Treatment of varicose veins with drugs, physiotherapy methods and compression canvas does not always result in positive results, especially in the third stage of the disease.In this case, the only way to help the patient.
For many patients, the operation is some kind of terrible procedure that they try to avoid in every possible way.Often patients are attracted to the last, do not consult the doctor, treated with folk medicines.But if the drugs do not help, then the unusual drug is even more so.
The timely functioning of varicose veins protects the many negative consequences.You don't have to be afraid.There are minimally invasive techniques characterized by high efficiency and low trauma.The choice of surgical treatment is selected by a flebologist.
Note the methods of removing veins on the legs, how are they different from each other, what advantages and disadvantages are there?
When do you need the varicos operation?
The physician recommends the course of the treatment of venous insufficiency in cases where the patient is rapidly advanced in the background of medication.In other words, the functioning of varicos remains the only way to improve the patient's condition.
In surgical practice, the veins of the lower limbs are carried out in various ways.Each of them has advantages and disadvantages, indications, technical characteristics and price different.The costs consist of many points: the complexity of the operation, the qualification of the doctor.Before the procedure, the patient should conduct examination and tests.
A diagnosis is required to exclude likely contraindications.
The legs on the legs are performed in the following cases:
- Strong growth of subcutaneous veins;
- The advanced stage of varicose veins;
- Trophic ulcers on the lower limbs as a result of varicos;
- Acute blood circulation in the legs, which results in the patient continuously symptoms: pain, severity and discomfort, fatigue of the legs;
- Acute form of thromboflebitis (inflammation of the venous walls).
The surgical intervention has absolute and relative contraindications.The first includes malignant hypertension, coronary heart disease, and pregnancy.Relative prohibitions include infectious and inflammatory processes of the body, dermatological manifestations at the site of intervention, the age of the patient over 70 years.
The operation with the veins of the lower limbs is a quick and effective method of eliminating pathology.The patient returns to normal life without experiencing the suffering of the disease.
Sclerosis and laser coagulation in the case of varicose disease
VRV sclerosis is performed by different methods.Microosclerotherapy - Medicines are introduced into the affected vessel that glue the walls.This allows you to block the vein, it no longer moves.The price of manipulation on private clinic is about 5,000 rubles.The procedure duration is 15-20 minutes.
Different procedures - echosclerosis.Such techniques are used in cases where the vein affected is more than one centimeter.The operation is performed under the control of ultrasound.Manipulation allows you to reduce the vessel and restore normal bloodstream.
Sclerotherapy involves the introduction of a substance that is converted into foam when contact with oxygen.This method is considered the safest.Thanks to this, the blood circulation is balanced in the affected vessel.
The function of the laser varicose veins is a relatively new way to fight the disease.
Distinctive features of laser intervention:
- There is no need to make an incision that avoids the formation of the scar or scar.
- A little puncture introduces laser light into the vein that examines light waves.Solve the damaged container using it.
- The relapse occurs rarely - patients have approx.5%.
Laser treatment rarely leads to complications, which is undoubtedly a plus.The minus includes the cost of the procedure - 35,000 rubles.This amount does not include the tests and the examination of the doctor.
Combined with flebectomy and endovasal electrocoagulation
Combined febectomy is a general method of varicosic heating therapy.Cuts and punches are minimal.The operation is performed during epidural or general anesthesia.
To remove the sore vessel, the surgeon is incision under the skin at 15 mm.It introduces a special probe equipped with a tip.
After the extras, the veins are pulled.Remove the plot from the groin to the center of the lower leg.With small punches, you can relieve small veins/channels.
After the manipulation has been completed, the limbs are tied with a flexible bandage or the patient makes compression underwear.
Like laser treatment, combined febectomy is not suitable for everyone because the cost of the operation is high.
Endovaal electrocoagulation includes the removal of subcutaneous blood vessels.If you compare it with radio frequency prisons, the technique is more dangerous.
To treat the lower limbs varicose
Low limbs striptease - Traditional surgery for TRV legs.The removal of veins is most often practiced by this method.This is primarily due to the fact that patients seek help with the doctor late and, in severe cases, minimally invasive techniques do not provide the therapeutic effect.
There are several stages of the striptease of the varicos.In the first stage, the doctor makes a small cut in the groin.A vein is then pulled in the place where it flows into a deep vein on its thigh.The mouth of the tributaries can then be distinguished and cut (depending on the signals, their number may vary from 1 to 7).
This action requires the doctor's attention, because even if you forget a tributary, it repeatedly increases the risk of a relaxed varicose veins.This is the reason why such an operation is performed only by highly trained and experienced doctors.
The second phase of the intervention - make an incision in the ankle (from the inside only);They distinguish between the tributaries and the initial class of large veins.They were tied after the cut.A special device is then introduced into the venous clearance, which is carried out into the upper section.Through this, remove the entire vein.
Features of stripping technique:
- In other words, the extended channels, in other words, the varicose nodes are removed through small cuts;
- If insolvent veins were found during the procedure, excise material was connected.
The affected areas that require removal are diagnosed with ultrasound.Strippling is distinguished by a short duration of the rehabilitation period compared to a conventional operation to remove veins.
Other methods of surgical treatment of varicosus
Endoscopic autopsy is a kind of losing veins.The peculiarity of the technique is the use of endoscopic equipment, which allows for tropical disorders to intervene in the area of healthy tissue.
In surgical practice, two methods are used - gas supply and not crushing.It is believed that the technique of gas supply to the subfacial space is more efficient.This operation develops a more free work cavity and the risk of post -operative complications is reduced.
Cryos surgery involves removing blood vessels with VRV through the effects of a low temperature system.The method is considered completely safe.But this operation is not done in all clinics, as manipulation requires modern equipment and high level qualifications.
Cryodestruction is a certain risk of complications.They are associated with a medical error - if the doctor incorrectly calculates the depth of frost, it damages healthy tissues, which leads to various violations.
Radio frequency ablation of varicos veins have the following properties:
- High efficiency, the risk of decline in the disease is low.
- Lack of side effects.
- Little trauma.
- Minimal vessel injury.
With radio frequency ablation, the veins kill the inner wall of the ship with radio frequency irradiation.As a result, the lumen of the vein narrows.The surrounding (healthy) tissues do not suffer during manipulation.The surgery is performed in local anesthesia on an outpatient basis.
After the anesthesia have been introduced, the veins are made in the lower leg.A disposable catheter is introduced into the ship equipped with an emitter.They promote the device to the place where the subcutaneous flows into the deep vein.The catheter is then slowly removed - the vessel is radiated from the inside during the extraction.
The injection site is closed after the intervention with a bandage and compression stockings on the limb are placed.
Characteristics of the Rehabilitation Period After Surgery
After surgery of the lower limbs, unpleasant consequences may occur.Side effects do not always develop and not all patients.It is possible that any type of surgery applies to varicose veins.
The most common side effects include the appearance of hematomas and seals under the skin.Patients complain about the pain of the legs, severe swelling, impaired sensitivity to punching or cutting.
Most of these symptoms take place independently within one month.Some phenomena can last up to 3-4 months.Edema and pain syndrome may disappear and then spontaneously appear in the background of the injury when the weather changes.
After surgery, the patient needs:
- Wear compression lingerie;
- Do not raise heavy objects;
- Lead active lifestyle (swimming, hiking, cycling);
- Make the therapeutic massage of the legs from the varicos;
- Balanced to eat.
In order to prevent the dilation of varicose veins, you should take body weight control, crowded shoes and abandonment of clothing, and medications prescribed by your doctor.You cannot throw your feet on your feet when you sit.While sleeping, put a pillow under your feet so that the limbs slightly exceed the body position.