In such cases, the doctor will not offer any choice but to remove the affected area of the surface veins. And the sooner, the better, because the delay is fraught with serious complications.
Dangerous surgery to remove varicose veins on the legs, what are the different methods for the fight against the disease, and how much is one or the other, and the procedure for the removal of veins varicose veins – all the relevant information in our material.
WHAT IS THE CAUSE OF THE PROBLEM?
Generally affects varicose subcutaneous veins of the lower extremities. The blood is governed by the same laws of physics as a liquid on the planet, under the force of gravity to aim down.
But the peculiarity of the heart and the circulatory system lies in the fact that blood constantly circulates and nourishes all the vital organs.
To stagnate in the superficial veins of the legs and other extremities she does not allow the work of the special valves.
This is the latest failure causes the outflow of blood in the small saphenous vein, the walls of which gradually lose their tone, become thin and stretched.
Unfortunately, the return of the highly advanced surface veins previous form is not possible, even with the restoration of the operation of the valves.
Their insufficiency can be the main cause for varicose veins, and the result of certain conditions of the body.
Risk factors:
- pregnancy, more exactly, the associated increase in the volume of blood in the body of a pregnant woman, as well as increased pressure on the veins from the uterus with the fetus;
- already for a long time – this applies for those whose profession involves regular prolonged exposure to a static vertical position (surgeons, teachers, hairdressers, etc);
- "sedentary" work – practically the same as a permanent condition. Tone muscles and veins decreases, the blood stagnates in the legs, the valves may stop working;
- increased load on the legs – affects the blood vessels in the same way as in the previous two factors;
- obesity – excess weight greatly increases the load on the heart, blood vessels and the circulatory system. In addition, a large layer of subcutaneous fat is often difficult to diagnose varicose;
- age changes in time, the vein walls and valves weaken, lose their tone and stretch;
- Accompanied by constipation, adenoma of prostate, chronic cough, and becomes the cause for hemorrhoids and varicocele;
- the consequences of trauma, the estimates confirm what is common, and operations on the lower extremities;
- thrombosis of deep veins, not superficial, as many patients erroneously believe, and it is a deep pressure rises, and blood rushes into the saphenous vein;
- hereditary diseases, such as arterial-venous fistula, or fistula;
- aesthetic treatments – the vacuum wrap, and aggressive massage;
- excessive physical activity.
INVASIVE TYPES OF SURGERY VEINS ON THE LEGS
When ointments, pills, and special compression underwear is disarmed, the only way is the exception of the venous system of the leg of her varicose veins affected areas.
The choice of surgery depends on the shape and degree of disease, the presence of changes in skin condition and comorbidities.
Phlebectomy (TOP 5 techniques)
This is the classic method that involves removal of the enlarged surface veins through incisions in the skin. Phlebectomy has been practiced since the beginning of the 20. century, the technique of its implementation has brought almost to perfection.
The entire procedure lasts from 1 to 2 hours and does not require a longer stay in hospital (up – on the same day).
In most cases, the doctor performs a combined procedure, i.e. using a variety of techniques:
- Remove the remove the vein by ligation and fixation with a special tool. Partial Stripping involves the partial removal, and complete. This type of surgery to remove veins on the legs, it is considered special, because all the manipulation is done through a small puncture in the skin so that it does not need to perform the suturing.
- Micro-phlebectomy is different from the traditional ones, running through the holes, that is, without cutting the tissues.
- Endoscopic procedure – the extended part is removed after insertion in the vein of the endoscope, which reduces the potential complications after surgery.
Sclerotherapy
In the lumen of the enlarged plot introduces special ingredients – just glue on the inner wall of the vein, and later becomes scar tissue. Sclerotherapy is used to treat not only varicose veins, but also of varicocele.
Laser photocoagulation
Surgery on veins in legs laser is performed without incision of the soft tissues. The vein is not essential to the pull – only "sealed" with a special laser fiber is inserted through a small puncture.
A lot of positive comments about the surgery on the leg veins laser show the minimum probability of negative consequences, the recurrence of varicose veins, however, depends on its rate and causes.
In addition to the patient after a few hours after the surgery you can go home, because the stitches are not required.
Doctors say that when exposed to laser light from the exclude entry in the body of the infection.
Lasers are used in the treatment of small veins from the medical point of view, such as telangiectasia is small veins up to 1 mm in diameter.
Often requires several stages of treatment. This method is less effective in the treatment of large varicose veins in later stages.
INDICATIONS AND PREVENTIVE MEASURES
The doctor, which is mandatory to designate a specific type of operation on the vessels in the following cases:
- varicose veins are neglected, that is, in addition to the aesthetic problems of a person who is greatly concerned about the pain;
- the flow of blood through the veins of an obstacle, the patient feels constant pain and heaviness in the legs, their excessive fatigue;
- the pathologically dilated veins;
- skin lesions are present trophic nature (e.g., non-healing ulcers);
- forums are aggravated thrombophlebitis;
- severe swelling of the extremities;
- violation of the outflow of blood, that also appear in the absence of dilated superficial veins.
If there is a predisposition to varicose veins or the patient is in danger, it is necessary to avoid:
- wear the compression garment;
- the use of drugs;
- daily use of vitamin C, which in sufficient quantities has a positive effect on the vascular wall and the rheological properties of blood.
CONTRAINDICATIONS
Unfortunately, even with the various modern methods of treatment of varicose veins, the procedures for the removal of enlarged veins parts of a number of contraindications:
- elevated blood pressure;
- coronary artery disease;
- a severe form of infectious diseases;
- the presence of the skin, eczema, erysipelas inflammation or dermatitis;
- pregnancy from 5 to 9 month.
HOW TO PREPARE FOR SURGERY
Doctor before prescribe surgery, should send the patient to transition to a diagnosis, and then make the decision in accordance with the verification results:
- Doppler ultrasound of veins and vessels;
- duplex ultrasound is a more detailed test, is also shown to exclude the presence of thrombi in the deep veins;
- magnetic resonance procedure – this test can give information about the presence of blood clots in deep veins;
- the analysis of blood laboratory tests did not help in the diagnosis of varicose veins, but they are necessary if you need to do the operation.
Immediately before starting the procedure, the patient must:
- take a shower;
- hair-removing appliances, with the operated leg (if necessary also in the groin area);
- come a little before the agreed time.
In the case of conduct of the classical operations, which include General anesthesia, the patient is given enema.
It is essential that the anesthesiologist was alerted to the presence of a person allergic to any medications.
Varicose veins need surgery. With the method of the surgical treatment will help you to a vascular surgeon. Or there is the danger that in case of refusal of operation? Of course! A fatal complication of varicose veins – thrombosis of vessels of the vital organs of the body, ischemic stroke, thrombosis. The risk of complications increases with age.
All invasive treatments of varicose veins will help you get rid of an enlarged saphenous veins and associated pain. But you need to understand that the duration of the effect after eliminating the aesthetic deficiency, depending on a number of factors, among which a special role is played by heredity and lifestyle.
It is necessary to maintain muscles and blood vessels in good shape to the limbs, does not stagnate the blood, but also, try to normal weight, wear comfortable shoes, and to give up bad habits.