Treatment of varicose veins with the help of medicines, physiotherapy methods and compression linen does not always lead to a positive result, especially at the third stage of the disease.In this case, the only way to help the patient is the surgery.
For many patients, surgery is some terrible procedure that they are trying to avoid in all possible ways.Often, patients withdraw to the last, do not seek to the doctor treated with folk remedies.But if medicines do not help, then unconventional medicine is even more.
Timely work for varicose veins can prevent many negative effects.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 one or the other method of surgical treatment is chosen by a phlebologist.
Think about what methods the veins are removed on the legs, how do they differ, what advantages and disadvantages do they have?
When do you need varicose veins?
The doctor recommends the operative path of treatment with venous insufficiency in cases where the disease is rapidly progressing in the patient in the patient.In other words, the surgery of varicose veins remains the only way that will improve the patient's condition.
In surgical practice, cutting the veins of the lower limbs is done in different ways.They all have their pros and cons, indications, differ in technical characteristics and price.The price consists of many points: the complexity of the surgery, the qualification of the doctor.Before the procedure, the patient must undergo examination, take tests.
The diagnosis is necessary to exclude likely contraindications.
In the following cases, the work of the feet on the feet is performed:
- Strong increase in subcutaneous veins;
- Advanced stage of varicose veins;
- Trophic ulcers of the lower limbs as a result of varicose veins;
- Acute circulation in the legs, resulting in the patient constantly has symptoms: pain, heaviness and discomfort, fatigue of the legs;
- Acute form of thrombophlebitis (inflammation of the venous walls).
Surgery 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 at the site of intervention, the age of the patient over 70 years.
Working with varicose veins of the lower limbs is a quick and effective way of eliminating pathology.The patient will return to the ordinary life without experiencing the suffering that causes the disease.
Sclerosis and laser coagulation for varicose disease
VRV sclerosis is performed by different methods.Microbler - Medicines are introduced into the affected vessel that sticks the walls.This allows you to block a vein, it will no longer move on it.The cost of the manipulation in a private clinic is about 5000 rubles.The duration of the procedure is 15-20 minutes.
A variety of procedure - echosclerosis.Such a technique is used in cases where the diameter of the affected vein is above one centimeter.The operation is performed under the control of ultrasound.With the help of manipulation, you can reduce the vessel, restore normal blood flow.
Peny sclerotherapy involves the introduction of a substance that in contact with oxygen becomes foam.This method is considered to be the most favored.Thanks to this, it is possible to align the blood circulation in the affected vessel.
The work of varicose veins of the legs with laser is a relatively new way to combat the disease.
Distinctive features of laser intervention:
- There is no need to make a cut that avoids the formation of a scar or scar.
- A small puncture into the vein introduces laser light, which studies light waves.Using it, dissolve a damaged container.
- Recurrents rarely develop - approximately 5% of patients.
Laser treatment rarely leads to complications, which acts as an indisputable plus.The downside 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 endovasal electrocoagulation
Combined phlebectomy is a common technique for varicose heating therapy.Cutting and puncture are minimal sizes.The surgery is performed in epidural or general anesthesia.
To remove an inflamed vessel under the skin, the surgeon makes an incision of up to 15 mm.It introduces a special probe equipped with advice.
After its removal, the veins are drawn.Remove the plot from the groin to the middle of the lower leg.With the help of small punctures, it is possible to break out small veins/channels.
After the manipulation is completed, the limbs are converted using an elastic bandage or the patient puts a compression linen.
As with laser treatment, the 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 to the radio frequency prison, then the technique is more dangerous.
Undressing for the treatment of varicose veins of the lower limbs
Low limb depths - traditional Trv leg surgery.Removing veins with this method is most often practiced.This is mainly due to the fact that patients seek the help of the doctor late and in severe cases minimally invasive techniques do not give the desired therapeutic effect.
Varicose veins have several stages.In the first stage, the doctor makes a small cut in the groin.They then pull a vein into the place where it flows into a deep veada vein.Next, the mouth of the tributaries are distinguished and cut (depending on the indications, their number may vary from 1 to 7).
This action requires the doctor's attention, because if you forget even one influx, it increases the risk of calm varicose veins in the patient several times.Therefore, such surgery is performed only by highly qualified and experienced doctors.
The second stage of the intervention - make an incision in the ankle (only inside);The main department for tributaries and large veins under the skin is distinguished.They are bandaged after killing.Then a special device is introduced into the venous clearance, which is done at the top.It removes the entire vein.
Features of Removal Technique:
- Extended channels, in other words, the enlarged nodes are removed by small cuts;
- If insolvent veins are found during the procedure, they are converted after they are excited.
The affected areas that require removal are diagnosed with ultrasound.Stracking is distinguished by a short duration of the rehabilitation period, compared to the traditional vein removal surgery.
Other methods for surgical treatment of varicose veins
Endoscopic dissection is a type of vein ligation.The peculiarity of the technique is the use of endoscopic equipment, which allows intervention away from trophic disorders in the area of healthy tissue.
In surgical practice, two methods are used - with gas supply and not -Gaze.It is believed that the gas supply technique in the sub -fascination space is more efficient.With this operation, a more free working cavity is formed, the risk of complications after surgery is reduced.
Crucifixion involves the removal of blood vessels with VRV through the effects of low temperature.The method is considered completely safe.But this operation is not performed in all clinics, as it requires modern equipment and high qualification of the doctor who can manipulate.
There is a certain risk of complications in cryodestruction.They are associated with a medical error - if the doctor incorrectly calculates the freezing depth, then damage the healthy tissues, which leads to various disorders.
Radio frequency ablation of varicose veins has the following characteristics:
- High efficiency, the risk of recurrence of the disease is low.
- Lack of side effects.
- A minor trauma.
- Minimal injury to the vessel.
With radio frequency ablation, the veins destroy the inner wall of the vessel with the help of radio frequency irradiation.As a result, the lumen of the veins narrows.The surrounding (healthy) tissues do not suffer during manipulation.The operation is performed with local anesthesia on the 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 court, which is equipped with a transmitter.They encourage the device to the place where the subcutaneous flows into the deep vein.Then the catheter is slowly removed - during its extraction, the vessel is irradiated from the inside.
The injection area after the intervention is closed with a dressing and a compression is placed on the limb.
Characteristics of the Rehabilitation period after leg surgery
After surgery, unpleasant consequences may develop.Side effects do not always develop and not in all patients.They are possible for any type of varicose vein surgery.
The most common side effects include the appearance of hematomas, seals under the skin.Patients complain of leg pain, severe swelling, impaired sensitivity in breakthroughs or cuts.
Most of these symptoms are performed independently within a month.Some phenomena can last up to 3-4 months.Syndrome of edema and pain can disappear and then spontaneously occur with increased loads of the legs, against the background of injury when the weather changes.
After surgery, the patient needs:
- Wear down compression linen;
- Do not lift heavy objects;
- Lead an active lifestyle (swimming, tourism, cycling);
- Make the therapeutic leg massage of varicose veins;
- Balanced to eat.
As a prevention of recurrence of varicose enlargement, it is necessary to control body weight, to abandon the routine shoes and clothing, to take medicines prescribed by the attending physician.In a sitting position, you cannot throw your leg on your feet.During sleep, put a pillow under your feet so that the limbs are slightly above the position of the body.