Varicose veins are a specific disease of the vessels of the venous department, accompanied by an improper operation of the valve and the outflow of compromised blood.From the "varicose" Latin can be translated as "swelling", which fully corresponds to the visual picture of the disease.The 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 initial stages, conservative therapy is prescribed, but sometimes even in this period they can prescribe an operation.
The reasons for the 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 inheritance;
- The extreme phases of the varicose veins, when conservative medicine is already helpless;
- the presence of trophic ulcerations at the lower ends;
- violation of the blood circulation of the vessels of the lower limbs, directly influencing the general conditions 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;
- serious infectious pathologies;
- Serious heart disease (recently suffered from myocardial heart attacks, coronary heart disease);
- an age higher than seventy years;
- Dermatological diseases of an inflammatory nature - eczema, psoriasis;
- Pregnancy (second half of the term).
In every single case, the medical phlebologist reversed independently of the patient's conditions and makes a decision on the appointment of a type of operation for varicose veins.
Types of Vienna
The surgical treatment of varicose veins of the lower ends provides different ways to influence the focus of the problem.
Flobectomy
The most common type of surgery, which surgically provides for the removal of varicose veins.
This method involves the application of a small cut on the skin in the field of varicose expansion.Subsequently, the affected area of the vein is completely removed.
The removal of the veins on the legs in this way lasts about an hour, the patient is discharged from the hospital in one or two days.The effectiveness of the method reaches a sufficiently high percentage, however, with non -compliance with the prescription of the doctor, serious complications are possible.
Miniflectomy
MINIFLEBECCTOMY is a method for the treatment of varicose veins, which implies dripping of the skin in the injury area instead of cuts.The operation is performed under local anesthesia in a day hospital.This means that after the end of medical manipulations, the patient returns 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 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 examination.Subsequently, a special solution is introduced into the interested vein, which paste varicose veins, preventing blood flow.Thanks to the operation, the flow of blood is restored to the lower ends and the trophic ulcers are gradually healing.
There are 2 sclerotherapy methods:
- Ecosclerotherapy- The operation is used for the diameter of the varicose vein of over one centimeter.This method is based on the examination of the problematic area and the subsequent entry of a special substance.It narrows the lumen of the ship, restoring the blood flow.
- The use of foam- The safest and most effective type of surgery, which provides for the introduction of a special foam substance in 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.
Removal of the veins with a laser
The removal of varicose veins with a laser is the most modern, technological and safe impact method on varicose areas.The principle of the operation is based on the drilling of the skin in the field of varicose vein lesions and on the introduction of a laser light inwards.The radius dissolves the varicose vein area 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 blood flow.
RH
RFA of the veins of the lower ends - Radio -frequency hospital.The principle of the operation is based on the drilling of the skin area with the subsequent introduction 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, thus regulating the process of gluing the veins.
Preparation
The surgical treatment of varicose veins, regardless of the method, is a sufficiently serious manipulation, which provides for a vast preparatory phase:
- Inspection and consultation by the surgeon.
- The ultrasound for varicose veins is a mandatory diagnostic method that allows you to determine varicose areas.
- General test of blood and urine.
- Biochemical blood test.
- Blood coagulation indicators.
- ECG.
- X -Reggi of the chest.
- Blood pressure control.
On the eve of the operation, it is necessary to limit yourself to a mild meal and in the morning appear in a medical institution on an empty stomach.In order that anesthesia does not damage the body, it is necessary to provide information on allergies and possible drugs to which this reaction may appear in advance.
Postoperative period
The postoperative period after the removal of varicose veins on the legs proceeds without hitches 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 the recovery, then after the laser removal of the varicose veins, he returns home on the day of the operation.
Those patients who need a disease leave, the document is issued for a period that provides for the possibility of going to work according to the type of activity.If the profession is not associated with physical effort and looking for a person on the legs during the day, disease leave is emitted for a period of 5-7 days.Otherwise, a certificate of inability for work can have a period of up to 2-3 weeks.In every single 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 for a series of preventive measures:
- The first days after the operation to remove varicose veins, it is necessary to use elastic bandages in the field of drilling or engravings;
- Use compression linen - socks, golf;
- After the operation, limit the increase in any weights and within six months - in a volume no more than 10 kg;
- limit sports to small runs, walks, swimming;
- monitor excess weight;
- Over time, subject to drug therapy courses aimed at restoring the tone of the veins and the exclusion of the formation of varicose veins;
- timely exams at the doctor;
- reduce the use of coffee and tea;
- Make the legs of the legs;
- Use free shoes;
- More often to be fresh and lead a healthy lifestyle.
In the first days following the operation to remove varicose veins, it is necessary to exclude the use of hot baths, a heavy physical effort, including the guidance of a car, as well as limit smoking and drinking alcoholic beverages.
The cost of surgical intervention
The price of the operation of varicose veins depends on many shades.This includes both the doctor's exam and the complex of further exams, which cannot be paid.
As a rule, when the exam is subjected to the same clinic in which the operation is expected, the cost of the services will be lower if the manipulations have been performed in different places.
Ask which operation is most effective, in this case you can focus safely on prices.Despite the fact that the laser removal of varicose veins is the most expensive method, it is more effective, painless and does not include recurrence.