Surgery to remove varicose veins on the legs

In phlebology, there are several ways to perform an operation:

  1. Crossctomy. An incision is made in the groin area. The varicose vein is transected at the junction of the deep vein. After the vein is ligated, the surgeon applies cosmetic stitches that are almost invisible on the skin.
  2. Safenectomy. This type of operation is used on large venous trunks, shrouded in a neglected form of varicose veins. The surgeon makes an incision in the groin area. Through this incision, the estuarine ducts are distinguished, the main one being crossed. Then an incision is made in the area of ​​the patient's ankle, the varicose vein is opened, and a surgical metal probe is inserted. With this probe, the pathological vein is separated from the surrounding tissues and excised.
  3. Stripping. In terms of general technology, this type of surgery is similar to saphenectomy. The only difference is that the thinnest probe is used, which allows removing not the entire vein, but only the part on which varicose lesions are observed. Stripping is a more gentle form of phlebectomy.
  4. Microflebectomy. A type of surgical intervention, characterized by minimal trauma to the skin. The surgeon makes several small incisions, no more than 5 millimeters long. Microflebectomy is used if varicose veins are not started to a critical stage.

On average, the operation takes from 3 to 5 hours.

The general name for the operation to remove the affected veins is phlebectomy. Modern types of this procedure:

  • Stripping (long or short) is the most gentle technique, during which the doctor can remove only a certain part of the affected vein. The procedure is performed through a small incision along the vein.
  • Laser phlebectomy is a modern method of treatment that involves the use of a laser. Thanks to this instrument, the process of laser coagulation takes place inside the affected vessels. The procedure is performed under local anesthesia and does not require the use of special surgical instruments. The laser is inserted into a vein along with a small-diameter catheter, then, under the influence of the pulse, small bubbles of vapor are formed, which affect the walls of the vessels. As a result, the affected vein becomes part of the tissue and no longer bothers the patient.
  • Endoscopic excision of the affected vein. In this case, an endoscope is introduced into the region of the vein, and the doctor can personally analyze its condition and degree of damage. In the future, the surgeon has the ability to cut off the affected area.

The so-called seamless technologies are very popular, when the excision of the affected area of ​​the vein occurs through small puncture cuts. Already 4-6 hours after the manipulation, the patient can walk independently. In the event that the development of trophic disorders is observed, then endoscopic equipment is used.

Today, medicine is quite developed, so vascular surgeons perform operations for varicose veins of the lower extremities in several ways, depending on the severity and stage of neglect of varicose veins.

This is all decided individually. During the examination, the doctor will advise what method of performing the operation for varicose veins will be optimal, and tells about their passage, and then the person decides for himself.

Conservative treatments for varicose veinsvaricose veins

If you start the fight against varicose veins on time, you can cope with it with the help of sclerotherapy. This is the intravenous administration of a special medicinal substance, a sclerosant. It is injected into the lumen of the veins affected by varicose veins. This method effectively eliminates the disease, allowing the legs to return to health in the shortest possible time. Safe enough for health and does not require a long recovery period.

Pharmacy products can be used as adjuvant therapy. Smear the legs with Troxerutin gel, use diosmin. (of course, after consulting a doctor! ).

Operation for varicose veins

The secrets of traditional medicine will not be superfluous. There are a lot of them, you can choose, for example, compresses from apple cider vinegar and ointment from beeswax, honey and propolis (you also need to consult a phlebologist! ). Hirudotherapy has a very positive effect - treatment with leeches is very important for those who suffer from venous diseases.

Today, there are several main ways to eliminate varicose veins. Highly qualified specialists carry out operations without complications and guarantee positive dynamics immediately after surgery.

Varicose veins are a problem of our time. This diagnosis is made by almost every fifth woman on the planet. Previously, there were no effective ways to remove the disease. Today it has become a reality, and now varicose veins are not so terrible. It can be eliminated through the following procedures:

  • EVLK - laser removal;
  • sclerotherapy - gluing of affected veins;
  • microflebectomy - surgical removal;
  • RFO (radio frequency obliteration).
  1. EVLK. This method is based on the elimination of varicose veins by using a laser in the vein cavity. The procedure is performed under local anesthesia. This technique is especially popular.
  2. Sclerotherapy. The procedure consists in gluing the affected vein. This is done under the action of a special foam. The method is popular because it delivers a minimum of discomfort. The operation does not take much time.
  3. Microflebectomy. The technique is based on the removal of varicose veins by surgery.
  4. RFO (radio frequency obliteration). The method is based on the elimination of varicose veins by applying radio frequency pulses . .
  5. The doctor chooses the type of operation based on the general condition of the patient and the severity of varicose veins.

Types of operations

It's time to weigh the pros and cons of the operation for varicose veins. The main advantage of surgical intervention is the complete elimination of the problem, restoration of blood flow and, in the end, saving health and even life.

Few people know, but such seemingly harmless varicose veins, with an unfortunate coincidence of circumstances and lack of proper therapy, can even lead to death! Therefore, it is absolutely not worthwhile to resist the operation if the attending phlebologist sent to the surgical department.

It's time to get familiar with the negative side of phlebectomy. First of all, you need to find out about contraindications:

  1. Deep vein thrombosis.
  2. Heart disease (ischemia, heart disease, heart failure).
  3. Severe form of arterial hypertension.
  4. Extensive inflammatory processes (eczema, erysipelas).
  5. The presence of various kinds of infectious diseases.
  6. Pregnancy period (especially 2 and 3 trimesters).

Elderly people are also not recommended to remove varicose veins by surgery!

Like any surgical intervention in the human body, phlebectomy is dangerous with a wide range of complications and negative consequences. After surgery for varicose veins on the legs, there is a high probability:

  • decrease or complete absence of sensitivity of the legs (this happens due to damage to the nerve endings);
  • edema of the feet;
  • numbness, tingling in the ankles and lower legs;
  • hematomas;
  • suppuration;
  • bleeding;
  • the appearance of a large number of bruises;
  • nonspecific discoloration of the lower extremities;
  • long-term pain, worse when walking.

One of the most unusual consequences of the operation is the appearance of new signs of varicose veins near the excised vein.

Of course, those who have to undergo this procedure are interested in the approximate cost of surgery on the veins of the lower extremities. The price depends on the location of the operation (in different cities the price may differ significantly), the type of operation.

Patients who are wondering whether surgery is necessary for varicose veins of the lower extremities should understand that such a radical method of therapy is necessary in the following cases:

  • Rapid progression of the disease, which is accompanied by intense pain syndrome.
  • Development of grade 1-4 varicose thrombophlebitis.
  • Feeling of intense heat and burning in the veins.
  • Spread of varicose veins above the kneecaps.
  • Visible mass of a swollen, aesthetically unattractive vein.

The operation is also indicated for the formation of trophic disorders (ulcers) that do not heal for a long time, for which conservative therapy does not have the proper therapeutic effect.

Currently, these methods of removing varicose veins are among the most effective.

Sclerotherapy is a simple procedure. A special preparation Sclerosant is injected into the affected area of ​​the vein.

Due to its properties, it performs bonding and sealing. The sclerosant changes the affected area of ​​the vein into connective tissue.

This technique allows you to achieve amazing results immediately after surgery. Sclerotherapy is considered the safest and least traumatic way to remove varicose veins.

An aesthetic result can be achieved immediately after the operation.

They resort to sclerotherapy in the presence of spider veins, trunks and nodes, varicose veins. However, the procedure is not indicated for people with overweight, advanced cellulite and thrombophlebitis. It is not used during pregnancy, during the use of hormonal drugs and with individual intolerance to Sclerosant.

There are a number of rules that must be followed to avoid complications and ensure a positive outcome of treatment. They are relevant for any operation for varicose veins.

Surgery for varicose veins is a rather demanded procedure, because it is rarely possible to overcome such a disease without surgery. Launched varicose veins clearly require surgery, and in the initial stages, the doctor advises procedures and exercises to strengthen the veins. In any case, the doctor, in each individual case, will weigh the pros and cons before performing an operation for varicose veins.

The main indications for surgery for varicose veins of the lower extremities:

  • varicose veins, accompanied by increased fatigue and swelling of the legs;
  • varicose veins that have reached the stage of trophic ulcers;
  • violation of blood outflow (sometimes without the absence of varicose veins);
  • pathologically dilated saphenous veins;
  • thrombophlebitis.

It is worth remembering that only a specialist will see the full picture, and only he will be able to tell whether you need an operation for varicose veins!

As after any operation, and with varicose veins, the patient must go through the rehabilitation period, following all the prescriptions and recommendations of the doctor. But there are still consequences that you need to familiarize yourself with:

  • Temporary incapacity for work - about a month after the operation, bed rest is required for the wounds to heal
  • There is very rarely damage to nerve endings, which can lead to severe pain or, conversely, to loss of sensitivity
  • Need for anesthesia. Most often, an epidural is done - an injection in the back, or general anesthesia. The doctor determines this individually for each patient
  • Only damaged veins and nodes are removed during the operation. Vascular patterns (nets, stars) remain

With different types of surgical intervention and depending on the complexity of the operation performed for varicose veins on the legs, the postoperative period is different for everyone. With minimally invasive surgery, pain is practically not observed and a hospital period is not required.

With phlebectomy, on the contrary - for several weeks the wounds are sore and may bleed. Therefore, you need to be under medical supervision.

Fever may be observed for several days after surgery.

“More than a year ago I decided to have an operation to remove varicose veins by endovenous laser coagulation of the left leg. This greatly improved her aesthetic and physical condition. Now it is difficult for me to determine which leg was operated on, there is no pulsation in the vein, the heaviness and fatigue have disappeared. "

“A year ago I underwent surgery on my right leg, and realized that it was not scary at all, a month ago they removed the veins on my left. There were almost no painful sensations, only unpleasant injections.

Before that, 15 years suffered from the legs. After the operation to remove varicose veins, everything healed very quickly.

The only discomfort from the dressings, but after a week everything was gone. After 2 weeks, only a few bruises remained from my painful veins. "

Contraindications

It is imperative to take into account possible contraindications and consequences of surgery.

Surgical intervention cannot be performed if the patient has a history of such diseases as hypertension, abnormal heart rhythms, ischemic heart disease, the presence of infectious diseases in the acute stage, dermatological inflammatory diseases in the legs.

The operation should not be performed in late pregnancy, as well as in elderly patients with weakened immunity.

Surgery cannot always be performed at the last stage of the disease, when many veins are affected. In this case, drug therapy is prescribed, but it is no longer possible to completely cure varicose veins.

Also, the operation against varicose veins cannot be done in such cases:

  • When inflammatory diseases of the skin of the lower extremities or in another area appear, depending on the localization of the disease (such as eczema, pyoderma, etc. ).
  • For serious cardiovascular diseases (ischemic heart disease, arterial hypertension, heart failure).
  • If the patient has acute phlebitis (an acute form of vascular inflammation).
  • During any infectious disease (after complete recovery, the operation can be performed).
  • If the patient has previously had deep vein thrombosis or pulmonary embolism.
  • With obliterating atherosclerosis of the lower extremities (you cannot perform surgery against varicose veins on the legs).
  • In old age (over 70).
  • During pregnancy, especially in the later stages.

If you are taking any cardiovascular or hormonal medications, notify your doctor. Often you have to stop taking it during treatment.