The treatment of varicose veins with drug help, physiotherapeutic methods and compression linen does not always lead to 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, the operation is some type of terrible procedure that try to avoid in all possible ways.Often, patients are thrown until the end, do not resort to the doctor, treated with popular remedies.But, if medications do not help, then unconventional medicine is even more.
A timely operation for varicose veins can protect from many negative consequences.It is not necessary to be afraid.There are minimally invasive techniques that are characterized by a high degree of efficiency and under trauma.The choice of one or another method of surgical treatment is selected by a phlebologist.
Consider what methods the veins are eliminated in the legs, how do they differ, what advantages and disadvantages they have?
When do you need an operation for varicose veins?
The doctor recommends the operational route of treatment with venous insufficiency in cases where, in the context of pharmacological therapy in the patient, the disease progresses rapidly.In other words, the operation of varicose veins remains the only way that will improve the patient's condition.
In surgical practice, cut the veins of the lower extremities is carried out in several ways.They all have their pros and cons, indications, differ in technical characteristics and 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, take tests.
The diagnosis is necessary to exclude probable contraindications.
Leg operation on the legs is carried out in the following cases:
- Strong increase in subcutaneous veins;
- Advanced stage of varicose veins;
- Trophic ulcers in the lower extremities as a result of varicose veins;
- Acute blood circulation in the legs, as a result of which the patient constantly has symptoms: pain, severity and discomfort, leg fatigue;
- Acute thrombophlebitis (inflammation of venous walls).
Surgical intervention has absolute and relative contraindications.The first includes malignant hypertension, coronary heart disease, pregnancy.Relative prohibitions include infectious and inflammatory processes in the body, dermatological manifestations instead of intervention, the patient's age for 70 years.
The operation with varicose veins of the lower extremities is a quick and effective way to eliminate pathology.The patient will return to ordinary life, without experiencing the suffering that caused the disease.
SCLEROSIS AND LASER COAGULATION FOR VARICOSA disease
VRV sclerosis is performed by different methods.Microosclerotherapy: Medications are introduced into the affected vessel, which hits the walls.This allows you to block a vein, it will no longer move on it.The price of manipulation in a private clinic is approximately 5000 rubles.The duration of the procedure is 15-20 minutes.
A variety of procedures: ecosclerosis.Such technique is used in cases where the diameter of the affected vein is more than a centimeter.The operation is carried out under ultrasound control.With the help of handling, you can reduce the glass, restore normal blood flow.
Peny sclerotherapy implies the introduction of a substance that, in contact with oxygen, becomes a foam.This method is considered the safest.Thanks to this, it is possible to level blood circulation in the affected vessel.
The operation in the varicose veins in the legs with a laser is a relatively new way to combat the disease.
Distinctive characteristics of laser intervention:
- It is not necessary to make an incision, which avoids the formation of a scar or scar.
- Through a small puncture, a laser light is introduced into the vein, which studies the light waves.Using it, dissolve a damaged container.
- Relapses rarely develop, approximately 5% of patients.
Laser treatment rarely leads to complications, which act as an undoubted advantage.The least includes the cost of the procedure, of 35,000 rubles.This amount does not include tests and exam, a doctor's office.
Combined Flebectomy and Endovazal Electrocoagulation
Combined phlebectomy is a common technique for varicose heating therapy.Cuts and punctures are minimal sizes.The operation is carried out under epidural or general anesthesia.
To eliminate a painful glass under the skin, the surgeon produces an incision of up to 15 mm.A special probe is introduced equipped with a tip through it.
After their extraction, the veins are drawn.Remove the groin graph to the center of the bottom of the leg.With the help of small punctures, it is possible to implement small veins/ducts.
When completing the manipulation, the extremities are sold using an elastic bandage or the patient puts compression underwear.
As with laser treatment, combined phlebectomy is not suitable for all, since the cost of the operation is high.
Endovasal electrocoagulation implies the elimination of subcutaneous vessels.If compared to radiofrequency prison, then the technique is more dangerous.
Disassembly for the treatment of varicose veins of the lower extremities
Low limb disassembly: Traditional surgery for TRV legs.Eliminate veins with this method is practiced more frequently.This is mainly due to the fact that patients seek help to the late doctor and, in severe cases, minimally invasive techniques do not give the desired therapeutic effect.
The elimination of varicose veins has several stages.In the first stage, the doctor makes a small cut in the groin.After that, they pull a vein in the place where she flows in a deep vein in her thigh.Next, the mouths of the tributaries are distinguished and extinguished (depending on the indications, their number can vary from 1 to 7).
This action requires the doctor's care, because if you even forget a tributary, it increases the risk of varicose veins relaxed in the patient several times.That is why this operation is carried out only by highly qualified and experienced doctors.
The second stage of the intervention: make an incision in the ankle (only from the inside);The initial department of tributaries and large veins under the skin is distinguished.They are bandaged, after removing.Then, a special device is introduced in venous authorization, which is carried out in the upper section.Through him, remove all the vein.
Characteristics of the extraction technique:
- The extended ducts, in other words, varicose nodes are eliminated through small cuts;
- If insolvent veins were found during the procedure, then they are bandaged, after taxes.
The affected areas that require elimination are diagnosed with ultrasound.The elimination is distinguished by a short duration of the rehabilitation period, compared to the traditional operation to eliminate the veins.
Other methods of surgical treatment of varicose veins
Endoscopic dissection is a type of veins ligation.The peculiarity of the technique is the use of endoscopic equipment, which allows the intervention away from trophic disorders within the healthy tissue area.
In surgical practice, two methods are used, with gas supply and non -GAZ.It is believed that the technique with the gas supply to the subfascial space is more effective.With this operation, a freer work cavity is formed, the risk of complications after surgery is reduced.
Cryocirugia implies the elimination of blood vessels with VRV through the effects of a low temperature regime.The method is considered completely safe.But this operation is not carried out in all clinics, since it requires modern equipment and high grades of the doctor who can manipulate.
With the crio, there is a certain risk of complications.They are associated with a medical error: if the doctor incorrectly calculates the depth of frost, then damage healthy tissues, which leads to various violations.
The radiofrequency ablation of the veins for varicose veins has the following characteristics:
- High efficiency, the risk of relapse of the disease is low.
- Lack of side effects.
- Little trauma.
- Minimum container injury.
With radiofrequency ablation, the veins destroy the inner wall of the vessel through radiofrequency irradiation.As a result, the vein light narrows.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 leg.A disposable catheter is introduced into the container, which is equipped with a sender.They promote the device to the place where the subcutaneous flows to the deep vein.Then, the catheter is slowly eliminated: during its extraction, the glass is radiated from the inside.
The injection site after the intervention closes with a bandage, and a compression sock is placed in the limb.
Characteristics of the rehabilitation period after leg surgery
After surgery in the lower extremities, unpleasant consequences can be developed.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 bruises, stamps under the skin.Patients complain of leg pain, severe swelling, altered sensitivity in puncture 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 may disappear, and then appear spontaneously with an augmented load on the feet, at the bottom of the lesion, when the climate changes.
After surgery, the patient needs:
- Use compression underwear;
- Do not lift heavy objects;
- Direct an active lifestyle (swimming, hiking, cycling);
- Do the therapeutic massage of the legs of the varicose veins;
- Balanced to eat.
As a prevention of the relapse of the varicose expansion, it is necessary to control the body weight, leave the shoes and narrow clothes, take medications prescribed by the treating doctor.In a sitting position, you can't throw your leg on the leg.During sleep, place a pillow under the feet so that the limbs are slightly above the body's position.