins is performed in the supine position. After marking the area to be removed, a special light guide is introduced into it.
This is followed by a tumescent anesthesia and an operation with Doppler ultrasound guidance.
The advantage of this method is the possibility of not performing surgery at all. Also, the rehabilitation period is very low.
During the operation, a radiofrequency catheter is inserted into the vein trunk, with the help of which a current is applied to its walls. The high current frequency allows the barrel to be sealed.
It is worth noting that doctors warn that in some cases the effectiveness of radiofrequency ablation may be an order of magnitude lower than that of EVLK.
Complications after surgery
Already after surgery, complications are unlikely, but still possible.
Their appearance will depend on a number of symptoms, from the condition of the veins to the ability of the skin to heal.
Of course, these factors are purely individual, so it makes no sense to say exactly whether the appearance of symptoms is possible.
Still, it is worth highlighting the most common consequences of removing varicose veins using surgery:
- Thromboembolism.Assumes the development of thrombosis in the deep layers of the veins and the occurrence of infection in the tissues. To prevent the phenomenon, you should end bed rest as soon as possible and strictly follow all the doctor's recommendations.
- Bleeding. They usually appear during the dressing process and are not dangerous.
- Bruises.They leave in a couple of weeks.
- Limb paincan last for several days.
- Temperature rise, which is of short duration.
In addition, a relapse of the disease is possible, since surgical intervention does not imply a cure for varicose veins, but only allows you to remove the affected parts.
Most of the potential complications are just temporary measures. The danger is only the first problem, since it can lead to new intervention.
During the recovery process, you will need to constantly wear an elastic bandage for a couple of weeks in order to ensure good compression, healing and prevent possible complications.
Additionally, the doctor may prescribe venotonic drugs.
The timing of rehabilitation measures will depend on the condition of the skin, as well as on the stage of varicose veins lesions.
Immediately after the intervention, it is worth staying in bed and not disturbing the leg, but the very next day, when the compression bandage is done, it is not only possible, but also necessary to start walking.
It is recommended to engage in physiotherapy exercises, to carry out massages in the process of tissue restoration after surgery.
They will significantly increase blood flow and prevent the development of blood clots. Exercise is especially important for elderly people, since their blood flow is significantly slowed down.