Varicose veins are a specific disease of venous department vessels, accompanied by inadequate valve operation and impaired blood exit.From the Latin “Variza”, it can be translated as “swelling”, which fully corresponds to the visual image of the disease.Operation for varicose veins of the lower ends is the most common and effective treatment method.
When conservative treatment does not help
The treatment of varicose veins provides several options.In the early stages, conservative therapy is prescribed, but sometimes even during this period, they can prescribe an operation.
The reasons for surgical intervention are as follows:
- 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 heredity;
- The extreme stages of varicose veins when conservative medicine is already powerless;
- the presence of trophic ulcerations at the lower ends;
- In violation of blood circulation of the lower extremities vessels, directly affecting the patient's general condition;
- Sudden blockade of blood vessels (thrombophlebite).
Against -indications
Despite the inefficiency of conservative therapy, operations are not used in all situations.
Against -Indications to Surgery for Varicose veins:
- constant increase in blood pressure or tendency to this disease;
- Severe infectious pathologies;
- Severe heart disease (recently suffered heart attacks of myocardial, coronary disease);
- an age over seventy years;
- Dermatological diseases of an inflammatory nature - eczema, psoriasis;
- Pregnancy (second half of the term).
In each individual case, the Phone Physician evaluates independently the patient's condition and makes a decision on the appointment of a type of operation for varicose veins.
Vienna Types
Surgical treatment of lower extremity varicose veins provides various ways to influence the focus of the problem.
Phlegic
The most common type of surgical intervention, which provides for the removal of varicose veins surgically.
This method involves applying a small cut to the skin in the field of varicose expansion.After that, the affected area of the vein is completely removed.
The vein removal in the legs lasts about an hour, the patient is discharged from the hospital in one to two days.The efficacy of the method reaches a sufficiently high percentage, however, with non -compliance with the prescription of the doctor, severe complications are possible.
Miniflebectomy
Miniflebectomy is a method for the treatment of varicose veins, which implies skin perforations in the area of lesion instead of cuts.The operation is performed under local anesthesia in a one -day hospital.This means that after the end of medical manipulation, the patient goes home almost immediately.
Benefits of miniflebectomy:
- Lack of general anesthesia need;
- outpatient conditions;
- minimum number of contrasts;
- minimal lesions of the skin;
- Lack of rehab period.
Varicose verse miniflebectomy is often used as an auxiliary method or is used in combination with other types of operations.
Sclerotherapy
Vein sclerosis in the legs - determination of an area of varicose veins using an ultrasound exam.After that, a special solution is introduced into the affected vein, which glues the varicose veins, preventing blood flow.Thanks to the operation, the blood supply to the lower ends is restored and the trophic ulcers are gradually healing.
There are 2 sclerotherapy methods:
- Ecosclerotherapy- The operation is used for the diameter of the varue 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.He narrows the lumen of the vase, restoring the bloodstream.
- The use of foam- The type of safer and more effective surgical intervention, which provides for the introduction of a special sparkling substance in a varize.The vase lumen overlaps completely, saving the patient from pathological manifestations.
Sclerotherapy for varicose veins is used in a complex way.
Removing veins with a laser
Removal of varicose veins with a laser is the most modern, technological and secure impact method in varicose veins.The principle of operation is based on the puncture of the skin in the field of varicose vein injury and the introduction of a laser light inward.The beam dissolves the varicose vein area without consequences for the patient's body.
Laser coagulation is a type of laser operation, whose action leads to varicose veins, blocking the bloodstream.
HR
RFA of the veins of the lower extremities - Radiofrequency obstruction.The principle of operation is based on the puncture of the skin area with the subsequent introduction of the ultrasound sensor.IRADIA SPECIAL MICROONGS that affect varicose veins, leading to their coagulation.The positive side of the operation is the possibility of dosing waves, thus regulating the process of necklace veins.
Preparation
The surgical treatment of varicose veins, regardless of the method, is a sufficiently severe manipulation that provides an extensive 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 and urine test.
- Biochemical blood test.
- Blood coagulation indicators.
- ECG.
- X -chest range.
- Blood pressure control.
On the eve of the operation, it is necessary to limit itself to a soft meal and in the morning appear in a medical institution with an empty stomach.In order for anesthesia not to harm the body, it is necessary to provide information on allergies and possible medicines to which this reaction may appear in advance.
Post -operative period
The post -operative period after the removal 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, after removal of the laser from varicose veins, he returns home on the day of operation.
Those patients who need a medical license, the document is issued for a period that provides the possibility of working, depending on the type of activity.If the profession is not associated with a person's physical and long -term physical effort during the day, the medical license will be issued for a period of 5 to 7 days.Otherwise, a certificate of disability for work may have a period of up to 2-3 weeks.In each individual case, the doctor makes a decision based on the post -operative period indicators.
Registration prevention
The operation for the treatment of varicose veins provides a set of preventive measures:
- In the early days after operation to remove varicose veins, you need to use elastic bandages in the field of perforations or incisions;
- Use compression linen - socks, golf;
- After the operation, limit the increase of any weights and within six months - in a volume of no more than 10 kg;
- Limit sports to small races, walking, swimming;
- Monitor overweight;
- Over time, undergoing drug therapy courses designed to restore the tone of the veins and the exclusion of varicose veins;
- Oportus exams at the doctor;
- reduce the use of coffee and tea;
- Make the gymnastics of your legs;
- Wear free shoes;
- More often, to be in fresh air and bring a healthy lifestyle.
In the early days after operation to remove varicose veins, it is necessary to exclude the use of hot baths, heavy physical exertion, including driving a car, and 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 the doctor's examination and the additional exam complex, which cannot be dismissed.
As a rule, when the exam is passing the same clinic as the operation is planned, the cost of services will be lower if the manipulations have been performed in different locations.
Asking which operation is most effective in this case you can focus safely on prices.Although the laser removal of varicose veins is the most expensive method, is more effective, painless and does not foresee relapses.