What happens and how it makes the surgery of the varicose veins of the legs?

Treatment of varicose veins in the legs with the help of medications does not always have a positive effect.

It is especially difficult to cure varicosity if it is in an advanced stage. In this case, surgical intervention was the only option to remove the pathology.

For many people the operation to be a terrible procedure, so that you are a long time afraid to go to the doctor, based on some forms of home treatment. The disease continues to progress and the patient's condition to deteriorate.

Operation for varicosity of lower extremities is assigned under the following circumstances:

• if saphenous vein is increased due to physiological pathology;
• if the disease is in an advanced stage, when treatment varicosity medicines, folk remedies do not help;
• in the formation of trophic ulcers on the skin;
• if violations occur vascular the circulation of blood, in which the patient experiences constant fatigue, quickly gets tired, feels pain and heaviness in the legs;
• a acute thrombophlebitis;
• if you have any trophic lesions of the skin.

For some patients, surgery of varicose veins of the legs can be contraindicated. Barriers to surgical intervention are:

• hypertension;
• a serious infectious disease;
• coronary artery disease;
• the age of the patient (over 70 years);
• skin diseases – eczema, erysipilatous inflammations, etc.;
• the second half of pregnancy.

The surgery is the most effective and safe treatment option varicosity. Experience as a doctor will be able to quickly remove the pathology, and the patient has to return to normal life without suffering was what caused him the illness.

Interventions

The type of surgery will depend on the individual characteristics of the disease. Some types of operations, suitable for one person may not work for another. Before the surgery, the doctor examines the form of the disease, the symptoms and the likelihood of complications.

Surgical

The most laborious and complex procedure associated with a high probability of complications is phlebectomy surgery to remove the varicose veins. It is prescribed only in cases where other treatments are not able to exercise any favourable effect.

In the process of this operation on the groin area of the patient to make a small (3-5 mm) incisions, through which the affected vein ligated at the site where it empties into the deep vein, then cut and remove the legs by means of special probes. After the withdrawal of the veins to the cuts imposed dissolvable stitches. The operation usually takes 1 to 2 hours, while the patient is in a hospital in less than a day, then go home.

Type phlebectomies is a procedure such as miniphlebectomy, where the body will not make the cuts and punctures. This method allows to operate with less injury to the skin and reduce the rehabilitation period.

Expoliantes is another type of surgical treatment of varicosity. In the course of this procedure extracted all of Vienna not quite, but only a part of him that was exposed to varicose veins expansion. The elimination is carried out through punctures in the skin, which prevents suture.

Sclerosing

Less traumatic method of surgical intervention is considered sclerotherapy. It is found in the fact that with the help of the ultrasound determines the exact location of the increase of the veins, which introduces a substance that's special (sclerosant). This substance glues the affected blood vessels, preventing the flow of blood in them. After the operation, to place the patient veins formed scar tissue, decreasing the oedema. The patient ceases to feel heaviness and pain in the legs, and if you've had ulcers, which will heal quickly.

Sclerotherapy is of two types:

1. Echo-sclerotherapy deduxit. This operation is used if the affected vein diameter reached 1 cm or more. First, the veins are examined with the help of a special device – a duplex scanner, then under its control carried out the puncture, and then is injected into a vein sclerosant. This procedure allows to reduce the diameter of the affected vessel and restore normal blood flow.
2. Sclerosing foam. The most safe and completely painless form of sclerotherapy. In the vessels affected are injected with a special foam, which fills it and stops the flow of blood to the interior of the boat.

For maximum effect, usually, several treatments of sclerotherapy. Recurrence of varicosity after that almost never happens.

Laser photocoagulation

Surgery to remove the varicosity of the veins of the legs through the laser is considered to be the most technologically advanced kind of struggle with varicosity and helps to eliminate pathologic dilatation in 90% of cases. During this procedure, incisions tissue not done, allowing you to avoid cosmetic defects.

Through a puncture in the skin type of laser light guide, which emits light waves. Under its action, there is a dissolution of the patient ship. This method has a low number of relapse – recurrence of varicosity formation occurs only in 5% of patients.

Similar to laser coagulation in the treatment of varicosity is radio, contritio. The essence of the method is the impact on the patient vein of microwaves that heat the vessel, making it "welding". This method of treatment is considered to be easier and without complications. It can be applied in severe cases when the veins reach large sizes.

Possible consequences and the state in the postoperative period

Almost all types of operations to eliminate varicosity of the legs, they are secure and cause complications in very rare cases.

The higher likelihood of complications and serious leakage of the rehabilitation period occurs when phlebectomies. In the field of remote vein may cause bruising, and sometimes cuts can bleed, as there are other tributaries of the veins.

2-3 days after the surgery, some patients may increase temperature. This is due to aseptic inflammation in the blood that accumulates under the skin.

If the blood accumulated will be very much in the veins can form lumps, painful to the touch. If the skin over the groups acquires a tone brown, then began a bacterial inflammation. In this case you will need urgent hospitalisation.

Other possible complications after surgery may include:

• The lack of sensitivity of the skin, pain. Occur, if during the operation were damaged to the nerve endings. With time, the pain will disappear, and the sensitivity of the skin will be restored.
• Blue. Format for phlebectomies, as it is very traumatica operation. After some time, usually not more than a month, they completely disappear. When minimally invasive treatments (sclerotherapy or laser coagulation) bruises are almost never remain.
• Swelling. Can appear, if the patient should not be prescribed in the postoperative period – a lot of movements, do not wear special clothes or exposing themselves to great physical stress.

After the surgery, most patients lead an inactive lifestyle. Due to inactivity, can cause a dangerous phenomenon of acute thrombosis of deep veins of the lower extremities. To avoid this, you have to do special exercises, diet and take medications to prevent thrombosis.

Rehabilitation after removal of varicosity of the lower limbs

In accordance with the doctor in the postoperative period is the most important part of the treatment and the prevention of the recurrence of varicosity. The majority of patients is recommended:

1. Well bandaged leg with a bandage stretchy.
2. Wear special compression garments – stockings or tights.
3. Do not lift more than 10 kg first six months after surgery.
4. The exercise of moderate physical activity – Running, swimming, Biking.
5. To control the body weight if you have problems with excess weight.
6. Each year pass course admission venotonic drugs.

Within 3 days after the surgery, patients are strictly prohibited to smoke and drink alcohol, sunbathe, lift weights, drive a car and take a hot bath.

When the pain in the leg operated on can help of a light massagethat was carried out in an independent manner.

Recommendations for the prevention of the recurrence

Even if the operation to remove the varicosity of the veins was carried out with success, there is always a risk of recurrence of the disease. To minimize the probability of recurrence, it is necessary to observe preventive measures:

• lead an active lifestyle doing sports, often walk in the open air;
• in a sitting position need to make sure that his posture was smooth, not to put a foot to the other, as it leads to violations of venous blood flow;
• to fight against obesity;
• moderately consume coffee and tea,
• every morning, do gymnastics feet;
• abandon too strong and tight to shoes and clothing.

Varicose veins is a disease that even after a complete cure requires the monitoring of a certain style of life.

Preventive measures after the operation must comply with the principle of a few months and throughout life. The only way to normalize the situation of your body and eliminate the possibility of recurrence of the disease.