Surgery of the veins of the legs – the full list of methods

In such situations, the doctor will not offer any choice except to remove the affected area superficial veins. And the sooner, the better, because the delay is fraught with serious complications.

surgery of the veins

A dangerous operation for the removal of varicose veins of the legs, which are the different methods of combating the disease, and how one or another procedure to remove varicose veins varicose veins – all the relevant information in our material.

WHAT IS THE CAUSE OF THE PROBLEM?

Generally, the affect of varicose subcutaneous veins of the lower limbs. The blood is governed by the same laws of physics as any liquid on the planet, under the force of gravity to aim down.

But the peculiarity of the cardiovascular system lies in the fact that the blood constantly circulates and nourishes all the vital organs.

To stagnate in the superficial veins of the legs and other extremities that does not allow the work of the special valves.

It is the most recent failure causing leakage of blood in the thin saphenous vein, the walls of which gradually lose their tone, become thin and stretched.

Unfortunately, the return of the highly advanced surface-veins previous form is not possible, even with the restoration of the function of the valves.

Their lack can be the root of the varicose veins, and the result of certain conditions of the body.

Risk factors:

  • pregnancy, specifically, related to the increase of the volume of blood in the body of the expectant mother, as well as increased pressure in the veins of the uterus with the fetus;
  • long standing – this refers to those whose occupation involves regular prolonged exposure to a static vertical position (surgeons, teachers, hairdressers, etc.);
  • "sedentary" work – almost the same as a permanent state. Muscle tone and the veins decreases, the blood stagnates in the legs, the valves cease to function normally;
  • the increased load on the legs – affects the veins in the same way as the previous two factors;
  • obesity – excess weight greatly increases the load on the heart, blood vessels and veins. In addition, a layer of subcutaneous fat is often more difficult to diagnose varicose;
  • age-related changes over time, the venous walls and valves weaken, lose their tone and stretching;
  • Accompanied by constipation, adenoma of prostate, chronic cough, and becomes the reason for the hemorrhoids and varicocele;
  • the effects of trauma, the comments confirm what is common, and the operations of the lower limbs;
  • thrombosis of the deep veins, not superficial, as many patients mistakenly believe, and it is a deep pressure increases, and blood rushes into the saphenous vein;
  • hereditary diseases, for example arterial-venous fistula, or fistula;
  • aesthetic treatments – the vacuum completed, aggressive massage;
  • excessive physical activity.

INVASIVE TYPES OF SURGERY VEINS OF THE LEGS.

When ointments, pills, and special compression underwear is powerless, the only way out is the exception of the venous system of the legs of her varicose veins affected areas.

The choice of operative intervention depends on the form and stage of the disease, the presence of changes in skin condition and comorbidities.

Phlebectomy (TOP 5 techniques)

This is the classic method that involves the removal of extended areas of the veins through incisions in the skin. Phlebectomy has been practiced since the early 20th century, the technique of its implementation is brought almost to perfection.

The whole procedure lasts from 1 to 2 hours, and does not require a long stay in the hospital (maximum – within the same day).

In most cases, the doctor performs a combined procedure, i.e. the use of several different techniques:

flebectomia
  1. Stripping – removal of the vein by ligation and fixation of a special tool. A partial Seizure involves the partial removal, and total. This type of surgery for removing of varicose veins of the feet are considered to be special, because all manipulations are done through a small puncture in the skin, so it does not need to perform the suturing.
  2. Micro-phlebectomy is different from the traditional one that passes through the punctures, that is, without cutting the tissues.
  3. Endoscopic procedure – expands the section is removed after insertion into the vein of the endoscope, that minimizes potential complications after surgery.

Sclerotherapy

In the lumen of the enlarged plot introduces a special ingredient that only glues the inner wall of the vein, she later becomes scar tissue. Sclerotherapy is used to treat not only varicose veins but also of varicocele.

Laser photocoagulation

Surgery on veins in legs laser is performed without incision of the soft tissues. The vein does not need to withdraw – it just "sealed" with a special laser fiber is inserted through a small puncture.

A lot of positive comments about the surgery on the leg veins laser point to the minimum the possibility of negative consequences, relapse of varicose veins, however, it depends on its stages and causes.

In addition, the patient after several hours after the procedure, she can go home because stitches are not needed.

Doctors say that when exposed to laser light from the excluded entry in the body of the infection.

Lasers are used in the treatment of small varicose veins from a medical point of view, such as telangiectasia are small veins up to 1 mm in diameter.

Often requires several stages of treatment. This method is less effective in the treatment of large veins in the later stages.

INDICATIONS AND PREVENTIVE MEASURES

Doctor forced to specify a particular type of operation on the veins in the following situations:

  • varicose veins are neglected, and it is in addition to the aesthetic problems of a person is greatly concerned about the pain;
  • the movement of the blood through the veins is impeded, and the patient feels constant pain and weight in the legs, their excessive fatigue;
  • the pathologically enlarged vein;
  • the skin lesions are present trophic nature (for example, non-healing ulcers);
  • forums aggravated thrombophlebitis;
  • severe swelling of the limbs;
  • violations of the outflow of blood occurring even in the absence of dilated superficial veins.

If there is a predisposition to varicose veins or the patient is at risk, it is necessary to prevent:

  1. wear of the compression garment;
  2. the use of drugs;
  3. daily use of vitamin C, which in sufficient quantities has a positive effect on the vascular wall and the rheological characteristics of the blood.

CONTRAINDICATIONS

Unfortunately, even with the various modern methods of treatment of varicose veins, procedures to remove dilated vein parts have a number of contraindications:

  • hypertension;
  • coronary artery disease;
  • a severe form of infectious diseases;
  • the presence of the skin, eczema, erysipelas inflammation or dermatitis;
  • pregnancy of 5 to 9 month.

HOW TO PREPARE FOR SURGERY

preparing for surgery

Doctor before prescribe surgery, you need to send the patient in the course of the diagnosis, and then to make the decision in accordance with the results of the check:

  • Doppler ultrasound of veins and vessels;
  • duplex ultrasonography is a more detailed test, is also shown to exclude the presence of thrombi in the deep veins;
  • the magnetic resonance imaging procedure – this test can give information about the presence of blood in the deep veins;
  • the analysis of blood laboratory tests did not help in the diagnosis of varicose veins, but are necessary if you need to make surgery.

Shortly before the procedure, the patient should:

  1. take a shower;
  2. to remove the hair with the operated leg (if necessary also in the groin area);
  3. come a little before the appointed time.

In the case of behavior classical surgery, including General anesthesia, the patient is put enema.

It is essential that the anesthesiologist is alerted to the presence of a person allergic to any medicines.

Varicose veins need surgery. By the method of surgical treatment will help the vascular surgeon. If there is a danger in the event of refusal of work? Of course! A fatal complication of varicose veins – thrombosis of the blood vessels of the vital organs of the body, ischemic stroke, thrombosis. The risk of complications increases with age.

All invasive treatments of varicose veins will help to get rid of an enlarged saphenous veins and the associated pain. But you need to understand that the duration of the effect after eliminating the aesthetic deficiency depends on many factors, among which a special role is played by heredity and way of life.

It is necessary to maintain the muscles and blood vessels in good shape to the limbs do not stagnate the blood, but, also, try to maintain normal weight, to wear comfortable shoes and to give up bad habits.