Treatment of varicose veins with the help of drugs, physiotherapeutic methods and compression linen does not always have a positive result, especially in the third stage of the disease.In this case, the only way to help the patient is surgery.
For many patients, surgery is something of a terrible procedure they try to avoid in all possible ways.Often, patients are brought to the bottom, do not consult a doctor, treat folk remedies.But if medications do not help, then non -traditional medicine is even more.
Timely surgery for varicose veins can protect against many negative effects.You should not be afraid.There is a minimal invasive technique characterized by high quality efficiency and low trauma.One or another method of surgical treatment was chosen by a phlebologist.
Consider what methods the veins on the legs are removed, how are they different, what are the advantages and disadvantages?
When do you need surgery for varicose veins?
The doctor recommends treatment for surgical treatment in cases where the patient is rapidly progressing in the light of drug therapy.In other words, varicose vein surgery remains the only way to improve the patient's condition.
In surgical practice, lower extremity veins are cut in different ways.All of them have advantages and disadvantages, instructions, vary in technical characteristics and prices.The cost consists of many points: complexity of surgery, physician qualification.Before the procedure, the patient should undergo examination, conduct tests.
Diagnosis is necessary to exclude probable contraindications.
Surgery on the feet is performed in the following cases:
- Strong growth of subcutaneous veins;
- Advanced stage of varicose veins;
- Trophic ulcers as a result of varicose veins on the lower extremities;
- Severe blood circulation in the legs, resulting in the patient constantly symptoms: pain, severity and discomfort, fatigue of the feet;
- Acute form of thrombopheitis (inflammation of the venous walls).
Surgery has absolute and relatively contraindications.The first includes malignant hypertension, coronary heart disease, pregnancy.Relative prohibitions include infectious and inflammatory processes in the body, dermatological manifestations at the intervention at the age of 70 years of age.
Surgery with varicose veins of the lower extremities is a quick and effective way to eliminate pathology.The patient returns to normal life, experiencing the suffering caused by the disease.
Sclerosis and laser coagulation for varicose disease
Sclerosis for VRV is performed by different methods.Microferotherapy - Drugs enter the affected vessel that cuts the walls.It allows you to block the vein, it will not move on to it.The price of manipulation at a private clinic is about 5000 rubles.The duration of the procedure is 15-20 minutes.
A variety of procedures - echosclerosis.Such techniques are used in cases where the diameter of the affected vein is more than one centimeter.The operation is performed under the control of ultrasound.With the help of manipulation, you can reduce the vessels, restore normal blood flow.
Penny sclerotherapy involves the introduction of a substance that is transformed into foam in contact with oxygen.This method is the safest.Thanks to this, blood circulation levels in the affected vessel are possible.
Varicose vein surgery on the feet with laser is a relatively new method of combating the disease.
Distinctive features of laser intervention:
- There is no need to make a wound that will prevent scars or scars.
- With a small puncture, the laser light enters the vein that studies light waves.Using it, dissolve the damaged vessel.
- Recurrences rarely develop - about 5%of patients.
Laser treatment rarely causes complications, which is undoubtedly a plus.The disadvantage includes the cost of the procedure - from 35,000 rubles.This amount does not contain tests and examinations, consulting a physician.
Combined phlebectomy and endovazal electrocoagulation
Combined phlebectomy is a common technique for varicose heating therapy.Wounds and punctures are minimal dimensions.Surgery is performed under epidural or general anesthesia.
To get rid of the vessel under the skin, the surgeon receives up to 15 mm wound.It has introduced a special investigation with a beard.
After its extraction, the veins are drawn.Remove the plot from the gum to the middle of the lower leg.With the help of small punctures, small veins/ducts can be excised.
After the manipulation is completed, the limbs rise with an elastic bandage, or the patient puts compression underwear.
As a laser treatment, combined phlebectomy is not suitable for everyone, as the cost of surgery is high.
Endovasal electrocoagulation involves the removal of subcutaneous vessels.If you compare the radio frequency prison, then the technique is more dangerous.
To treat varicose veins of the lower extremities
Low limb strips - traditional surgery for TRV feet.This method is most commonly removed from the veins.This is primarily due to the fact that patients are helping your doctor late, and in severe cases, minimal invasive techniques do not provide the desired therapeutic effect.
Developing varicose veins has several stages.In the first stage, the doctor makes a small wound.After that, they catch the vein in the place where it flows into the deep vein on the thigh.Next, the tributary person is distinguished and removed (according to the instructions, their number may vary from 1 to 7).
This action requires a doctor's attention, because if you forget one tributary, it increases the risk of varicose veins in the patient several times.That is why such surgery is performed only by highly qualified and experienced doctors.
The second stage of the intervention - make a wound in the ankle (only from the inside);The initial section of the large veins under the tributaries and the skin is distinguished.They are banded after excision.Then a special device was introduced into the venous clearance, which is carried out at the top.Through it, remove the entire vein.
Features of strip techniques:
- Extended ducts, in other words, varicose nodes are removed with small wounds;
- If the veins are found during the procedure, then they occur after the excise tax.
The affected areas that require removal are diagnosed with ultrasound.The strips are characterized by a short duration of the rehabilitation period when the veins are released compared to traditional surgery.
Other methods of surgical treatment of varicose veins
Endoscopic dissection is a type of vein ligament.The peculiarity of the technique is the use of endoscopic equipment, which allows to interfere with trophic disorders far from healthy tissue area.
Two methods are used in surgical practice - by gas supply and not a fee.The technique is believed to be more effective with gas supply.With this operation, the more free work cavity is created, and the risk of complications after surgery is reduced.
Cryosurgery involves the removal of blood vessels by the influence of low temperature regime.The method is considered to be fully safe.But this surgery is not performed in all clinics as it requires modern equipment and a highly qualified physician that can manipulate.
With cryodestruction, there is some risk of complications.They are associated with a medical error - if the doctor misunderstood the depth of frost, then damage the healthy tissues, which causes various disorders.
Radio frequency ablation for varicose veins for varicose veins has the following characteristics:
- High efficacy, the risk of recurrence of the disease is low.
- Lack of side effects.
- Minor trauma.
- Minimum damage to the ship.
With radio frequency ablation, the veins destroy the inner wall of the vessel through radio frequency irradiation.As a result, the veins lamps are narrow.The surrounding (healthy) tissues are not affected during manipulation.The operation is performed under local anesthesia on an outpatient basis.
After the anesthesia is introduced, the veins are made in the area of the lower leg.A single catheter is included in a vessel equipped with an employer.They promote the device to the place where the subcutaneous flows into the deep vein.Then the catheter is removed slowly - during its extraction, the vessels are irradiated from the inside.
The injection site is closed with a bandage after the intervention, and the compression stock is placed on the limb.
Rehabilitation period properties after surgery on the legs
After surgery on the lower extremities, unpleasant consequences can develop.Side effects do not always develop and not in all patients.They are available for any type of surgery for varicose veins.
The most common side effects include the appearance of hematomas, seals under the skin.Patients complain of pain in the legs, severe edema, impaired sensitivity to puncture or cutting areas.
Most of these symptoms occur independently for one month.Some phenomena can last up to 3-4 months.Swelling and pain syndrome may disappear, and then spontaneously appear with increased load on the feet, in the light of trauma when the weather changes.
After surgery, the patient needs:
- Wear a compression underwear;
- Do not install heavy objects;
- Head with an active lifestyle (swim, hike, bike);
- Make therapeutic massage of the legs from varicose veins;
- Balanced eating.
As a varicose expansion recurrence prevention, body weight control, abandoned shoes and clothing are required, and take the medications prescribed by the attending physician.In the session, you cannot throw your leg on your leg.During sleep, place the pillow under the pillow so that the limbs are slightly above the body position.