The treatment of varicose veins of the legs, with the help of the medications is always to have a positive effect. It is particularly difficult for the treatment of varicose find it, if it is at an advanced stage. In this case, the surgical procedure is the only option to remedy the pathology. For many people, the surgery, it is a scary process that's why for a long time, strah to go to the doctor, which is based on some form of treatment at home. The disease still progress in the health status of the patient, to go out of business.
When you need to do that?
The Operation of varicose veins of the lower extremities is a functional, subject to the following terms and conditions:
- saphenous vein the vein, if it is increased due to physiological pathology;
- if the disease is in an advanced stage, after the treatment of varicose veins of the medicinal product, or the media folks are not helping;
- in the formation of trophic ulcers on a skin;
- when violations of vascular blood circulation, in which the patient experiences constant fatigue, quickly gets tired, feels the weight of the pain in the legs;
- a acute thrombophlebitis;
- if you have any need for any trophic lesions of the skin.
In some patients, in the surgery of varicose veins in the legs may be contraindicated. The barriers to surgery, so that:
- high blood pressure;
- in severe infectious diseases.
- coronary artery disease;
- the patient's age (over 70 years);
- skin diseases – eczema, erysipelas, etc.;
- in the second half of the pregnancy.
Surgery is the most effective way in to it, so the potential for the treatment of varicose found. An experienced doctor will be able to quickly pathology, to remove the patient to the return to a normal life free of the suffering caused to him, it is a disease.
The intervention of a
The type of surgery depends on the characteristics of the disease. Some of the types of surgery that is appropriate for one person may not for another part. Prior to the surgery, the doctor, that the form of studying the disease, the symptoms of the likelihood of complications.
Surgery
The most time-consuming in a complex process is associated with a higher likelihood of complications, phlebectomy the removal of the surgery of varicose veins. The file is provided in cases where other treatments are not able to exert any positive effect. In the process of this surgery in the groin area of the patient to a small (3-5 mm) incisions, through which the affected vein ligated to the place where it empties into the deep vein, then cut in out of his legs, and with the help of a special probe. After the removal of the veins of the pieces, the arrangements in place absorbable sutures. The operation lasts between 1 and 2 hours, while the patient is in the hospital for less than a day, then go home. Phlebectomy Kind of a process, such as phlebectomy, in which the body is not made the cuts in the holes. This mode allows you to operate with less injury to the skin, the period of the reduction of rehabilitation. Scaling is another type of surgical treatment of varicose veins. In this context, the process extracts all of the Report does not, in its entirety, but only part of it that has been exposed to varicose. The removal shall be carried out through the holes in the skin, which prevents the suturing.
Sclerotherapy
A less traumatic method of surgical treatment, it is considered sclerotherapy. It lies in the fact that, with the help of the ultrasound determines the exact dilated veins of the location, type of the specific substance (sclerosant). The material of the glue affected the blood of the time, to prevent the blood flowing through the iz it. After the surgery, that the patient was created to find the scar tissue, reduce the edema. The patient ceases to feel the burden of the pain in the legs, if you have the sores, you will heal quickly. Sclerotherapy is of two types:
- Echo-guided sclerotherapy. This method can be used, if it has reached the affected vein diameter of 1 cm or more. For the first time, can be found by be treated with the help of a special apparatus – a duplex scanner, and then, under his supervision performed the puncture in the and then it is injected into the vein of sclerosant. This method allows to reduce the diameter of the affected vessel to restore normal blood flow in it.
- The sclerosing foam. Best done in a completely painless form of sclerotherapy. In the affected vessels, which both installed with a special foam, which is filled in to stop the flow of blood to the interior of the vessel.
The effect Of the typically longer treatment sclerotherapy. The recurrence of varicose veins after that, it is almost never the case.
Laser photocoagulation
Surgical removal of the leg, varicose find with the laser, it is considered the technology of the most advanced kind of struggle with varicose can be found in the help eliminate pathologic dilatation in 90% of cases. During this procedure, incisions the tissue does not take place, which makes it possible to avoid the cosmetic flaws. Through the puncture site into a type of skin to laser light in ljubljana, which transmits the light waves. In the course of their life, the vessels of the dissolution of the patient. This method has a low number of reps – the cases of the formation of varicose veins occur only in 5% of patients. It can be used in severe cases when you can be found to reach a large size.
The potential consequences of the condition in the postoperative period
Almost all types of surgery to remove the varicose can be found at the feet, passed in causing any complications in cases of a very few. The highest probability of a complication in a severe leakage of the rehabilitation period of time will appear after the phlebectomy. In the field, to remove a vein can cause bruising and, in may sometimes the cuts bleed than the other, so the other can be found. 2 to 3 days after the surgery, some patients may increase temperature. It is the result of an aseptic inflammation in the blood, which accumulates under the skin. The accumulated blood To be in a very a lot of can be found can be in the form of lumps, painful to the touch. If the skin through cuts acquired a reddish tone, and it is to start a bacterial infection. In this case, you will be in need of immediate treatment in the hospital. Other possible complications after surgery may include the following:
- Numbness of the skin, aches and pains. Source of pride, Not of them, whether it was during the operation, the damaged nerve endings. Over a period of time, the pain will be gone in the sensitivity of the skin, it will be possible to restore it.
- Bruises. It was established with the phlebectomy, as it is quite a traumatic surgery. After a period of time, usually no more than a month ago, so it is completely gone. When a minimally invasive form of treatment (sclerotherapy or laser coagulation) bruising almost never stays.
- Swelling. Occur in the of, if not the smes, to lay down the patient in the postoperative period, a lot of moves, do not wear special clothing to single major, or subjected to a physical stress.
After the surgery, most patients lead a sedentary lifestyle. Due to the inactivity of such a thing can be the source of pride, not of the danger of the emergence of acute deep vein thrombosis of the lower extremities. In order to avoid that, you'll need to do a specific exercise, diet take this medication to prevent the formation of blood clots.
The recommendations of the iteration for the prevention of
Also, if there is an operation for the removal of varicose veins has been successful, there is always the risk of the recurrence of the disease. The probability of relapse is negligible, it is necessary to take into account the preventive measures are:
- they lead an active lifestyle doing sports, take a walk fresh is often on the air;
- in a sitting position, it is necessary to make sure that it is smooth to pose, was not going to put one leg on the other side, as the water does not breach the flow of the venous blood;
- the fight against obesity;
- a moderate consume of coffee, tea, within;
- in the morning, doing gymnastics of the leg;
- dispense with the too tight in the tight clothes to the shoes.
Varicose found for the disease, which is also a medicinal product requires a full consideration of the specific life-style. Precautionary measures after the surgery, they will have to comply with the principle of is not just the first few months of life. Varicose found for the disease, which has a depth of the narrowing of the vascular walls of the blood vessels in the to slow down the flow of blood. In this disease there is a lot of young danes. It is the result of a sedentary life-style (even though the constant work of the foot, it can trigger an outbreak), only the movement toward the sea, and the transport of the excess weight of the eco-the size of the world, a general tendency to diseases of the blood, etc., in the Early stages of varicose find, lends itself well to conservative methods of treatment. If, however, it is by far the disease has gone, continue to move forward, we need to think about the operational solution to the problem. A really experienced surgeon is the surgery to remove the veins, – the guarantee of a full recovery from the debilitating in the hard of the disease. The danes, these operations are performed by high qualified professionals in the health care centre, equipped with state of the art equipment, they do not represent any threat to the life, the health of the patient.
Indications for surgical intervention
The vein removal is used in the following cases:
- large varicose found out that it covers a large area of the vein;
- the wrong enlargement of the saphenous veins are veins;
- severe swelling of the tiredness of the feet;
- pathological the violation of the outflow of the blood in the veins;
- a non-healing trophic ulcers;
- acute thrombosis in the veins.
Limitations of the contra-indications
The battery life is not specified in any of the following cases:
- the running condition of varicose disease;
- hypertension 3 degrees, or a disease of the heart, in the circulatory system;
- a severe inflammatory in the respiratory process;
- senile ages;
- 2 of the 3 trimesters of pregnancy;
- skin diseases in the exacerbation stage (eczema, erysipelas, dermatitis, etc.)
Prior to the surgery and carried out a thorough investigation into the vein of a patient, the system, as well as extensive diagnostic testing. The emergency service called after a blockage is found, thrombophlebitis recurrent non-healing ulcers.
The type of surgical procedure
Surgery to remove the veins of the legs can be carried out with the use of more modern techniques.
Phlebectomy is the preferred
In the early stages of the disease there is carried out by phlebectomy. The preparation of a series of operations, which is the most basic. The patient takes a shower in a complete shaving of the legs in the back. It is very important that before the surgery, the skin on the leg that's been completely healthy the skin is closed. Prior to the surgery, the patient cleanses the intestines, in the implementation of the research on the allergic reaction to the medication. The surgery takes 2 hours to do under local anesthesia. Saphenous vein the vein Removal is completely safe for the human body. At the time of operation, can survive in the extravascular correction of the recovery of the control of the flow of blood. The operation begins with an incision made in the length of the to do five of the groin cm to in, cm to long, the two of them at the ankle. Incisions, so the Rest of the underneath of a large vein of the node. It cuts so shallow, the narrow. Through an incision in the groin is injected into a vein, in the vein of napo, in the form of a thin wire with a round tip at the end). With the help of this tool, the surgeon will remove the affected vein. Then, incisions, thus sutured in the operation came to an end. Of course, the leg is closed, sterilized gauze is placed on top of the elastic band. 1-2 days After it has been able to the patient is independent to move. After phlebectomy, the patient is wearing stockings (or bandages) for 2 months in the duration of venotonic for the renewal to be found. In some cases, be called a phlebectomy, and in this case, the legs make a small incision (under local anesthesia), according to which the injured is removed, or the parts of the whole, Vienna, Vienna in its entirety.
Sclerotherapy is the painless removal of varicose veins
The danes it is a popularity earned by echo-sclerotherapy-controlled— the treatment of varicose veins by injection. In this respect it is of a substance injected into a vein – sclerosant which destroys the inner layers of the found, and the mean of both of the linked layers to the form the fall of Vienna, austria. In this way, it is the most delicious, but for a permanent effect, you need to spend some of the procedures will last for about six months of rehabilitation. This type of surgery, the sclerotherapy, the foam can only be used when damage to the blood vessels of a small diameter with a large number of "vascular asterisks". Vein the blows of sclerosant, the effectiveness of which is increased as a result of the large increase in the area of engagement with the inner side of the vessel. In addition, thanks to its particular consistency of foam, that floats in the tank, increasing the time of exposure of the drug to the affected blood vessels. So, after foam sclerotherapy, the number of sessions is substantially reduced.
The Laser in phlebology
The most advanced way of removing the vein – laser-laser vascular coagulation. The surface of the inside of the vein treated with the laser with a barely noticeable puncture. In this case, the legs are covered with a sterile elastic bandage in the five hours later, the patient was able to walk on their own. Or one of these methods, you will be considered a malotravmaticheskaya into a painless. The patient can go home the same day on their feet.
The potential consequences of the
After each and every, even the most delicate surgery to remove the veins of the legs, as bruises, abrasions, in the other, the consequences of which will be for a period of time, that's right. For some time after the surgery, it is better to sleep with the raised foot, in order to improve the flow of blood. A fairly common complication following surgery was recurrence of varicose veins, if you have a general patient has a tendency to in no change of your way of life. Only very rarely damaged during the surgery, which are adjacent to the vessels or to the nerves. However, this complication is completely excluded from the competence of the specialist. Phlebectomy After your feet to remain inconspicuous small scars.