What is going on and how the surgery is performed on varicose veins in the legs?

The treatment of varicose veins of the legs with the help of medications do not always have a positive effect.

It is especially difficult to cure varicosity if it is in an advanced stage. In this case, surgical intervention was the only option to eliminate the pathology.

For many people on the job to be a scary procedure, so that they are a long time afraid to go to the doctor, relying on some forms of home treatment. The disease continues to progress and the patient is in the condition to get worse.

Operation for varicosity of lower extremities is granted under the following circumstances:

• if the saphenous vein is increased due to physiological pathology;
• if the disease is in an advanced stage, when treatment varicosity remedies or folk remedies do not help;
• in the formation of trophic ulcers of the skin;
• if violations occur vascular blood circulation, in which the patient experiences constant fatigue, quickly gets tired, feels pain and heaviness in the legs;
• of acute thrombophlebitis;
• if you have any trophic lesions of the skin.

For some patients, surgery of varicose veins of the legs can be contraindicated. The barriers for surgical intervention are:

• hypertension;
• a serious infectious disease;
• coronary artery disease;
• the patient, age (over 70 years);
• skin diseases – eczema, erysipilatous inflammations, etc.;
• the second half of pregnancy.

Surgery is the most effective and safe treatment option varicosity. An experienced doctor will be able to quickly remove the pathology, and the patient will return to a normal life without suffering was causing him sickness.

Interventions

The type of surgery depends on the individual characteristics of the disease. Some types of operations, suitable for one person may not work for another. Before the surgery, the doctor examines the form of the disease, the symptoms and the likelihood of complications.

Surgical

The most time-consuming and complex procedure associated with a high likelihood of complications is phlebectomy surgery for removal of varicose veins. It is prescribed only in cases when other treatments are not able to exert any favorable effect.

In the process of this operation on the groin area of the patient to make a small (3-5 mm) incisions, through which are affected by the vein ligated in the place where it empties into the deep vein, then cut and pull out the legs, with the help of special probes. After removal of the veins of the pieces imposed absorbable sutures. The surgery lasts from 1 to 2 hours, while the patient is in hospital less than a day, then go home.

Kind phlebectomies is a procedure as miniphlebectomy, where the body is not made of pieces, and punctures. This method allows to operate with less injury to the skin and to reduce the period of rehabilitation.

Expoliantes is another type of surgical treatment of varicosity. In the course of this procedure extracted all of Vienna not completely, but only part of it that was exposed to varicose expansion. The removal is carried out through punctures in the skin, which avoids suturing.

Sclerosing

Less traumatic method of surgical intervention is considered sclerotherapy. It lies in the fact that with the help of ultrasound determines the exact location of the dilated veins, which enter a special substance (sclerosant). This substance glues affected by the blood vessels, preventing the flow of blood to them. After the operation, to hold the patient's veins formed from scar tissue, reduction of edema. The patient ceases to feel the weight and pain in the legs, and if you've had ulcers, they will be cured quickly.

Sclerotherapy is of two types:

1. Echo-sclerotherapy deduxit. This operation is used if the affected vein diameter reached 1 cm or more. First, the veins are carried out with the help of a special device – a duplex scanner, then under his control make the puncture, and then injected into the vein sclerosant. This procedure allows to reduce the diameter of the affected vessel and restore normal blood flow in it.
2. Sclerosing foam. The most safe and completely painless form of sclerotherapy. In the affected vessels are injected with a special foam, which fills it and stops the flow of blood in the inside of the container.

For maximum effect, usually, several treatments of sclerotherapy. Recurrence of varicosity after that it almost never happens.

Laser photocoagulation

Surgery for removal of varicosity of leg veins by laser is considered the most technologically advanced kind of struggle with varicosity and helps to eliminate pathologic dilatation in 90% of cases. During this procedure, incisions tissue not made, that will allow you to avoid cosmetic defects.

Through the puncture in the skin type of laser light guide, which emits light waves. Under their action, there is a breakdown of the patient's vessel. This method has a low number of relapse – recurrence of varicosity formation occurs only in 5% of patients.

Similar to laser coagulation treatment for varicosity is a radio contritio. The essence of the method is the influence of the patient's vein of the microwaves that heat the united states, causing it to "welding". This method of treatment is considered most easy and painless. It can be applied in severe cases when varicose veins reach a large size.

The possible consequences and status in the postoperative period

Almost all types of operations to eliminate varicosity of the legs, are safe and cause no complications in very rare cases.

The highest probability of complications and severe leakage of the rehabilitation period occurs when the phlebectomies. In the field of remote vein may occur bruising, and sometimes cuts can bleed, as there are other tributaries of the veins.

2-3 days after surgery, some patients may increase temperature. This is due to the aseptic inflammation of the blood that accumulate under the skin.

If the accumulated blood will be a lot of veins, can form lumps, painful to the touch. If the skin in the course of the clumps obtained with a reddish tone, then began bacterial inflammation. In this case you will need urgent hospitalization.

Other possible complications after surgery may include:

• Numbness of the skin, pain. What happens, if during the operation were damaged nerve endings. Over time, the pain will disappear and the sensitivity of the skin will be restored.
• Bruises. Formed by phlebectomies, because it is quite a lot of such surgery. After some time, usually not more than one month, they completely disappear. When minimally invasive treatments (sclerotherapy or laser coagulation) bruises are almost never remain.
• Swelling. They can appear, if the patient should not be prescribed in the postoperative period – the number of moves, do not wear special clothes or exposes himself to great physical stress.

After surgery, most patients lead an active way of life. Due to inactivity may be occur such a dangerous outbreak of acute deep vein thrombosis of the lower limbs. To prevent this, you will need to do special exercises, diet and take medicines to prevent thrombosis.

Rehabilitation after the removal of the varicosity of the lower limbs

Compliance with the physician in the postoperative period is the most important part for the treatment and prevention of the recurrence of varicosity. Most patients are encouraged to:

1. Tightly bandaged the leg with elastic bandage.
2. To wear special compression garments – stockings or tights.
3. Do not lift more than 10 kg first six months after surgery.
4. Exercise moderate physical activity – Jogging, swimming, Cycling.
5. For weight control if you have problems with excess weight.
6. Each year pass course admission venotonic drugs.

Within 3 days after the surgery, patients are strictly prohibited to smoke and to drink alcohol, sunbathe, lift weights, drive a car and to take a warm bath.

When the pain in the operated leg can help of a light massagewhich was carried out independently.

Recommendations for prevention of recurrence

Even if the operation for the removal of the varicosity of the veins was carried out successfully, there is always the risk of the recurrence of the disease. To minimize the likelihood of recurrence, it is necessary to observe preventive measures:

• lead an active lifestyle doing sports, often walk in the fresh air;
• in the seat position you need to ensure that the body is smooth, not to put a foot on the other, as it leads to violations of venous blood flow;
• to fight against obesity;
• moderately consume coffee and tea;
• every morning, perform gymnastics legs;
• give it up too tight and tight shoes and clothes.

Varicose veins is a disease which even after the full cure requires adherence to a certain way of life.

Preventive measures after the operation you will need to comply with do not the first few months and throughout life. The only way to normalize the condition of your body and eliminate the possibility for recurrence of the disease.