Treatment of varicose veins with the help of medication, physiotherapy and compression linen does not always lead to positive outcomes, especially in the third stage of the disease.In this case, the only way to help the patient is surgery.
For most patients, surgery is a terrible procedure that they try to avoid in all possible ways.Often, the patient is drawn to the last, do not turn to the doctor, treated with folk medicine.However, if the medicine does not help, then the unconventional drug is even more.
Timely surgery for varicose veins can protect against many negative consequences.No need to be afraid.There are minimum invasive techniques characterized by high levels of efficiency and low trauma.The choice of one or another method of surgical treatment is selected by a phlebologist.
Consider with what methods are released on the feet, how they differ, what are the advantages and disadvantages?
When do you need surgery for varicose veins?
Doctors recommend a treatment path with a vein deficiency in cases where, against the background of drug therapy in the patient, the disease is rapidly.In other words, the operation of the varicose veins is fixed one way that will improve the patient's condition.
In the practice of surgery, cutting down the veins is carried out in many ways.All of them have the advantages and disadvantages, signs, different from technical and price features.Costs consist of many things: complexity of surgery, doctor's qualifications.Before the procedure, the patient should undergo the examination, take the test.
Diagnosis is required to exclude possible contraindications.
The foot operation at the foot is carried out in the following cases:
- Strong increase in subcutaneous veins;
- Advanced stages of varicose veins;
- Trophic ulcer in the lower leg as a result of varicose veins;
- Acute blood circulation in the legs, as a result of the patient has symptoms: pain, severity and discomfort, foot fatigue;
- Acute thrombophlebitis form (venous wall inflammation).
Surgical intervention has absolute and relative contraindications.The first includes malignant hypertension, coronary heart disease, pregnancy.Relative prohibitions include infectious processes and inflammation in the body, dermatological manifestations in the intervention, patients over 70 years.
Operations with varicose veins from lower legs are a quick and effective way to eliminate pathology.The patient will return to normal life, without suffering the suffering caused by the disease.
Sclerosis and laser freezing for varicose disease
Sclerosis for VRV is performed by different methods.Microosclerotherapy - the drug is introduced into the affected vessel, which attaches the wall.This allows you to block the veins, it will never move.The price of manipulation in a private clinic is about 5000 rubles.The duration of the procedure is 15-20 minutes.
Various procedures - echosclerosis.Such techniques are used in cases where the vein diameter is over one centimeter.This operation is carried out under the control of ultrasound.With the help of manipulation, you can reduce vessels, restore normal blood flow.
The sclerotherapy contains the introduction of the material, which, which comes in contact with oxygen, is converted into foam.This method is considered safest.Thank you, it is possible to measure blood circulation in the affected vessel.
The operation of the varicose veins on the feet with the laser is a relatively new way to combat the disease.
Features -Laser Intervention Features:
- No need to make slices, which avoids the formation of scars or scars.
- Through small punctures, laser light is introduced into the veins, which studies the waves of light.Using it, dissolve the damaged vessel.
- Relaps rarely develop - about 5% of patients.
Laser treatment rarely leads to complications, which acts as an undeniable plus.Minus includes the cost of the procedure - from 35,000 rubles.This amount does not include tests and examinations, doctor consultations.
Combination phlebectomy and endovazal electrocoagulation
Combined phlebectomy is a common technique for varicose heating therapy.The cuts and sources are minimal size.This operation is performed under epidural or general anesthesia.
To remove a sore vessel under the skin, the surgeon makes a slice of up to 15 mm.A special investigation equipped with tips introduced through it.
After its extraction, the veins are pulled.Remove the plot from the thigh to the middle of the lower leg.With the help of small causes, it is possible to remove small veins/channels.
Upon completion of the manipulation, the limbs are wrapped using elastic bandages or patients wear compression pants.
Like laser treatment, combined phlebectomy is not suitable for everyone, as the cost of operations is high.
Endovasal electrocoagulation involves the removal of subcutaneous vessels.If you are compared to radio frequency prison, then the technique is more dangerous.
Stripping for the treatment of varicose veins from lower lower leg
Low extremity stripping - traditional surgery for the trv foot.Removing veins with this method is most commonly practiced.This is mainly due to the fact that patients seek help with late doctors, and in severe cases, minimal invasive techniques do not provide the desired therapeutic effect.
Discharge for varicose veins has several stages.In the first stage, the doctor made a small piece on the thigh.After that, they pulled the veins in a place where he flows into the deep veins in the thighs.Next, the mouth of the river is distinguished and removed (depending on the indication, their number can change from 1 to 7).
This action requires the attention of a doctor, because if you forget even one stream, it increases the risk of relaxing varicose veins in the patient several times.That is why such surgery is performed only by qualified and experienced doctors.
The second stage of the intervention - making slices on the ankle (only from the inside);The Department of Early River and large veins under the skin are distinguished.They are wrapped, after escaping.Then a special device is introduced into the venous release, which is carried out to the top.Through it, remove the entire vein.
Features -Features of Discharge Techniques:
- Extended tract, in other words, varicose nodes are removed through small wounds;
- If non -solvent veins are found during the procedure, then they are wrapped, after their excise.
The affected area that requires removal is diagnosed with ultrasound.The stripping is distinguished by a short period of time during the recovery period, compared to traditional surgery to remove veins.
Another method of venous surgical treatment
Endoscopic surgery is a type of vein ligation.The privilege of this technique is the use of endoscopic equipment, which allows for the intervention of trophic disorders in healthy tissue fields.
In surgical practice, two methods are used - with gas and non -gazon supply.It is believed that techniques with gas supply to the subfascial space are more effective.With this operation, a more free working cavity is formed, the risk of complications after surgery is reduced.
Cryosurgery involves the removal of blood vessels with VRV through the effect of low temperature regime.This method is considered completely safe.But this operation is not carried out in all clinics, as it requires modern equipment and higher qualifications of doctors who can manipulate.
With cryodestruction, there is a risk of certain complications.They are associated with medical errors - if the doctor mistakenly calculates the depth of the frost, it damages the healthy tissue, leading to a variety of violations.
The frequency of radio ablation veins for varicose veins have the following features:
- High efficiency, the risk of relapse of the disease is low.
- Lack of side effects.
- Small trauma.
- Minimum vessel injury.
With radio frequency ablation, the veins destroy the interior walls of the vessel by means of radio frequency irradiation.As a result, the vein lumen is narrow.The surrounding fabric (healthy) does not suffer during manipulation.This operation is performed under local anesthesia in outpatients.
After the introduction of anesthesia, veins are made in the lower leg.The disposable catheter is introduced into the ship, which is equipped with a transmitter.They promote the device to a place where the subcutaneous flows into the inner veins.Then the catheter is slowly removed - during the extraction, the ship is illuminated from the inside.
The injection site after the intervention is covered with bandages, and compression stock is placed on the limbs.
Characteristics -The feature of recovery after surgery in the foot
After surgery on the lower leg, unpleasant consequences may develop.Side effects do not always develop and not in all patients.They are possible for any type of surgery for varicose veins.
The most common side effects include the appearance of hematoma, seal under the skin.Patients complain of foot pain, severe swelling, affected sensitivity in places of punctures or wounds.
Most of these symptoms occur independently within a month.Some phenomena can last up to 3-4 months.Edema and pain syndrome can disappear, and then spontaneously appear with increased load on the leg, against the background of injury, as the weather changes.
After surgery, the patient needs:
- Wear compression underwear;
- Do not raise heavy objects;
- Leading an active lifestyle (swimming, hiking, biking);
- Is the therapeutic massage of the foot from the varicose veins;
- Balanced to eat.
As a prevention of recurrence of varicose development, it is necessary to control weight, leave shoes and narrow clothing, taking the medication prescribed by the attending physician.In a sitting position, you cannot throw your feet on the feet.While sleeping, place the pillow under your feet so that the limbs are slightly above the body position.