The treatment of varicose veins with the help of drugs, physiotherapy methods and compression linen does not always lead to a positive result, especially to the third stage of the disease.In this case, the only way to help the patient is surgery.
For many patients, the operation is a sort of terrible procedure that try to avoid in all possible ways.Often, patients are brought to the last, do not turn to the doctor, treated with popular remedies.But, if medicines do not help, then unconventional medicine is even more.
A timely operation for varicose veins can protect against many negative consequences.There is no need to be afraid.There are minimally invasive techniques that are characterized by a high degree of efficiency and low trauma.The choice of a surgical treatment method is selected by a phlebologist.
Consider with which methods the veins are removed on the legs, how do they differ, what advantages and disadvantages?
When do you need an operation for varicose veins?
The doctor recommends the operational path of treatment with venous insufficiency in cases where, against the background of drug therapy in the patient, the disease progresses quickly.In other words, the operation on varicose veins remains the only way that will improve the patient's condition.
In surgical practice, the cutting of the veins of the lower limbs is carried out in various ways.Everyone has their pros and cons, indications, differ in the technical characteristics and the price.The cost consists of many points: the complexity of the operation, the qualification of the doctor.Before the procedure, the patient must undergo an exam, test.
Diagnosis is necessary to exclude probable contraindications.
The operation on the legs on the legs is carried out in the following cases:
- Strong increase in subcutaneous veins;
- Advanced stage of varicose veins;
- Trophic ulcers at the lower ends due to varicose veins;
- Acute blood circulation in the legs, due to which the patient constantly has symptoms: pain, severity and discomfort, fatigue of the legs;
- Acute shape of thrombophlebitis (inflammation of venous walls).
Surgery has absolute and relative contraindications.The first includes malignant hypertension, coronary heart disease, pregnancy.The relative prohibitions include infectious and inflammatory processes in the body, dermatological manifestations to the place of intervention, the patient's age for over 70 years.
The operation with varicose veins of the lower ends is a quick and effective way to eliminate the pathology.The patient will return to ordinary life, without experimenting with the suffering caused by the disease.
Sclerosis and laser coagulation for varicose disease
Sclerosis for VRV is carried out with different methods.Microosclerotherapy - The drugs are introduced into the interested vase, which paste the walls.This allows you to block a vein, you will no longer move.The price of manipulation in a private clinic is around 5000 rubles.The duration of the procedure is 15-20 minutes.
A variety of procedure - Eco -friendly.This technique is used in cases where the diameter of the vein concerned is over one centimeter.The operation is performed under the control of the ultrasound.With the help of manipulation, it is possible to reduce the vase, restore normal blood flow.
Sclerotherapy Peny involves the introduction of a substance, which, in contact with oxygen, is converted into foam.This method is considered the safest.Thanks to it, it is possible to level the blood circulation in the ship concerned.
The operation on varicose veins on the legs with a laser is a relatively new way of fighting the disease.
Distinctive characteristics of the laser intervention:
- It is not necessary to make an incision, which avoids the formation of a scar or scar.
- Through a small drilling, a laser light is introduced into the vein, which studies bright waves.Using it, dissolve a damaged ship.
- Reidanies rarely develop - about 5% of patients.
Laser treatment rarely leads to complications, which acts as an extra.The least includes the cost of the procedure - from 35,000 rubles.This amount does not include tests and examination, consultation of a doctor.
Combined phlebectomy and endovazal electrocoagulation
Combined phlebectomy is a common technique for varicose heating therapy.The cuts and punctures are minimal dimensions.The operation is carried out in epidural or general anesthesia.
To remove a painful ship under the skin, the surgeon encompassed up to 15 mm.A special probe equipped with a tip is introduced through it.
After its extraction, the veins are drawn.Remove the diagram from the groin to the center of the lower part of the leg.With the help of small drips, small veins can be accepted.
Upon completion of the manipulation, the limbs are bandaged using an elastic bandage or the patient puts in compression underwear.
As for laser treatment, combined phlebectomy is not suitable for everyone, since the cost of the operation is high.
Endovasal electrocoagulation involves the removal of subcutaneous vessels.If you compare with the prison with radio frequency, the technique is more dangerous.
Stripping for the treatment of varicose veins of the lower ends
Low limbs stripping - Traditional legs for the TRV legs.The removal of the veins with this method is often practiced.This is mainly due to the fact that patients seek help from the doctor late and, in serious cases, the minimally invasive techniques do not give the desired therapeutic effect.
The stripping for varicose veins has several phases.At the first phase, the doctor makes a small groin cut.After that, they pull a vein in the place where it flows in a deep vein on its thigh.Subsequently, the mouths of the tributaries are distinguished and removed (depending on the indications, their number can vary from 1 to 7).
This action requires the attention of the doctor, because if you also forget a tributary, the risk of varicose veins relaxed in the patient several times.That's why such an operation is performed only by highly qualified and expert doctors.
The second phase of the intervention - make an incision in the ankle (only from the inside);The initial department of the tributaries and large veins under the skin is distinguished.They are blindfolded, after the eccension.Then a special device is introduced in the venous authorization, which is carried out in the upper section.Through it, remove the entire vein.
Characteristics of the stripping technique:
- The extended ducts, in other words, the varicose nodes are removed through small cuts;
- If there were insolvent veins during the procedure, they are blindfolded, after excise duties.
The affected areas that require removal are diagnosed with ultrasound.The stripping stands out for a short duration of the rehabilitation period, compared to the traditional operation to remove the veins.
Other methods of surgical treatment of varicose veins
Endoscopic dissection is a type of binding of the veins.The peculiarity of the technique is the use of endoscopic equipment, which allows the intervention far from trophic disorders within the area of healthy tissue.
In surgical practice, two methods are used, with supply of gas and non -gaze.The technique with the supply of gas to the subfascial space is more effective is believed.With this operation, a freer work cavity is formed, the risk of complications after surgery is reduced.
The cryosurgery involves removing the blood vessels with VRV through the effects of a low temperature regime.The method is considered completely safe.But this operation is not performed in all clinics, as it requires modern equipment and high qualifications of the doctor who can manipulate.
With the cryodestrection, there is a certain risk of complications.They are associated with a medical error - if the doctor erroneously calculates the depth of the frost, then damage healthy tissues, which leads to various violations.
The radio frequency ablation of the veins for varicose veins has the following characteristics:
- High efficiency, the risk of recurrence of the disease is low.
- Lack of side effects.
- Small trauma.
- Minimum injury of the ship.
With the radio frequency ablation, the veins destroy the internal wall of the ship by means of radiofrequency irradiation.Consequently, the lumen of the vein narrows.The surrounding (healthy) fabrics do not suffer during manipulation.The operation is carried out under local anesthesia on an outpatient basis.
After the introduction of anesthesia, the veins are made in the area of the lower part of the leg.A disposable catheter is introduced into the ship, which is equipped with an emitter.They promote the device in the place where the subcutaneous flows in the deep vein.So the catheter is slowly removed - during its extraction, the ship is radiated from the inside.
The injection site after the intervention is closed with a bandage and a compression sock is put on the limb.
Characteristics of the rehabilitation period after the surgery on the legs
After surgery in the lower limbs, unpleasant consequences can develop.Side effects do not always develop and not in all patients.They are possible 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 leg pain, serious swelling, sensitivity compromised in the places of drilling or cuts.
Most of these symptoms take place independently within a month.Some phenomena can last up to 3-4 months.Edema and pain syndrome can disappear and therefore appear spontaneously with a load increased on the feet, against the background of the lesion, when the weather changes.
After surgery, the patient needs:
- Wear compression underwear;
- Do not raise heavy objects;
- Guide an active lifestyle (swimming, excursions, cycling);
- Perform the therapeutic massage of the varicose veins;
- Balanced to eat.
As a prevention of the relapse of varicose expansion, it is necessary to control body weight, abandon narrow shoes and clothes, take drugs prescribed by the attending physician.In a sitting position, you cannot throw your leg on the leg.During sleep, put a pillow under your feet so that the limbs are slightly above the position of the body.