Removal of veins for varicose veins

vein removal surgery for varicose veins

Conservative therapy will help relieve the symptoms of varicose veins. Minimally invasive techniques, laser therapy or classical surgery will get rid of it. A relapse after surgery will not occur if you pay attention to prevention and follow the doctor's advice.

Varicose veins is a pathology in which thinning of the venous walls occurs. An annoying disease is difficult to treat conservatively. Once a vein expands at least once, it will never return to its former size. Conservative therapy helps to strengthen the venous vessels and inhibits the development of complications.

In severe forms of the disease, when the use of compression underwear, alternative and drug therapy ceases to help, they resort to radical treatment of varicose veins - removal of veins.

Surgery to remove varicose veins on the legs

Excessive disturbance of blood flow, the presence of blood clots and the threat of their separation, venous vessels with an enlarged lumen and a tortuous bed, bulging veins are indications for phlebectomy (surgery).

Operation types

Veins are removed using traditional surgery or minimally invasive techniques.

Classical surgery is performed under general anesthesia. During the operation, the surgeon removes the great saphenous vein. In this case, the doctor needs to remove all its tributaries. An uncleanly performed operation leads to relapses.

To remove the affected veins, the surgeon makes deep incisions. Scars remain in their place. The postoperative period is quite long, the patient needs a lot of time to recover.

Minimally invasive techniques, even with an extensive venous network on the legs, make it possible to get by with a minimum number of small incisions. The results of these treatments are just as effective as those of conventional surgery.

Treatment with minimally invasive methods is carried out on an outpatient basis. When performing them, the patient does not receive general anesthesia (local or spinal anesthesia is used). Being conscious, he does not experience pain and discomfort, easily tolerates the removal of veins.

Thanks to small incisions, the use of atraumatic instruments, and ultra-thin sutures, the sutures do not scar. They are practically invisible on the legs. The mode of life of a person in the postoperative period remains the same as before surgery. He is able to stand up and walk. Discharged on the second day after the procedure.

Miniphlebectomy

Miniphlebectomy is a minimally invasive method, in which the skin is not cut, but small punctures are made in it. This procedure is good because:

  1. Safe and less traumatic. After its implementation, there are no cosmetic defects left. Tiny punctures heal quickly without leaving marks.
  2. It is carried out under local anesthesia. This anesthesia is sufficient so that patients do not experience pain during vein removal.
  3. Performed on an outpatient basis. After removing the veins in the lower extremities, patients immediately return to their daily activities.

Endosurgery

Doctors successfully treat leg veins using a high-tech method - endoscopic surgery. The affected veins are removed using a surgical endoscope. An optical instrument allows you to separate the incision site and the area of removal of the damaged vessel.

Performing the procedure, the surgeon does not cut the skin. He makes a small puncture in the epithelium, through which the venous vessel is removed. During the procedure, soft tissues are practically not injured. Patients easily tolerate it and do not stay long in the hospital.

short stripping

With this method of vein removal, surgical intervention in the lesions is minimal. After performing a duplex vein scan, the doctor removes only the affected part of the vessel. Healthy tissues are not affected. The surgeon, performing stripping, uses an endoscope. This allows him to see the affected areas of the veins, affect slightly nearby soft tissues, and avoid mistakes.

Rehabilitation

After performing a phlebectomy, doctors give each patient personalized recommendations. At the same time, they take into account the degree of development of the disease and surgical intervention, the presence of complications, age characteristics and the general condition of the patient.

To relieve postoperative pain and thrombosis, appropriate medications are prescribed. Immediately after the operation, the patient is put on compression underwear, which is not removed for 3 days. In the future, it is worn for 2 months in the daytime.

Ask your doctor - what is the best compression tights to choose for varicose veins after surgery (products differ in the level of compression). They will help you avoid relapses in the postoperative period.

To avoid complications, in the first week and a half, patients are prohibited from excessively loading the vessels of the legs. Do not go to the sauna and gym, do physical education and aerobics. Water procedures begin to be taken after the removal of stitches, you can ride a bike 6 months after the operation.

In the future, patients must comply with preventive measures. Thanks to them, it will be possible to avoid a relapse. Moderate physical activity helps restore blood flow in the veins. Patients are advised to take leisurely walks, swim, do light massage and therapeutic exercises, stretch their feet, do yoga and aqua aerobics.

Laser treatment of varicose veins

To perform the procedure, a radial light guide is used. The instrument is inserted into the vein, making a small puncture in the skin. As soon as the light guide reaches the focus, the laser begins to emit thermal radiation. The venous vessel under its influence is sealed and the blood flow drops out.

The soldered vein is replaced by connective tissue, which gradually resolves. At the same time, blood circulation does not suffer (blood is redistributed through healthy vessels). Nearby tissues are not deficient in nutrients. The newly established blood flow provides them with full nutrition.

The duration of laser treatment is 40 minutes. The procedure is painless. Patients after it leave the clinic on their own. They can immediately get down to business that requires their presence.

Endovasal laser coagulation (EVLK)

The procedure is performed with continuous ultrasound scanning of the walls of venous vessels. Under the action of laser radiation, the pathologically enlarged lumen closes. The vein is not removed, it will thicken and resolve after a while. Using a laser, they do not injure the skin, do not leave cosmetic defects on it. EVLT is used to treat patients with serious trophic changes in the skin.

Sclerotherapy

With sclerotherapy, the walls of veins with excessive expansion of the lumen are treated with a drug that can glue the vessels together. After the introduction of a sclerosing drug, obliteration and gluing of the venous walls occur. Thrombosis does not form.

Sclerotherapy is performed without anesthesia. After it, there are no scars and scars. In one procedure, all areas that the disease has managed to affect are removed.

sclerotherapy to remove varicose veins

How to cure varicose veins without surgery

For the treatment of varicose veins without surgery, sclerotherapy, laser and complex conservative therapy is used, which can stop the progression of the disease. It is impossible to completely cure varicose veins without surgery.

Conservative treatment is effective for early varicose veins. It is prescribed to patients who, due to age or concomitant diseases, the operation is contraindicated. It is possible to treat varicose veins during pregnancy only in conservative ways.

Conservative methods include the treatment of varicose veins with leeches and folk remedies, drug and compression therapy, massage and therapeutic exercises, diet.

Uncomplicated varicose veins are treated with elastic compression. An elastic bandage is applied to the lower limbs. Compression underwear in this case is a great alternative to bandages. It is much more comfortable to wear. Stockings, stockings and tights differ in the level of compression. Their choice depends on the course and stage of the disease.

The initial forms of the disease are treated using various preparations for varicose veins for local and internal use. To eliminate varicose veins, venotonics and blood thinners are prescribed. Thanks to them, they get rid of edema, cramps and pain syndromes.

For each patient, the phlebologist draws up a personal treatment regimen. He prescribes the necessary drugs, sets their dosage and determines the duration of treatment.

A phlebologist prescribes both external medicines for varicose veins (gels, ointments, creams) and tablets.

Do not be discouraged if the vascular surgeon insists on surgery. Minimally invasive operations will save you from varicose veins. You will regain an easy gait.

18.02.2022