Varicose veins are a specific disease of the vessels of the venous department, accompanied by inappropriate valve and exit of deteriorated blood.Of the Latin "varicosos" can be translated as "swelling", which corresponds completely to the visual image of the disease.The operation for varicose veins of the lower extremities is the most common and effective treatment method.
When conservative treatment does not help
The treatment of varicose veins provides several options.In the initial stages, conservative therapy is prescribed, but sometimes even in this period they can prescribe an operation.
The reasons for surgical intervention are the following:
- Physiological pathology: It is understood that the development of varicose veins is not caused by a secondary factor, but precisely the characteristics of the body or inheritance;
- The extreme stages of the varicose veins, when conservative medicine is already impotent;
- the presence of trophic ulcerations in the lower extremities;
- violation of blood circulation of the vessels of the lower extremities, directly affecting the general condition of the patient;
- Sudden block of blood vessels (thrombophlebitis).
Contraindications
Despite the inefficiency of conservative therapy, operations are not used in all situations.
Contraindications to surgery for varicose veins:
- constant increase in blood pressure or tendency to this disease;
- severe infectious pathologies;
- Serious heart disease (recently suffered myocardial heart attacks, coronary heart disease);
- an age greater than seventy years;
- Dermatological diseases of an inflammatory nature: Eccema, psoriasis;
- Pregnancy (second half of the term).
In each individual case, the doctor's phlebologist independently evaluates the patient's condition and makes a decision on the appointment of a type of operation for varicose veins.
Vienna types
The surgical treatment of the varicose veins of the lower extremities provides several ways to influence the problem approach.
Flebectomy
The most common type of surgical intervention, which provides the elimination of surgically varicose veins.
This method implies the application of a small cut in the skin in the field of varicose expansion.After that, the affected area of the vein is completely eliminated.
The elimination of veins in the legs in this way lasts approximately one hour, the patient is discharged from the hospital in one or two days.However, the effectiveness of the method reaches a sufficiently high percentage, however, with the breach of the prescription of the doctor, they are possible serious complications.
Miniflebectomy
Miniflebectomy is a method to treat varicose veins, which implies skin punctures in the area of injury instead of the cuts.The operation is carried out under local anesthesia in a day hospital.This means that after the end of medical manipulations, the patient goes home almost immediately.
BENEFITS OF MINIFLEBECTOMY:
- lack of need for general anesthesia;
- outpatient conditions;
- Minimum number of contraindications;
- Minimum skin lesions;
- Lack of rehabilitation period.
Miniflebectomy for varicose veins is often used as an auxiliary method or is used in combination with other types of operations.
Sclerotherapy
Sclerosis of the veins on the legs: determination of a varicose area using an ultrasound exam.After that, a special solution is introduced in the affected vein, which places the varicose veins, avoiding blood flow.Thanks to the operation, blood supply is restored to the lower extremities and trophic ulcers are gradually healing.
There are 2 sclerotherapy methods:
- ECOSCLERAPIA- 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.They reject the light of the glass, restoring the blood torrent.
- The use of foam- The type of safer and more effective surgical intervention, which provides the introduction of a special sparkling substance in a varicose vein.The container light overlaps completely, saving the patient from pathological manifestations.
Sclerotherapy for varicose veins is used in a complex way.
Eliminate veins with a laser
Eliminating varicose veins with a laser is the most modern, technological and safe impact method in varicose areas.The principle of the operation is based on the puncture of the skin in the field of lesions of the varicose vein and the introduction of a laser light inward.The beam dissolves the area of the varicose vein without consequences for the patient's body.
Laser coagulation is a type of laser operation, whose action leads to the welding of varicose veins, blocking the bloodstream.
Rh
RFA of the veins of the lower extremities: radiofrequency obstruction.The principle of the operation is based on the puncture of the skin area with the subsequent introduction of the ultrasound sensor.It radiates special microwaves that affect varicose veins, which leads to its coagulation.The positive side of the operation is the possibility of dosing waves, thus regulating the process of paste veins.
Preparation
The surgical treatment of varicose veins, regardless of the method, is a sufficiently serious manipulation, which provides an extensive preparatory phase:
- Inspection and consultation of the surgeon.
- Ultrasound for varicose veins is a mandatory diagnostic method that allows you to determine varicose areas.
- General blood and urine test.
- Biochemical blood analysis.
- Blood coagulation indicators.
- ECG.
- X -Ray of the chest.
- Blood pressure control.
On the eve of the operation, it is necessary to limit yourself to a soft meal, and in the morning appear in a medical institution with an empty stomach.So that anesthesia does not damage the body, it is necessary to provide information on allergies and possible medications to which such reaction can appear in advance.
Postoperative period
The postoperative period after the elimination of varicose veins in the legs continues without problems and in most cases without complications.Specific recommendations depend on the type of operation.For example, if after a phlebectomy, the patient needs 2-3 days for recovery, then after the elimination of the laser of the varicose veins, he returns home on the day of the operation.
Those patients who need a disease license, the document is issued for a period that establishes the possibility of going to work depending on the type of activity.If the profession is not associated with the physical effort and long-term search of a person on the legs during the day, the disease license is issued for a period of 5-7 days.Otherwise, a certificate of inability to 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 a set of preventive measures:
- The first days after the operation to eliminate varicose veins, you must use elastic bandages in the field of punctures or incisions;
- Use compression linen: stockings, golfs;
- After the operation, limit the increase in any weight, and in six months, in a volume of no more than 10 kg;
- limit sports to small races, walks, swim;
- monitor excess weight;
- Over time, they undergo drug therapy courses aimed at restoring the tone of the veins and the exclusion of the formation of varicose veins;
- timely exams in the doctor;
- Reduces the use of coffee and tea;
- Make your gymnastics legs;
- Wear free shoes;
- More often to be in fresh air and lead a healthy lifestyle.
In the first days after the operation to eliminate varicose veins, it is necessary to exclude the use of hot baths, a heavy physical effort, including driving a car, as well as limiting smoking and drinking alcoholic beverages.
The cost of surgical intervention
The price of the operation of varicose veins depends on many nuances.This includes both the doctor's exam and the complex of additional exams, which cannot be dispensed.
As a general rule, when the exam is submitted to the same clinic where the operation is planned, the cost of the services will be less if the manipulations were carried out in different places.
Ask what operation is most effective, in this case it can be securely focused on prices.Although the elimination of the laser of varicose veins is the most expensive method, it is more effective, painless and does not provide relapses.