Surgery for leg varicose veins is performed in case of ineffective drug treatment.
The main symptoms of varicose veins are:
- pain syndrome;
- the blood vessels dilate greatly.
If symptoms worsen, it is recommended that a phlebologist be consulted as to whether surgery is required. In the absence of effective treatment, the disease progresses. With the aesthetic appearance of the veins in the lower extremities, the operation is not performed. Early treatment of varicose veins is an exercise therapy. Medicines should only be taken as prescribed by your doctor.
Experts identify the following types of operations to remove varicose veins:
- stripping (removal of blood vessels);
- laser coagulation.
Indications for surgery:
- the advanced process of the disease;
- gradual increase in subcutaneous blood vessels in the legs;
- blood flow through the veins is disturbed;
- incidence of trophic ulcer.
Removal of varicose veins is contraindicated in the following patients:
- hypertensive patients;
- For the elderly;
- pregnant women.
Vascular surgery should be performed by an experienced phlebologist. Earlier, experts decided where to remove varicose veins. Methods for removing varicose veins are then considered. A few days before the phlebectomy, the patient should be examined and an enema given. It is recommended to test for allergic reactions to drugs in advance.
Surgical treatment of varicose veins is performed with the help of novocaine and iodine. If, after removal of the problem areas, the patient is still in the clinic, the allergic reaction to the drugs will be re-examined.
On the day of varicose veins removal, the patient should:
- to take a shower;
- shave the feet needed for the operation.
Phlebologists use a variety of methods to remove varicose veins. The choice of type of surgery depends on the general condition of the patient and the individual symptoms in each case.
Previously, experts weighed the pros and cons of each method. Your doctor needs to know:
- How does the patient feel?
- Are there any complications after the surgery?
The first surgery for varicose veins was performed in the XX. In modern medicine, there are several methods for treating varicose veins of the legs (Bebkova, Müller, and Nartu). Their purpose is to remove the veins and subcutaneous nodes.
Experts identify the following surgical methods to treat leg varicose veins:
- Cutting vessels. Varicose veins are removed by incision (in the lumbar fold) through which large subcutaneous blood vessels and tributaries are removed.
- Complete stripping is the extraction of a vessel that is frozen on a special probe.
- Partial stripping - removal of part of the container with a probe. Tight ligaments are used after lower limb varicose vein surgery.
- Sclerotherapy is performed with special equipment. The sclerosan is injected into the patient's vessel. The blood vessels clump together and disappear. Varicose veins do not appear after surgery.
Phlebologists distinguish the following types of sclerotherapy for varicose veins:
- Sclerotherapy "foam form". The place of the vessel is filled with sclerosing preparations in the form of foam. This procedure is safe and painless for the patient. Postoperative rehabilitation takes several days.
- Echosclerotherapy. It is used to treat deep veins with a diameter of more than 1 cm, under the supervision of a duplex scanner, a sclerosan is injected into a vein through a needle. After removing the problem area, the vessel decreases in size and the bleeding stops.
Laser surgery for varicose veins of the lower extremities is performed without tissue incisions. This technique involves the use of light radiation (1500 nm wavelength). A laser light guide is inserted into the vein through the hole. The problem container is closed. The therapy in question prevents relapse. The postoperative period lasts up to 2 weeks. The patient should follow the doctor's recommendations.
In case of advanced varicose veins, it is recommended to consult a doctor immediately. In such cases, surgery is the most effective method to treat problematic blood vessels in the legs. If the disease is detected at an early stage, varicose veins can be treated without surgery. Protruding containers are removed using corrective underwear. Previously, the doctor will consider the extent of the disease and the size of the vein.
Hirudotherapy is one of the most effective non-surgical treatments for varicose veins. Leech saliva improves blood circulation through the vessels, contributing to its liquefaction. The consequences of this therapy are leech bite scars.
Traditional medicine includes the following procedures:
- Hops, Kalanchoe and wormwood creams.
- We recommend applying vinegar-soaked bandages to the vessels. You can use raw potatoes, cabbage leaves and tomatoes.
- Blue clay baths.
- Use of special creams, ointments, gels and tablets. It is advisable to consult a doctor in advance.
Complications after surgery
Consequences of varicose veins on the lower extremities:
- appearance of the hematoma;
In the postoperative period, the following complications are rare:
- Bruises (disappear on their own within 4-5 weeks, rarely noticeable for 2-4 months).
- Seals may form at the site of skin incision or puncture, which disappear on their own within a month without further treatment.
- If the incision involves a nerve, pain may occur when the ankle is touched. The pain syndrome should go away on its own in 3-7 days.
- If the patient has edema, he or she should quit physical work.
To prevent the above phenomena, it is necessary (before and after surgery) to follow the doctor's recommendations. During the rehabilitation period it is prohibited:
- take a hot bath for several days;
- engage in strenuous physical activity;
- drink alcohol.
Rules to be followed after surgery:
- tie the leg tightly with an elastic bandage;
- use compression stockings;
- exercise, avoid stress;
- do not lift weights;
- check your weight regularly.
2-3 days after surgery, patients experience pain in the legs and the temperature rises. Massage is recommended to relieve pain. Soft, slow foot movements help restore blood circulation quickly.
After surgery, patients are prescribed medications that prevent blood clots from forming. Antibiotic therapy is performed as the inflammatory process develops. Painkillers are taken to relieve pain. Sutures are removed 7-10 days after surgery. Previously, the doctor visually examined the wounds. Do not take medication without consulting your doctor. In case of sudden deterioration in health, it is recommended to seek medical attention immediately.