Untimely appeal to the doctor in the phlebologist varicose veins develop – the main reason that influence the disease ointment or Gel to be late. Doctor more effective treatment to assign, among which most effective is the surgery of varicose veins on the legs. We should not forget that even the surgical removal of the affected disease of the vessel, guarantees the complete healing disease can spread to the healthy tissue.
Varices, or varicose veins, a disease characterized by weakness of the valves in the veins and dysfunction of the vascular wall, as well as the Stagnation of blood in the veins of the lower extremities. is This pathology represents not only a violation of the trophic or nutrition of the tissues, and the result of which sores may be difficult and time-consuming healing, but is dangerous, because stagnating blood thickens and it is thrombi, which are capable of developing, given known flow of blood through the body. In addition, in the case of the formation of thrombotic overlays within the vessel wall (phlebothrombosis), perhaps his infection with the development of threatening diseases – Thrombophlebitis.
Surgery for varicose veins
Surgery for varicose veins of the lower extremities is a radical and consists in the removal of the affected the process of the subcutaneous veins of the lower extremities (varicose vein surgery) or in sklerozirovanii deep veins of the lower leg and the thigh.
Traditionally, Phlebotomy (ligation) is performed according to the method Babcoke and is the introduction of a probe in the Lumen of the vein with subsequent stretching of the vein completely on your course due to a cut on the skin to the outside. The cut is stitched seam at the end of the surgery cosmetic.
Mini-varicose veins surgery is for the removal of very short phases of Vienna, during the Operation, not used ligation of the veins. Cuts on the skin is not carried out, and a piece of Vienna by a thin puncture on the skin and requires no stitches.
In the case of a small part of the lesion, varicose veins, a further Stripping techniques–. This expansion to the outside with a thin hook only Varix. Extrusion is performed through two incisions on the skin, followed by sewing. A variant of this technique cryotrap ping "primorazhivaniem" Vienna pulled to cryoprobe with the use of low temperatures, destructured node to the outside.
The hardening of the arteries is an introduction into the Lumen of sclerosant substances, which "glues" the walls of the veins to each other, but Vienna remains deep under the skin, the performance of its functions. The bleeding to Vienna stops and goes vessels to the collateral, without the outflow of venous blood from the lower extremity. The hardening of the vein under ultrasound control.
Laser endovascular coagulation of varicose veins is the latest method in the field of phlebology, and consists in the introduction of a thin probe in the Lumen of the vein with laser radiation, providing cauterizing effect on the veins.
The method of radio frequency-sclerotherapy of veins also refers to the modern treatment of varicose veins, but not all, medical institutions are equipped with the appropriate equipment. The methodology consists in the "cauterizing" effect on the vessel wall, the radio waves of high frequency.
Indications for the removal of the veins
Not all patients is surgery, but in some cases, without you even not manage to remove so it's best potential source of inflammation and thrombosis to be expected, as a complications. Among the States, the surgical interventions, the following:
- The risk or pre-existing Thrombophlebitis,
- Frequent Exacerbations Thrombophlebitis,
- Comprehensive defeat of the saphenous veins,
- Severe symptoms of varicose veins – the constant feeling of heaviness and pain in the legs,
- Unhealed Wounds,
- Disorders of nutrition (trophism) of the tissues of the lower extremities color changes and cooling of the skin of the legs and feet.
Contra-indications to surgery
The implementation of even minimal vascular Intervention is contraindicated in the following cases:
- Pregnancy 11 and 111 trimester,
- Acute Infectious Diseases,
- Exacerbation of chronic diseases (bronchial Asthma, Diabetes mellitus, gastric ulcer,etc.),
- Acute Stroke,
- Acute Myocardial Infarction,
- Erysipelas of the lower extremities.
In any case, all indications and contraindications flebologia or surgeon will be defined during the personal inspection of the patient.
Which method you choose?
The application of this or that method of treatment only from a doctor evaluated starting from the degree of spread of the process.
Of course, in the case of small nodes, less invasive methods are preferred, such as Mini-varicose veins-surgery, short stripping, Laser degradation, and hardening, in view of the fact that they are less traumatic and require almost no recovery period. At the same time, when the great extent of the varices preferably, traditional phlebectomy, not only the spinal anesthesia required, but also a pretty traumatic Operation, beaded chain aesthetic Mangold in the Form of post-operative scars on the shins.
In this context, do not put off a visit to the doctor, if the available early stage varicose veins, and the more, not to abandon, less traumatic surgery, if the doctor in the study saw this as a necessity.
What time is it operate better?
The decision on necessity of operative treatment is only after consultation flebologa or vascular surgeon. However, in an early stage, when the Patient disturbs only an aesthetic discomfort in the Form of varicose veins, and mild swelling of the feet at the end of the day, you can try a further progression of the process with the help of compression stockings, and onotonicity drugs.
In case, if there is pain in the extremities, and a high risk of complications, the tightening Operation is not recommended.
The preparation for the Operation
Before you plan the surgery to remove the veins, the Patient should be a series of necessary investigations. The advice of the surgeon or flebologa, and sonography of the veins of the lower extremities. In the case when the Patient showed vein, he will remove the out-patient measure, in particular, satisfies the General and biochemical blood tests, blood picture and coagulation (INR, APTT, etc), ECG and x-ray must be.
In the day of the doctor, the Patient must come to the medical institution, practice a phlebectomy. You can. the hair to shave on the Shin, hip, and in the area of the groin on the side of the affected limb On the eve of you should limit a light dinner for the surgery, you need to sober up. The Patient operating physician and anesthesiologist to warn about the intolerance of previously taken medications.
How is the Operation performed
After the arrival of the patient in the clinic and the first examination surgeon to surgeon and anesthesiologist will decide on the anesthesia. In the case of a normal phlebectomy spinal anesthesia, in the case of the Mini-surgery, the local anesthesia is skin obkalywanija solutions of novocaine or lidocaine.
To watch after a break-in of the carried out in General anesthesia, the surgeon is the location of the vein with the aid of ultrasound Doppler (Doppler-ultrasound). Through an incision in the skin into the Lumen of the vein, and guides a probe of the primary Phase of the Operation – incision and ligation phases in Vienna, phlebectomy, Rei Vienna with the Mini-phlebectomy (only by a puncture and not an incision) or by the action of Laser on the vessel wall. The primary Phase lasts between a half up to two-three hours depending on the scope of the Operation.
To the main the incisions stage on the skin is sutured to the wound, acute aseptic bandage and the patient is placed in accompany in the chamber, where he under the supervision of several hours to days. In the chamber of the Patient a compression garment wears are created, the three days are not far.
A day later, the Patient is sent home. If the surgeon has bandaging, the Patient is visited daily or every second day. The threads are to seven days after surgery, and after two months, a control Doppler ultrasound of the veins of the lower extremities takes place.
When the Operation is not allowed?
Although the Operation for the removal of the veins with varicose veins gives good predictions and effective methods, but there are a number of factors, the presence of which is a contraindication for surgical procedures:
Phlebotomy removal of varicose veins
- Deep vein thrombosis of the lower extremities.
- In the development of inflammatory processes in the legs, including erysipelas and eczema.
- Heart diseases and infectious diseases.
- 2. and 3. Trimester of pregnancy.
- Advanced Age.
Can there any complications after the Operation?
The technique of carrying out of operations, honed to perfection over the course of decades, reduces the risk of post to minimize operative complications. However, in very rare cases (less than 1%), the development of such a negative impact, such as:
- Postoperative hematomas on the skin is absorbed within a few months,
- Postoperative gasket under the skin along the Remote Lodge of Vienna - also disappear after a month or two after the Operation,
- Mechanical injury to the lymphatic vessels, which are to be treated to the lymphedema (Stagnation of lymph) – conservative, but to circulate after a few months, the lymph starts through the anastomoses, and lymph limbs properly performed.
- Damage to subcutaneous nerves, manifested by short-term disturbances of skin sensation – self-leveled in the course of several months.
Complications and effects of surgical treatment
No matter how talented the surgeon, the varicose veins after the Operation, sometimes to re-emerge in the Form of complications. No one can predict how will behave this or that organism. After performing the surgical procedures for the removal of varicose veins 2 and Phase 3, the consequences can be, not requiring treatment bruising and hematomas, it is a normal reaction of the body to tissue damage. To follow if the Patient, then everything will be very fast. Follow can note, among other things, to:
- heavy bleeding;
- Decrease in the sensitivity of the limb (will show up in the damage of subcutaneous nerves);
- Suppuration in the quotation of the infection;
- Numbness of the limbs, etc.
With regard to the sensation of pain, then they can be observed only in the case of phlebectomy, the other two methods of treatment, virtually pain-free. And if you later have a nasty feeling that they just do not more analgesics.
The consequences can be serious, among the most dangerous emit thromboembolism. This acute occlusion of a blood vessel Thrombus that is pulled away from the place of its localization, and it circulates together with the blood flow. If the Patient is not in time to be helped, it can be disabled, and even die.
Prognosis and life style after the surgery
After the surgery, within a few days, aching pain in the operated limb, and slight swelling. For the relief of unpleasant symptoms doctors steroidal drugs ketorol, nise non-prescribe, etc. Immediately after the Operation, the Patient should start to wear a special compression bodice and the exercises of physiotherapy prescribed by the doctor.
On the second day after the Operation, the Patient is allowed to go slowly. After a week or two of a slow should go walking about a few hours of the day.
From the correction on the way of life relevant to such provisions, such as:
- The avoidance of harmful habits,
- The right diet with the exception of greasy and unhealthy food,
- The observance of the regime of work and rest
- An exception is during working hours, only sitting or only in upright Position – requires a change in the Position of the limbs in the course of work.
Finally, I would like to note that the assessment caused by the reviews, the surgery to remove the veins tolerated pretty cheap, and serious complications is practically. In addition, the risk of complications of varicose veins (embolism life reduced, for example) drastically after the removal of the enlarged veins. In today's time of Operation after the Amputation of a limb because of the severe inflammation, and even gangrene as a result of Thrombophlebitis (especially on the background of the sugar disease) are not uncommon, therefore, it is better to a surgeon at an early stage and do not give up, removal of veins, if the need arises. This function will save you not only healthy limbs, but also the health of the whole organism.
In the event of adverse inheritance, if in the case of the relatives diagnosed with varicose veins or a Person falls into the group of risk for other reasons, it is important that measures of prevention:
A face-off against varicose veins on the legs
- regular intake of Vitamin C, strengthens the walls of blood vessels and improves the characterization of the composition of the blood;
- You eat drugs, their use should be agreed with your doctor;
- compression fitting enjoy bed linen;
- important Sport is swimming, also has an impact on the work of the blood flow, walking, and bicycling.
Prevention also means the transition to a healthy way of life nutrition is necessary to reconsider and abandon bad habits.