In most cases conservative treatment is not effective, to this, it is necessary to proceed to a surgical operation. They do in such cases:
- extensive varicose veins, which occupies a large part of vienna;
- acute phlebothrombosis or thrombo-embolism;
- the poor extension of saphenous veins;
- the presence of edema of the legs;
- the violation of the circulation of blood in the venous system;
- trophic exponential of wounds that are not amenable to medical treatment;
- chronic fatigue of the feet and of the traffic violation.
Limitations and contraindications
Unfortunately, not all of them, you can proceed to a surgical intervention, despite the severity of the disease. The operation does not pass in the following cases:
- launched by the state of the disease, when the operation will not give effective results;
- documents of the hypertension grade 3, JCS ;
- sepsis or other inflammatory and infectious processes in the body;
- caterpillars at the age of over 75 years of age;
- pregnancy 2 and 3 quarters;
- diseases of the skin in the period of exacerbation (eczema, contact dermatitis, the face and the other).
Types of operations on the veins of the lower limbs
To this day, medicine can offer several options operations on varicose veins of the lower limbs:
- the complete removal of the vein or phlebectomy;
- the removal of the affected areas of vienna or mikroflebektomiyu;
- laser laser coagulation of a knife;
- rf ablationem;
- sclerotherapy;
- The phlebectomy.
Miniflebektomiya
Treat of the best microinvasive operational interventions, thanks to which removes the damaged parts of the ship.
The advantage of this method is the absence of post-operative complications, because the operation has been carried out by means of small perforations.
This reduces the duration of rehabilitation and increases the cosmetic effect.
Removal laser
And passes treatment of varicose veins laser An operation that is based on the removal of small veins using a laser of a knife. The essence of the operation of the impact of laser beams on the pot, after which the blood is reduced and the container is closed and separates. In the future vienna dissipated.
The benefits of the operation in the absence of surface defects and the short period of recovery. Immediately after the surgery, the patient can return home to his feet.
Radiofrequency ablation
The method is an improvement of the previous version of the manner in which the countries with the least dangerous and the most traumatic of all existing.
Thanks to him, you can remove the veins of any caliber up to nodes, without the use of anesthesia. The rehabilitation period is not necessary, in fact, two weeks already, you can run actively.
But it is to be noted that in some cases, the effect is not better than after a laser hair removal.
Compression sclerotherapy
This method is difficult to call it exploitation. It is based on the use sclerosant – a special substance, which upon introduction into the container transforms into a fibrous tyazh. The injections are made to pass several times, and only for varicose veins of small caliber.
For the holding of the sclerotherapy does not need anesthesia, it was used primarily in those who have had anesthesia intolerance. But it requires a long period of rehabilitation. Patients wear the compression of at least 3 months.
The effects of the operation
After an operation on the veins of the lower limbs susceptible to complications, of which the surgeons necessarily to warn their patients in advance. All of these complications occur at different stages of the manipulation, and depend on different factors:
- method of surgery;
- the stage of the negligence of the process and the volume of robots;
- the choice of the anesthetic and the method of its introduction.
Based on these factors, the risks of complications are different, such as the methods of their elimination. Of course-even traumatic and the most dangerous of methods is phlebectomy. Because offendimus all of the tissues of the lower limbs, greater risk of complications. The main ones are the following:
- aseptic inflammation of the skin around the seams;
- the formation of the tyazhey which the blood accumulates, with redness of the skin and the sensation of pain;
- secondary inflammatory processes due to the accession of a bacterial infection;
- the bleeding of the wound;
- significant swelling due to traumatic vessels and lymph nodes in the groin area;
- thrombo-embolism of the system of the deep veins due to the constant bed-rest, without the activities of prevention (use of compression stockings, the minimum of the locomotor activity and the intake of these drugs that improve blood rheology);
- the bruises and exasperatur seams on the site of the surgery;
- the recurrence and the progress of the disease.
Actions in the first days after the operation
Once the patient wakes up after anesthesia, it was necessary to move the members to the extent possible. Inside the year is included in the rotation of the knee and the ankle, flexion and extension of the legs. Above all, do not do too much, to not make it worse.
On the second day of the operation to make the dressing, after which put on special clothes or tight bandaging of the feet.
The member is desirable to lift, to improve the blood circulation. In any case, the exploitation of the plots, not to wet, as well as visit the bathroom, because they can split the seams. If the patient has the fivre, the sentence take anti-inflammatory non-steroidal drugs, after which absolutely consult a doctor. In the case of oedema of the feet, it is desirable to reduce the physical the download.
By 9-10 days, the seams usually remove. Then the affected individual rehabilitation. Complete healing, depending on the stage of the disease and the physical condition of man.
- Change of mode of life and physical activity of patients;
- Correction of the diet after the operation;
- Compression therapy post-operatively.
Change of mode of life and physical activity of patients
As one of the main causes of varicose veins is the lack of exercise, for a fast recovery and the recovery recommend walking in the open air every night, menus physical exercises without loads, walking on the "toes" and "heel", the cycling, the circular motion in the joints of the lower limbs, exercises of type "scissors", as well as massage of the feet and a healthy sleep.
Correction of the diet after the operation
The excess weight contributes to the relapse and progression of the disease, if the patient suffers from obesity, there is an urgent need to change your diet: reduce calories, foods to increase, the power mode change. It is desirable to drink only diet meat, seafood and fish, dairy products, cereals, fruits, vegetables, fruits and nuts. If one day you need to drink around 2 litres of normal water.
That it is still necessary to remind patients of
Ill, it is useful to recall that the formation of the seam in the past 3 months. Then formed the guts. At this time, it is necessary to treat the operated site members:
- Never rub the location of the operation on rough and hard jaws at the time of adoption of the shower, as well as use a careful scrub. Use a soft washcloth or simply wash it by hand.
- The bathing water should be lukewarm.
- Cost no attempt to clear the iodine, zelenka, or light of other antiseptics, for once, this causes an excess of friction.
- If the location of the seam irritating, brush it with iodine, it will provide an antiseptic effect and will remove the itch.
- Not to cost to tear the scabs of you, they shall depart from the faith.
- If the place of the red stitching or side of him seemed to be a strange spot, see your doctor.
- Try to protect yourself from the stress and anxiety.