What operations are performed when varicose veins in the legs?

To cure an extension of the superficial veins of the lower extremities, there are two methods – conservative and surgical.

In this article we will discuss the possible operations on the veins varicose veins, which are the radical treatment option, is able to normalize the blood flow in the extremities.

varicose veins

Who shown surgery?

Surgical treatment is indicated in the following cases:

  • in the absence of a positive result of conservative therapy;
  • in the presence of gravity and pain in the legs;
  • in the later stages of the disease, with the development of deep venous thrombosis, embolism, circulatory insufficiency, trophic disorders;
  • if the limbs are often numb, swollen;
  • at cosmetic defects that cause discomfort (veins are blue). This problem is most concerned about women than men.

In the first stage of the pathology – the operation is not carried out. The patient is assigned a drug treatment and diet, recommendations regarding correction of lifestyle.

The second and more advanced stages – the decision on surgery is taken after the transcription tests.

Variety of operations

The type of operation is determined by a specialist depending on the anatomy of the venous system and symptoms of varicose veins. Before its implementation, the patient undergoes a complete examination to exclude contraindications to operative treatment, assess the risk of complications.

The following types of operations:

  • phlebectomy;
  • mini-phlebectomy;
  • Stripping;
  • sclerotherapy of veins;
  • endovascular laser coagulation;
  • radiofrequency obliteration;
  • sclerotherapy;
  • laparoscopy (when varicocele).

Here are the legs in the photo, before and after:

MHI policy runs only the standard phlebectomy. In a public hospital it is free. Major General contraindications to pregnancy (2-3 trimester), acute infectious disease, myocardial infarction, erysipelas of the legs.

surgery on varicose veins

Phlebectomy

The operation involves:

  1. Introduction to the vein lumen of the probe.
  2. Pulling the vein out.
  3. The suturing of the incision with cosmetic seam.

When combined phlebectomy crossectomy is mandatory. The principle of this method consists in ligation of a large subcutaneous vessel and its tributaries.

Mini-phlebectomy is performed to remove short sections of the veins. Incision during the operation is not done. The doctor removes the "need" the piece of vein is possible by using a thin puncture in the skin that do not require suturing.

As the anesthesia used epidural or spinal anaesthesia. The second type is more preferable. The patient recovers in 2-4 hours.

Sclerotherapy

Less traumatic method. In the vein injected a special drug, the bonding process of the affected vessels. The injection is done using very fine needles.

Some time after surgical intervention at the site formed scar tissue, the affected vessel off from the circulation.

Treat varicose veins with a sclerosing is possible in 2 ways:

Name Description Anesthesia
Echo sclerotherapy Puncture is performed under the control of the duplex scanner. Then, the vein injected a special drug. After surgery is performed the compression of the vessel, causing it to gel on and off from the circulatory system. Not required
Foam sclerotherapy The least traumatic type of sclerosing. To do the surgery absolutely not painful. In the affected vessel is introduced a foam that suspends the current inside him. Local

For best results, there are several treatments sclerosing.

Laser coagulation of blood vessels

An effective modern method, having many positive reviews. After surgery varicose veins in the legs disappears in 85-95% of cases. The likelihood of recurrence is only 5%.

Laser surgery is performed by introducing into venous lumen thin probe. The radiation of the used laser has a cauterizing effect. The fabric are not cut, cosmetic defects do not exist. Anesthesia – local.

varicose veins surgery

Radiofrequency ablation

The modern surgical method to eliminate varicose veins.

2-4 is carried out at the stage of the disease. This kind of surgical intervention is based on the laws of physics. The danger to the patient is missing. The method is "burning out" the problem areas by using high-frequency waves. Performed under local anesthesia.

How to prepare for surgery?

Training includes:

  • pre-consultation with a surgeon or phlebologist;
  • ultrasonography;
  • General and biochemical blood analysis;
  • endoscopic examination of the chest;
  • ECG;
  • a blood test for clotting.

To prepare for surgery need the house for 12 hours before the time of its implementation. It is recommended to shave the hair in the groin, on the thigh and calf of the affected leg.

Dinner should be light and have Breakfast before the surgery, not worth it at all.

The rehabilitation period

The goal of rehabilitation is to prevent complications. The likelihood of their occurrence after traumatic surgery is 65%.

The rehabilitation period required after the minimally invasive operations. Its duration depends on the extent of disease and amount of intervention. On average, it lasts for 3-10 days, at this time, the patient is made sick leave.

Limitations and recommendations in the postoperative period:

  1. The first 3-5 days the patient is in the hospital. If the operated area hurts, the prescribed pills or injections with analgesic effects.
  2. For the treatment of wounds are used anesthetics. Allowed the use of chlorhexidine.
  3. To improve blood flow and strengthen veins medication which is composed of diosmin and troxerutin. The duration of intake – 1.5-2 weeks. Dosage is calculated individually.
  4. Within 5-7 days shown wearing compression underwear (stockings, Golf).
  5. It is necessary to bandage the limb of a wide elastic bandage. To apply it you need from foot to knee, after a traditional phlebectomy, from foot to groin. The bandage should tightly cover the foot, lightly squeezing it. Wear it preferably over the entire rehabilitation period.
  6. Bed rest should not be absolute. Recommended gentle leg movements – turns, rotation, flexion. Such exercises improve blood circulation, prevents swelling.
  7. To do active exercise after bed rest. Benefits walking around the ward, raising and lowering straight or bent at the knee limbs. To expand the program with the imitation of Cycling. These exercises are performed in the hospital and at home.
  8. The recovery period after the laser eliminates the bath, contrast water procedures. You can not use the scrubs, hard sponges.
  9. If the wound is bleeding or festering, you are allowed the use of iodine. Alcohol, a diamond solution can be used. Remove formed crust is not need, they fall off themselves.

Drinking alcohol after surgery is not for 2 weeks. Food should be nutritious, but low calorie. Recommended semi-liquid porridge, boiled water, vegetable soups, meatballs, steamed.

With the aim of eliminating the need for repeat surgery to return to work only after 2 weeks after the start of the rehabilitation period.

The activities permitted 3 weeks after surgery. Recommended replacement strength exercises on cardio training. Emphasis should be placed on loads of calf muscles.

varicose veins recovery after surgery

Swimming is allowed after 1.5 months. Weight training is shown 3 months after surgery.

Compliance with all medical regulations minimises the likelihood of dangerous consequences and reduces the duration of the rehabilitation period.

After the end of rehabilitation are advised to continue wearing compression hosiery.

Possible complications

The most common complications include:

  • the occurrence of postoperative hematomas (resolve within 30 days);
  • lymphedema resulting from injury to lymphatic vessels (this condition is treatable with conservative therapy);
  • postoperative subcutaneous seals, cones (decrease by 1-2 month after the intervention);
  • the formation of venous insufficiency accompanied by pain in the legs, edema of the soft tissues;
  • damage to subcutaneous nerves with violation of sensitivity of skin (the symptom disappears on its own within 2-3 months);
  • in case of bad operation, may remain scars.

Is it possible to cure varicose veins without surgery?

To get rid of varicose veins using only one conservative treatment is impossible. Without surgery is really only to reduce the brightness of symptoms, to slow the progression of the pathological process and reduce the likelihood of complications.

It is recommended to follow preventive measures, they are presented in the table below:

What should I do? Description
To make adjustments in lifestyle To refuse alcohol, tobacco, contraceptives, remove from the diet of fatty foods. Lead an active lifestyle, and to change jobs.
To apply the medication prescribed by the doctor It can be treated with oral medication and external means that you need to smear legs containing troxerutin and other substances.
To wear compression stockings Knitwear is chosen individually. Important is the size and compression class. Linen it is advisable to wear all year round. To change the stockings should be 1 time/6 months.

To fight the disease and help good habits:

varicose veins prevention
  • at the end of the day it is recommended to take a horizontal position, lift your pelvis and place the lower limb so that they were above the level of the body (lying so should be on for 20 minutes);
  • regularly take a contrast shower (with the exception of persons suffering from heart disease);
  • not to sit and not to stand in one place for longer than 60 minutes. To avoid the risk of stagnation of blood in the veins to do 5-7 minute warm-up;
  • do not wear socks with tight elastic that pinches lower leg;
  • to massage the legs;
  • to provide regular foot dynamic load (utility Cycling and also swimming, running, walking, working right and left foot equally);
  • to control weight, to abandon the use of high-calorie food;
  • to monitor the posture, not to put one foot to the other;
  • moderate drinking beverages containing caffeine;
  • eat right to limit in the diet of fatty foods.

These recommendations help preserve the health of leg veins for decades.

30.05.2019