Treatment of varicose veins in the legs with the help of drugs is not always a positive effect.
It is especially difficult to cure varicosity, if he is in an advanced stage. In this case, the surgical intervention the only Option is the elimination of the pathology.
For many people process, a terrible procedure, so that you can go for a long time afraid to the doctor, on some of the homemade forms of treatment. Disease will continue to progress, and the patient's condition deteriorate.
Operation in case of varicosity of the lower extremities in the following circumstances:
- if the subcutaneous veins are enlarged as a result of the physiological pathology;
- if the disease is in an advanced stage, when treatment varicosity medicines or natural remedies will not help;
- in the formation of trophic ulcers on the skin layers;
- if faults occur in the vascular blood circulation, in consequence of which the Patient has a constant fatigue learns, quickly gets tired, feels pain and heaviness in the legs;
- if acute Thrombophlebitis formed;
- if there is trophic changes to the skin.
For some patients, surgery on varicose veins on the legs may be contraindicated. Factors affecting the implementation of the Operation:
- High blood pressure;
- severe infectious diseases;
- coronary heart disease;
- The age of the patients (over 70 years);
- Diseases of the skin – eczema, erysipilatous inflammation, etc;
- the second half of pregnancy.
The surgery is the most effective and safest treatment option varicosity. An experienced doctor will be able to quickly eliminate the pathology and the Patient to a normal life back, without the feeling of suffering, which caused him the illness.
Types of Intervention
The type of surgery depends on the individual characteristics of the durchflieens of the disease. Some types of operations, suitable for one Person, may not come quite to the other. Prior to the appoint to surgery, the doctor the Form of the disease, the symptoms, but also the probability of development of complications is investigated.
Surgical
The time-consuming and complicated procedures in connection with the high probability of development of complications, is phlebectomy Operation to remove the varicose veins. It is only in the cases when other treatments are not capable of any favorable effect.
During this Operation, in the groin area of the patient to make small (3-5 mm) incisions, through which the affected vein is ligated at the point where it flows in a deep vein, and then dissecting and stretching of the legs with the help of special probes. According to the distance from Wien to place the incisions with resorbable sutures. The Operation takes 1 to 2 hours, wherein the Patient is in a hospital more days, then may go home.
Version phlebectomies is such a procedure, such as mini-phlebectomy, in which the body is made, not the cuts and punctures. This method allows the implementation of the Operation with less damage to the skin and shorten the rehabilitation time.
Expoliantes – a type of surgical treatment of varicosity. During this procedure, all of Vienna not completely removed, but only a small part, a varicose enlargement. The removal is carried out through punctures in the skin, avoiding the stitches.
Primary sclerosing
Less traumatic method of surgical Intervention is considered sclerotherapy. It is the fact that with the help of ultrasound, the exact location of the enlarged vein, in the injected with a special substance (sclerosant). This substance sticks to the affected blood vessels and prevents the flow of blood after him. After this Operation, at the site of the diseased veins, scar tissue formed, and edema disappear. Patients feeling of heaviness and pain in the legs, and if you place the wounds have torture, you heal faster.
Sclerotherapy is of two types:
- Echo-deduxit sclerotherapy. This process use, if the diameter of the affected veins reached 1 cm and more. First Vienna investigated with the help of special devices – Duplex-Scanner, then under the supervision of a puncture, then it is in a vein sclerosant. This process reduces the affected vessel in the diameter and restore the normal movement of blood to him.
- Primary Sclerosing Foam. Safe and completely pain-free type of sclerotherapy. In the affected vessel injected with a special foam that fills him, and interrupts the blood flow in this vessel.
For the maximum effect in General, multiple procedures, and sclerotherapy. Relapses varicosity, after it almost never happens.
Laser coagulation
Operation for the removal of varicosity veins, the Laser is considered the most technologically the guise of fighting varicosity and helps, a morbid enlargement of the veins in 90% of patients. During this procedure, incisions substances are not produced, resulting in skin blemishes.
Through a puncture in the skin Laser light guide, through the transmission of light waves injected. Under their influence the resolution of the vessel of the patient. This method is characterized by a low number of relapse – repeated cases of the formation of varicosity occur only in 5% of patients.
Such as laser coagulation treatment of varicosity radio frequency contritio. The essence of the method consists in influence on the vein of the micro waves that heat the vessel, and calling it a "closure". This type of treatment is considered to be the easiest and painless. It can be used, and in severe cases, when the veins large sizes.
Possible consequences and Status in the post-operative Phase
Almost all kinds of surgeries to correct varicosity of legs, Pass safely and not cause any complications in very rare cases.
The greatest likelihood for complications and a severe course of the rehabilitation phase is observed when phlebectomies. In the area of Remote-Vienna can occur, hematomas, cuts, and sometimes the blood can flow, because the tributaries in the vicinity are other veins.
2-3 days after surgery in some patients can the temperature rise. This happens due to the aseptic inflammation processes in the blood, under the skin.
If the accumulated blood is very many, on the veins clots can form, painful to the touch. If the skin over clumps acquired a reddish tint, then a bacterial infection began. In this case, need urgent hospitalization.
Other possible complications after surgery can be:
- Numbness of the skin, pain. They arise when, during the surgery, nerves were damaged. With time the pain will disappear and the sensitivity of the skin recovered.
- Bruising. Formed in phlebectomies, since it is enough traumatica Operation. After a while, usually not more than a month, they will disappear completely. In the case of minimally invasive methods of treatment (sclerotherapy or laser coagulation) almost never bruises.
- Edema. You are not able to occur if the Patient follows the doctor's instructions in the post-operative period – a lot can be moved, wearing special clothes or undergoes a major physical burden.
After surgery, the majority of patients, an inactive life lead. Due to a lack of movement may arise, is a dangerous phenomenon, such as acute deep vein thrombosis of the lower extremities. In order to avoid this, you need special exercises, a diet to follow and take drugs, which prevent thrombosis.
Rehabilitation after the removal of the varicosity of the lower extremities
Compliance with the indication of the doctor in the post-operative Phase is an important part of the treatment and prevention of relapse varicosity. The majority of patients, is recommended:
- Tightly swathe the leg with an elastic bandage.
- Wearing special compression garments – stockings or pantyhose.
- Lifting weights over 10 kg in the first six months after surgery.
- Sports with heavy physical exertion – sports, walking, swimming, Bicycle.
- Control of body weight, if you are having problems with obesity.
- A year of course work receive venotonic drugs happen.
Within 3 days after the surgery, the patient's expressly forbidden to smoke and to drink alcohol, to lift sunbathing, weights, to drive a car and to take hot baths.
If the pain in the operated leg can help, gentle Massage, which is quite possible, be performed independently.
Guideline for the prevention of relapse
Even if the Operation was carried out after the removal of the varicosity of the veins successfully, there is always the risk of a renewed development of the disease. In order to minimize the probability of recurrence, preventative measures must be respected:
- lead an active lifestyle – Sport, more often go for a walk in the fresh air;
- in the seats you have to follow, the attitude is flat, put one foot to the other, since this leads to impairment of venous blood flow;
- fighting with being overweight;
- moderate coffee and tea drinking;
- every morning, carry out gymnastics of the legs;
- give up too narrow and tight shoes and clothes.
Varicose veins is a disease even after a complete cure requires adherence to a certain way of life.
Preventive measures after the Operation, not the first couple of months, and during the whole life must follow. Only in this way can normalize the condition of his body and rule out the probability of the re-development of the disease.