Varicose veins in the legs, using drugs etc .. not all the time, has a positive effect. Especially difficult to heal varicose veins, it's a scene that works. In this case, surgery is the only option to eliminate pathology. For many people, an operation, she looks a scary procedure, therefore, they are afraid to go the doctor for a long time relying on any home treatments. This disease continues to progress, and can worsen the patient's condition.
What time should I?
Varicose of the lower extremities during the operation is assigned under the following conditions:
- if the veins under the skin as a result of physiological pathology enlarged;
- the disease working varicose veins remedies or folk remedies in a stage now helps;
- venous ulcer on the skin when the skin;
- occurring disorders if the patient's vascular circulation which is the result of constant fatigue, pain and weight quickly you feel tired in the legs;
- in acute thrombophlebitis, if formed;
- skin lesions of any traffic.
For some patients, surgery may be contraindicated in the legs varicose. Factors, preventative surgical intervention wedding include:
- hypertension;
- severe infectious diseases;
- coronary artery disease;
- the patient's age (70 years);
- skin conditions – eczema, erysipelas infection, etc.;
- second half-term of pregnancy.
An effective and safe treatment option for your operation the most on arrival. A quick solution will be an experienced physician and the patient will be back to normal was to have the pathology of this disease without him.
A kind of intervention
The type of surgery is determined by the individual properties of the flow of a disorder. A completely different approach for a transaction of some sort may be an appropriate person. First, prescriptions, surgery, the doctor examines the shape and symptoms and the possibility of complications.
Surgery
The most time-consuming and complex process-related complications high probability of a phlebotomy varicose surgery. Her determination in such cases other methods of treatment is capable of features a business center: how long any positive effect here. During this process, the pubic area in a patient necessarily small (3-5 mm) is cut, through which the affected vessel is connected to a place that flows in a deep vein, then pull it out and examine it foot by using specific probe. Then, on vein removal incision absorbable sutures impose. 1 to 2 hours the surgery, the patient is in the hospital after one day, let him go home. That is kind phlebectomy phlebotomy as a procedure in which cuts and holes made on the body. This way to do the transaction in less trauma to skin and cut for a rehabilitation period. Stripping – arrive in another kind of surgical treatment. In the process it's not done in Vienna, this process is all completely and only applied a small patch expand varicose. Deletions are made through holes allow the skin to prevent the suture.
Hardening of the arteries
A less traumatic method is surgical intervention is considered sclerotherapy. That is, when it is determined with the help of ultrasound, a special substance is injected into the veins expanded in place (sclerosante). In this article, glues, into the blood stream of the blood vessels affected them. After this procedure, the veins a patient, formed scar tissue, which swelling disappears. The patient no longer torture with the place you live and the severity of pain in the legs, trophic ulcers, they heal quickly. Sclerotherapy of two kinds:
- Echo-guided sclerosing. The diameter reached 1 cm in the case of applying this process to the affected veins and more. Vienna first scanned using a special device – a duplex scanner, then, is made under their control puncture, and then injected into a vein sclerosante. This procedure affected the vessel diameter and to reduce the movement of blood back to normal for him.
- Hardening and foam. View the most safe and completely painless sclerotherapy. Injecting a special foam into the affected vein, fills with blood flow in the arteries and suspended him.
For maximum effect, usually to spend a few sclerotherapy treatments. Recurrent varicose then almost disappear.
Laser photocoagulation
Surgery varicose veins, laser varicose in the legs is considered the most technologically advanced in the guise of fighting pathological arrival arrival and helps to eliminate 90% of patients. During this procedure, incisions are made that allow you to avoid cosmetic defects and tissue. Injected into the skin over the puncture guide the laser light, emits light waves. Under the influence caused by the dissolution of the patient's vascular. This method is repeated for different recurrence a low number of cases in training emerging arrival only 5% of patients. To apply it, and in severe cases, vascular reach large sizes.
Possible results and status in the postoperative period
To resolve virtually any operations conducted, varicose veins, foot, and any complications in very rare cases pass safely. Phlebectomy complications may occur and the potential for rehabilitation of a heavy flow period highest. Vessels hematoma may occur in the remote field, sometimes the blood flow to the incision, because of the close other veins in the arms. 2-3 days after surgery, some patients may increase temperature. The reason for this aseptic inflammatory, blood may accumulate under the skin. If there will be a lot of accumulated blood in his veins can occur lumps, painful to touch. Reddish lumps on your skin color obtained, began to say bacterial infection. In this case, emergency admission to hospital may be required. Other possible complications following the surgery may be:
- Skin numbness, pain. In case of emergence during the surgery damaged nerve endings. Over time, the pain disappears, and the sensitivity of the skin recovers.
- Bruises. Occurs phlebectomy thanks enough because it is this traumatic process. After a while, usually within a month are completely destroyed. A minimally invasive treatment (laser photocoagulation or sclerotherapy) bruising is almost nothing.
- Edema. They may appear, if not ill the doctor's prescriptions in the postoperative period – the very act of not wearing special clothing or physical stress to herself.
After surgery, for most patients, why a quiet life. A dangerous phenomenon that may occur as acute lower extremity deep vein thrombosis due to inactivity. To avoid it you need to do a specific exercise, diet and by taking medications to prevent clotting.
Recommendations for prevention of recurrence
Even if a surgical problem, which is the arrival, on arrival, was held, and successful, there's always a risk, re-development of the disease. For the possibility of recurrence was miserable, necessary to comply with preventive measures:
- lead an active lifestyle – sports, walking in the fresh air often;
- in a sitting position so that your posture was straight not to put another foot you need to follow these leads to disturbances of venous blood flow;
- struggle with obesity;
- tea and coffee consumed moderately;
- perform foot gymnastics every morning;
- to give up very tense and tight shoes and clothes.
Arrival – This is a disease even after the complete setup requires dedication to a specific lifestyle. For the first few months after surgery you should not follow preventive measures to survive. Arrival when a contraction is a disease of the blood vessel walls of the deep veins and the blood flow slows down. Ours is very young for this disease. Because of this behavior, a sedentary lifestyle (though that can trigger a flash on a steady job, foot disease) Move move not only excess weight, the environmental situation, the world's oldest predisposition, disease, blood, etc lends itself beautiful for the arrival in the early stage of conservative treatment methods. The disease came from, but if you're already away and continue to move forward, all you should think about a way to solve the problem. A surgeon skilled in vascular surgery drawn correctly – a full treatment of this warranty overwhelming exhausting disease. Qualified health centers experts today these operations are equipped with the most advanced equipment, and any dangerous to life and health of the patient.
Indications for rapid intervention
To remove veins that is used in the following cases:
- large varicose that swept the Great Square, Vienna;
- the wrong extension subcutaneous veins;
- strong swelling and foot fatigue;
- the output of a pathological violation in the blood vessels;
- traffic, such as heal;
- acute thrombophlebitis and occlusive vascular.
Restrictions and contraindications
Surgical cases are assigned:
- running condition varicose disease;
- hypertension 3. degrees and coronary heart disease;
- heavy inflammatory and infectious processes;
- senile age;
- 2. and 3. trimester pregnancy;
- during the acute phase of skin diseases (eczema, erysipelas, dermatitis, etc.)
Extensive research conducted before the surgery the venous system of the patient, as well as an extensive diagnostic examination. Are assigned at the time of emergency surgery, atherosclerosis, recurrent thrombophlebitis and trophic ulcer healing.
Paths surgery
Surgery is done veins on the legs with a few modern methodologies.
These people phlebotomy.
In the early stages of the disease to spend a phlebectomy. The most basic preparation for a process of this type. The patient is taking a shower and completely shaved legs and groin. Very important skin and broken skin completely healthy before the surgery leg covers. Before surgery, the patient detox, bowel allergic reaction medicinal drugs and research. Approximately 2 hours under local anesthesia with the surgery can be done. Saphenous vein removal is completely safe for the human body. Extravascular blood escape valve during Operation, you can spend back the correction. Operation begins, the incision length in CM in CM in no more than five a spoon and two air ankle. Large venous incisions are made in gold and other nodes. Incision shallow and narrow. An incision is injected into the pubic vein, the venous extractor (- shaped hollow procrastinating thin with a point at the end). The surgeon removes the affected vein by using this tool. The incisions on the stitches and then the top is considered the end of surgery. Of course, close to the foot sterilized bandages and elastic bandage is imposed from above. 1-2 days the patient can no longer act independently. Phlebectomy patient then carrying stockings (or bandages) for these 2 months as well as acceptance venotonic rescue vessels. In some cases, a prescription phlebectomy, in this case, a small incision is made on the leg (under local anesthesia) over damaged or deleted partitions, veins, even completely Vienna.
Sclerotherapy — arrival of Painless Hair Removal
Has gained popularity today a special Echo-guided sclerosing— injection of varicose veins. In this case, is injected into a vein, the substance – sclerosante no underwear layer, vascular, and later grow together to create the middle layers opadanie Vienna. This method is the most gentle, but a few more procedures and is required to make a lasting impression, for about six months rehabilitation. Such surgical intervention, damage to blood vessels and Foam Sclerotherapy can be used in small-scale and large number of "vascular asterisks". Blowing sclerosante injected into a vein, who, because of the arteries increases the efficiency of the square to interact with the inner face of the large increase. Also, the consistency of the foam lingers for a long time because of a special vessel, the increased duration of exposure of the drug affected the blood vessels. Therefore, the number of sessions of Foam Sclerotherapy is significantly reduced.
Laser phlebology
The most modern method veins removal – laser, Ayse intravascular laser photocoagulation. Barely noticeable puncture through the veins with laser processed surface. In this case, on the top of the foot in an elastic bandage sterile and five hours later, the patient walk on his own. Each of these methods are also acceptable melodramaticheskie and painless. If desired the patient can take home on the same day on their feet.
Possible consequences
Then, any, even the most protective removal process vessels will stay on their feet, ecchymosis, hematoma, and other effects to bother with for a while. After a while, the surgery better sleep with the legs elevated to improve blood flow. A fairly common complication post-operative re-development the arrival of the patient's general predisposition, and he changed his lifestyle. Extremely rarely during the process of damage to adjacent vascular and nervous. But this problem is completely eliminated, a competent expert. Phlebectomy small traces then standing remains modest.