In these situations, the physician does not offer any choice, but to remove the affected area veins superficial. And the sooner, the better, because the delay is full of serious complications.
Dangerous surgery to remove varicose veins in the legs, what are the different methods of fight against the disease, and what is the one or the other procedure to remove the 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 any liquid on the planet, under the force of gravity to aim it.
But the peculiarity of the cardiovascular system lies in the fact that the blood circulates constantly and it feeds all the vital organs.
To stagnate in the superficial veins of the legs and other circumstances that do not allow the work of the special valves.
It is the latest failure causes discharge of blood in a thin saphenous sense, the walls of which gradually lose their tone, become thin and stretched.
Unfortunately, the return of advanced superficial veins previous form is not possible, even with the restoration of the function of the valves.
Its insufficiency can be the cause of the appearance of varicose veins, and the result of certain conditions of the organism.
Risk Factors:
- pregnancy, more precisely, the corresponding increase in the volume of blood in the body of the expectant mother, as well as the increased pressure on the veins of the uterus with the foetus;
- a long walk – this applies to those whose employment involves regular prolonged exposure to a static vertical position (surgeons, teachers, hairdressers, etc.);
- "sedentary" work – practically the same as a permanent condition. The muscle tone and the veins decreases, the blood stagnates in the legs, the valves cease to function normally;
- the increase of the load on the legs – affects the veins in the same way that the previous two factors;
- obesity excess weight greatly increases the load on the heart, blood vessels and nerves. In addition, a large layer of subcutaneous fat is often more difficult to diagnose varicose veins;
- age-related changes over time, the venous walls and valves weaken, they lose their tone and stretch;
- Accompanied by constipation, adenoma of prostate, chronic cough, and becomes the cause of hemorrhoids and varicocele;
- the effects of trauma, the comments confirm what is common, and the operations in the lower extremities;
- thrombosis of deep veins are not superficial, as many patients mistakenly believe, and this is a great pressure increases, and the blood runs in the saphenous vein;
- hereditary diseases, for example arterial-venous fistula, or fistula;
- aesthetic treatments – wrap empty, aggressive massage;
- excess physical activity.
INVASIVE TYPE OF SURGERY OF VARICOSE VEINS IN THE LEGS
When ointments, pills, and special compression clothing is impotent, the only way out is the exception to the venous system of the legs of your varicose veins affected areas.
The choice of operative intervention depends on the form and stage of the disease, the presence of changes in the condition of the skin and comorbidities.
Phlebectomy (TOP 5 techniques)
This is a classic method that involves the removal of extended areas of the veins through tiny incisions in the skin. Phlebectomy has been practiced since the beginning of the 20th century, the technique of its execution is carried almost to perfection.
The entire procedure lasts 1 to 2 hours, and does not require a long stay in the hospital (maximum – in the same day).
In the majority of cases, the doctor performs a combined procedure, i.e., using different techniques:
- Stripping – removal of the vein after ligation and fixation of a special tool. Partial Extraction involves the removal of the partial and the total. This type of surgery to remove the veins of the legs is considered special, because all the manipulations are performed through a small puncture in the skin, so it does not need to perform the suture.
- Micro-phlebectomy is different from the traditional that runs through the spikes, that is, without cutting the tissues.
- Endoscopic procedure – expanded the section is removed after insertion into a vein of the endoscope, which minimizes the possible complications after the surgery.
Sclerotherapy
In the lumen of the expanded plot introduces an ingredient special – it just glues to the inside of the wall of the vein, later, it turns into scar tissue. Sclerotherapy is used to treat not only varicose veins, but also of varicocele.
Laser photocoagulation
Surgery of varicose veins in legs laser is performed without incision of soft tissues. The vein, you do not need to throw it just "locked" with a special laser fiber is inserted through a small puncture.
Many positive comments about the surgery in the leg veins laser indicate a minimum probability of negative consequences, relapse of varicose veins, however, depends on its stages and causes.
In addition, the patient after a couple of hours after surgery can go home, because the points are not necessary.
The doctors say that when exposed to the laser light of being excluded from the entry in the body of the infection.
The laser is 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.
SIGNS AND PREVENTIVE MEASURES
Doctor compulsorily appoint a certain type of operation on the veins in the following situations:
- varicose veins are neglected, that is, in addition to the aesthetic problems of a person very concerned about the pain;
- the movement of the blood through the veins is impeded, the patient feels a permanent pain and heaviness in the legs, his excessive fatigue;
- the pathologically enlarged vein;
- the skin lesions are present trophic nature (for example, not the healing of the ulcers);
- outside aggravated thrombophlebitis;
- severe swelling of the extremities;
- violations of the outflow of the blood that are produced even in the absence of dilation of the veins superficial.
If there is a predisposition to varicose veins or the patient is at risk, it is necessary to prevent:
- the wear of the compression garment;
- the use of drugs;
- the daily use of vitamin C, which in sufficient quantity is a positive effect on the vascular wall characteristics and rheological of blood.
CONTRAINDICATIONS
Unfortunately, even with the variety of modern methods of treatment of varicose veins, procedures to remove dilated veins parts have a number of contraindications:
- hypertension;
- coronary artery disease;
- a severe form of infectious diseases;
- the presence of the skin, eczema, erysipelas inflammation or dermatitis;
- pregnancy 5 to 9 a month.
HOW TO PREPARE FOR THE SURGERY
Doctor before prescribing surgery, should send the patient to the approval of the diagnosis, and then take the decision in accordance with the results of the check:
- Ultrasound Doppler of the veins and the blood vessels;
- duplex ultrasound is a more detailed picture of the test, is also shown to exclude the presence of thrombi in the deep veins;
- a magnetic resonance imaging procedure – this test can give information about the presence of blood clots in the 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.
Directly before the intervention, the patient must:
- take a bath;
- to remove the hair with the leg operated, if necessary, also in the groin area);
- arrive a little before the appointed time.
In the case of conduct classical operation, General anesthesia, the patient is put enema.
It is essential that the anaesthetist was alerted to the presence of a person allergic to any medication.
Varicose veins need surgery. With the method of surgical treatment will help you to a vascular surgeon. Is there a danger in case of rejection of the transaction? Of course! A serious 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 treatments invasive of varicose veins will help get rid of enlarged saphenous veins and the pain associated with it. But you need to understand that the duration of the effect after eliminating the aesthetic deficiency depends on many factors, among which a special role played by heredity and life-style.
It is necessary to keep the muscles and blood vessels in good shape to the limbs does not stagnate the blood, but also try to keep a normal weight, wear comfortable shoes and to give you bad habits.