What is this and how is surgery performed on the varicose veins on the legs?

The treatment of varicose veins on the legs with the help of medicines are not always has a positive effect.

It is particularly difficult to heal varicosity, if it is in a terminal phase. In this case, surgery is the only possibility to eliminate the pathology.

For many people, the operation appears terrible to the procedure, that is why they have a long time fear of going to the doctor, based on the forms of treatment. The disease continues to progress, and the patient's condition to deteriorate.

The operation of varicosity of lower extremities is awarded in the following cases:

• if the subcutaneous veins of increased physiological consequence of the pathology;
• if the illness is terminal, when treatment varicosity the drugs or remedies do not help;
• during the formation of ulcers in the food chain on the pidermes;
• if violations occur and vascular blood flow, the result of which is that the patient experiences fatigue, the fatigue quickly, feeling pain and heaviness in the legs;
• if we form a thrombophlebitis acute;
• if you encounter any lesions, trophic skin.

For some patients, surgery of varicose veins on the legs may be contra-indicated. The factors that prevent the holding of a surgical intervention, are the following:

• high blood pressure;
• serious infectious diseases;
• coronary artery disease;
• the patient's age (over 70 years);
• skin diseases – eczema, erysipilatous inflammation, etc;
• the second half of the duration of the pregnancy.

The operation is the most effective and safest treatment option varicosity. An experienced doctor will be able to quickly eliminate a pathology, and the patient is back to normal life, without experiencing the suffering caused to him by the disease.

Types of intervention

View of the intervention is determined based on the individual characteristics of the development of the disease. Some types of operations, suitable for one person may not suit another. Before assigning it to the operation, the doctor examines the form of the disease, the symptoms, as well as the risk of developing complications.

Surgical

The best part of a long and complex process, associated with a high probability of developing complications, is phlebectomy the removal of varicose veins. It is prescribed only in cases, when other treatments are not able to have a positive effect.

During this operation in the groin area of the patient are small (3-5 mm) incisions through the vein up to the point where she throws herself in a deep vein, and then it is dissected and draw feet using probes. After the deletion of vienna on the space of incisions impose рассасывающие the seams. The operation lasts from 1 to 2 hours, the patient is in the hospital not more than a day, and then come to the house.

A variant phlebectomies is such a procedure as miniphlebectomy, where on the body are not cuts, and punctures. This method allows to perform the operation with less injury to the skin, and reduce the period of rehabilitation.

Expoliantes – another type of surgical treatment varicosity. In the framework of this procedure did not originate all of vienna completely, but only a small part of it, which has been varicose veins extension. The removal is performed through punctures in the skin, which helps to avoid stitches.

Sclerosing

Less traumatic method of intervention is considered sclerotherapy. It lies in the fact that, with the help of ultrasound, determined by the exact position of the extent of the vein into which is injected a particular substance (sclerosant). This substance glue dead blood vessels, preventing the flow of blood on him. After this operation, place the patient vienna is formed by the scar tissue, disappear in the swelling. The patient cease to torment the severity and pain in the legs, and there were ulcers trophic, they heal quickly.

Sclerotherapy is of two kinds:

1. Echo-deduxit sclerotherapy. This operation apply in this case, if the diameter of the veins affected has reached 1 cm and more. First, the veins are interviewed using a special device – two-sided scanner, then under its control product of the puncture, after which, in the vein of the introduced sclerosant. This procedure allows to reduce the diameter of the affected area of the receptacle and to restore the normal circulation of the blood on him.
2. Sclerosing foam. The more secure, and totally painless view of the sclerotherapy. In the affected area of the receptacle to inject the special foam, which completes and interrupts the flow of the blood inside the vessel.

For maximum effect, usually spend several procedures of sclerotherapy. Relapses varicosity after it almost never happens.

Laser Photocoagulation

The delete operation of varicosity of leg veins, laser is considered as the most technologically advanced of view of the fight against varicosity and helps to eliminate pathological varicose veins in 90% of patients. In this procedure, the tissue sections are made, which eliminates the cosmetic defects.

By a puncture in the skin injected shaft of laser light, which emits light waves. Under their action happens to the dissolution of the patient's vessel. This method is characterized by a low number of relapses – recurrent bouts of education varicosity occur only 5% of patients.

Similar to laser coagulation method of treatment of the varicosity is radio frequency contritio. The essence of the method is the impact on the vein of the microwaves that heat the receptacle, is called "welding". This method of treatment is considered as the most simple and painless. It can be used in difficult cases, when the streaks reach large sizes.

The possible consequences and the state in the postoperative period

Almost all of the types of operations carried out to resolve varicosity the legs, safely, and cause complications in very rare cases.

The greater likelihood of complications and severe rehabilitation to occur during phlebectomies. In the district, a distance of vienna can produce a hematoma, and sometimes incisions may flow the blood, because nearby are other tributaries of the vein.

At the end of 2-3 days after the operation, some patients may increase temperature. This occurs because of aseptic inflammatory processes in the blood that accumulates under the skin.

If accumulated in the blood will be a lot, on the veins may form lumps, painful to the touch. If the skin on top of blocks acquired a reddish hue, so began bacterial inflammation. In this case, you need emergency hospitalization.

Other possible complications after the operation may be:

• Numbness of the skin, the sensation of the pain. They occur in this case, if, during the operation were damaged by the nerve endings. With time, the pain disappears and the sensitivity of the skin to recover.
• Bruises. Are formed when the phlebectomies, because it is quite traumatica operation. After a certain period of time, usually not more than a month, they disappear completely. During the minimally invasive treatment (sclerotherapy or laser photocoagulation), the blue almost never stay.
• Of the swelling. They can appear, if the patient is not following the instructions of the physician in the postoperative period, a lot of not move, does not wear special clothing or to expose himself a great physical effort.

After surgery, most patients are inactive lifestyle. Due to the inactivity can produce such a dangerous phenomenon, such as thrombosis of the deep veins of the lower limbs. To prevent this, you need to do special exercises to follow a diet and take medication to prevent thrombosis.

Rehabilitation after the removal of the varicosity of the lower limbs

The compliance of the deposition of the physician in the postoperative period is important in the treatment and prevention of relapse varicosity. Most of the patients, it is recommended that:

1. Tight connect elasticated leg.
2. Wear a special compression garment – socks or tights.
3. Do not lift weights more than 10 kg in the first six months after the operation.
4. Do physical exercise with moderate load – sports walking, swimming, cycling.
5. Control the body weight if you have problems with excess weight.
6. Each year, to spend foreign exchange of the receipt venotonic drugs.

In a period of 3 days after the procedure, the patient is strictly forbidden to smoke and consume alcohol, take in the sun, lift weights, drive a car and take a hot bath.

At the onset of pain in the staff of the leg can help a massage, which is quite possible to do it yourself.

Recommendations for the prevention of the recurrence

If the same operation on the elimination of varicosity veins has been performed with success, there is always the risk of re-development of the disease. In order to minimize the risk of recurrence, it is necessary to observe measures of prevention:

• lead an active life – sports, most often walking in open air;
• in a sitting position it is necessary to follow the posture is flat, do not put a foot on the other, as this causes disruptions in the bloodstream through a vein;
• combat excess weight;
• moderately drinking coffee and tea;
• every morning, perform leg exercises;
• abandon too tight and narrow shoes and clothing.

Varicose veins is a disease that, even after complete healing requires the observance of a mode of life.

The measures of prevention after the operation must meet are not the first few months, any life long. Only in this way, it will be possible to normalize the state of his body and to eliminate the possibility of re-development of the disease.