Surgery for varicose veins in the legs is performed in case of ineffective drug treatment.
The main symptoms of varicose veins are:
- pain syndrome;
- veins greatly expand.
In case of exacerbation of symptoms, it is recommended to consult with a phlebologist about whether surgery is needed. In the absence of effective treatment, the disease progresses. With an unaesthetic appearance of the veins of the lower extremities, the operation is not performed. Early treatment of varicose veins is exercise therapy. The drugs are taken only as directed by a doctor.
Experts identify the following types of operations to remove varicose veins:
- stripping (removal of blood vessels);
- laser coagulation.
Indications for surgical intervention:
- advanced course of the disease;
- progressive increase in the subcutaneous vessels of the legs;
- the movement of blood through the veins is disturbed;
- the occurrence of a trophic ulcer.
Leg vein removal surgery is contraindicated in the following patients:
- hypertensive patients;
- To old people;
- pregnant women.
Vein surgery should be performed by an experienced phlebologist. Previously, experts decide where to remove varicose veins. Then, methods of removing varicose veins are considered. A few days before the phlebectomy, the patient must be tested and given an enema. It is preliminarily recommended to take a test for an allergic reaction to medications.
Surgical treatment of varicose veins is carried out with the help of novocaine, iodine. If, after removing problem areas, the patient continues to be in the clinic, then repeated testing for an allergic reaction to drugs is performed.
On the day of removal of varicose veins, the patient must:
- to take a shower;
- shave the leg necessary for the operation.
Phlebologists use various methods to remove varicose veins. The choice of the type of surgery depends on the general condition of the patient and the symptoms manifested in each case individually.
Previously, experts consider the pros and cons of each method. The doctor should know:
- How does the patient feel?
- Are there any complications after surgery?
The first operation for varicose veins was performed in the twentieth century. In modern medicine, there are several methods for treating varicose veins on the legs (Bebkova, Müller and Nartu). They are aimed at removing veins and subcutaneous nodes.
Experts identify the following surgical methods for treating varicose veins on the legs:
- Stripping veins. Removal of varicose veins is performed through an incision (in the groin fold), through which large subcutaneous vessels and tributaries are removed.
- Total stripping is the extraction of a vessel, which is frozen to a special probe.
- Partial stripping - removal of a part of the vessel with a probe. After the operation of varicose veins of the lower limb, a tight bandage is applied.
- Sclerotherapy - performed using special equipment. The sclerosant is injected into the diseased vessel. Veins stick together and disappear. Varicose veins after surgery do not appear.
Phlebologists distinguish the following types of sclerotherapy for varicose veins:
- Sclerotherapy "foam-form". The space of the vessel is filled with sclerosing preparations in the form of foam. This procedure is safe and painless for the patient. Rehabilitation after surgery takes several days.
- Echosclerotherapy. It is used for the treatment of deep veins, the diameter of which exceeds 1 cm. Under the supervision of a duplex scanner, a sclerosant is injected into the vein through a needle. After removing the problem area, the size of the vessel decreases, bleeding stops.
Laser surgery for varicose veins of the lower extremities is performed without tissue incisions. This technique uses light radiation (1500 nm wavelength). A laser light guide is placed in the vein through the puncture. The problem vessel is sealed. The therapy in question prevents the development of relapse. The postoperative period lasts up to 2 weeks. The patient must follow the doctor's recommendations.
With an advanced course of varicose veins, it is recommended to urgently seek help from a doctor. In such cases, surgery is the most effective method of treating problem vessels in the legs. If the disease is detected at an early stage, then varicose veins can be treated without surgery. Vessels that protrude are removed using corrective underwear. Previously, the doctor takes into account the degree of manifestation of the disease and the size of the vein.
Hirudotherapy is one of the most effective types of non-surgical treatment of varicose veins. The saliva of leeches improves blood circulation through the vessels, contributing to its liquefaction. The consequences of this therapy are leech bite scars.
Traditional medicine includes the following procedures:
- Lotions from hops, Kalanchoe and wormwood.
- It is recommended to apply dressings soaked in vinegar to the veins. You can use raw potatoes, cabbage leaves, and tomatoes.
- Blue clay baths.
- The use of special creams, ointments, gels and tablets. It is recommended to consult a doctor beforehand.
Complications after surgery
Consequences of the operation of varicose veins on the lower extremities:
- the appearance of a hematoma;
The following complications rarely occur in the postoperative period:
- Bruises (disappear on their own within 4-5 weeks, rarely they are noticeable for 2-4 months).
- Seals may form in the places of skin incision or puncture, which disappear on their own, without additional treatment, within a month.
- If the incision involves a nerve, pain may occur when the ankle is touched. The pain syndrome should disappear on its own in 3-7 days.
- If the patient develops swelling, then physical work must be abandoned.
To prevent the above phenomena, it is necessary (before and after the operation) to follow the doctor's recommendations. During the rehabilitation period, it is prohibited:
- take a hot bath for several days;
- engage in heavy physical activity;
- drink alcohol.
Rules to be followed after surgery:
- bandage your legs tightly with an elastic bandage;
- use compression hosiery;
- play sports, avoiding stress;
- do not lift weights;
- monitor your weight regularly.
On days 2-3 after the operation, patients experience pain in the legs, and the temperature rises. Massage is recommended to relieve pain. Gentle, slow movements of the legs promote rapid restoration of blood flow.
After surgery, patients are prescribed drugs that act to prevent blood clots. With the development of the inflammatory process, antibiotic therapy is carried out. Pain relievers are taken to relieve pain. The stitches are removed 7-10 days after the operation. Previously, the doctor visually examines the wounds. Do not take medications without consulting your doctor. In case of a sharp deterioration in health, it is recommended to urgently seek medical help.