Stretching of veins with varicose veins. Phlebectomy is an operation to remove varicose veins. Restrictions and contraindications

Varicose veins are one of the most common diseases these days. Unfortunately, patients often go to the doctor when the disease is already too advanced and the lesions of the veins are large enough. Therefore, wearing special compression underwear or following a diet and lifestyle is no longer enough. In this case, you will need removal of the great saphenous vein and other affected vessels. Laser surgery is quite expensive and not always available, so traditional surgery remains in high demand.

Why do you need to have a vein removal surgery?

You should know that phlebectomy or surgery to remove a vein is not dangerous, although the possibility of complications is not excluded. Before prescribing an operation, the doctor must examine the patient in order to exclude contraindications and possible complications, clarify the diagnosis and assess the risks.

Why is such an operation necessary? Its goal is to eliminate the stagnation of venous blood in the vessel by removing these same vessels. Another important step: this way you can prevent the flow of blood from deep veins to superficial ones, that is, change the movement of blood flow. During the operation, the specialist removes those parts of the vein in which the valves do not work. This is necessary so that stagnant blood stops exerting pressure on the walls of the vessel, the soft tissues that surround it, fiber and skin. If such blood pressure is not eliminated, then this will lead to an expansion of the inflows of the superficial venous network.

Removal of the great saphenous vein called stripping. This is one of the most common varicose vein surgeries. This is due to the fact that, as a rule, patients seek help too late, when low-traumatic methods of vein removal are no longer effective. Usually, deep veins are not affected by varicose veins, mainly superficial vessels suffer from it, so you should not be afraid that as a result of removal, the blood will not be able to move along the lower limb - it will simply move through the deep veins.

The main stages of removal of the great saphenous vein

There are two types of stripping:

. Traditional stripping or Bebcock operation;
Cryostripping.

The first type of operation is based on the removal of a vein using a special surgical probe. The patient is prepared for the operation, and it begins with the fact that two incisions are made to him: in the inguinal region and in the upper part of the lower leg. The surgeon inserts a probe into one of them, directing it into the lumen of the vessel. Then the probe is advanced to the second incision, engaging and pulling the damaged vein. Manipulation is accompanied by bleeding and tissue damage, complications are sometimes possible, but this is the only way to get rid of varicose veins in especially advanced cases when it is impossible to save a vein.

During cryostripping, the vessel is glued to a surgical probe at a temperature of -85 degrees Celsius. The vein is then pulled out and removed. This method has the following advantages: less trauma, the need for only one incision, a quick rehabilitation period.

At the end of the operation, an elastic bandage is applied to the patient and motor activity he must recover as quickly as possible to avoid the occurrence of thrombosis and other complications. Compliance with all stages and features of the operation guarantees its success, so you should not ask the surgeon to make fewer incisions. The fact is that in this way the doctor is deprived of the opportunity to remove the entire trunk of the damaged vein, which means a high probability of relapse in a short time after the operation.

rehabilitation period

Any operation is to some extent the risk and likelihood of complications. You should not be afraid of them, you just need to be prepared for their appearance and have information on how to avoid them. The most common occurrence after surgery to remove the great saphenous vein is bruising and small lumps - these disappear within a few months.

Do not apply compresses to the operated leg or apply warming ointments. In some cases, there may be a violation of sensitivity in some parts of the leg, especially on the inner surface of the ankles - this phenomenon will also pass on its own. It is caused by the fact that during the operation the sensitivity of the nerve endings was disturbed. Sometimes the patient has postoperative swelling or pain, this may also be associated with physical activity. In this case, it is necessary to use compression underwear and eliminate the cause of edema.

If you follow all the recommendations of the doctor, then the likelihood of the return of varicose veins is low. After the operation, it is necessary to use an elastic bandage daily for several months. The doctor may prescribe additional drugs to increase the tone of the veins. The duration of the rehabilitation period depends on the severity of varicose veins. It is better to refrain from visiting a bath or sauna during the first ten days, but simple exercises in the form of flexion and extension, leg rotations are recommended to be performed already from the first hours after the operation.

In our medical center, you will be given a complete diagnosis of varicose veins using modern equipment and an effective treatment method will be selected. Follow the recommendations of a specialist - and you will get rid of this unpleasant disease. You can apply for a consultation at a time convenient for you, but it is better not to postpone a visit to the doctor so that the disease does not go into a serious stage.

All materials on the site are prepared by specialists in the field of surgery, anatomy and specialized disciplines.
All recommendations are indicative and are not applicable without consulting the attending physician.

Varicose veins, or varicose veins, is a disease that is characterized by weakness of the valves in the veins and dysfunction of the vascular wall, as well as stagnation of blood in the veins lower extremities. This pathology is fraught not only with a violation of trophism, or tissue nutrition, which can result in difficult and long-term healing of trophic ulcers, but is also dangerous because stagnant blood thickens and blood clots form in it that can be carried by blood flow throughout the body. In addition, in the case of the formation of thrombotic deposits inside the vascular wall (phlebothrombosis), it may become infected with the development of formidable diseases - thrombophlebitis.

Operations for varicose veins

The operation for varicose veins of the lower extremities is radical and consists in the removal of the saphenous veins of the lower extremities affected by the process (phlebectomy) or in the sclerosis of the deep veins of the leg and thigh.

Traditionally phlebectomy (crossectomy) performed according to the Babcock method and consists in introducing a probe into the lumen of the vein, followed by pulling the vein completely along its length through an incision in the skin outward. The incision is sutured at the end of the operation with a cosmetic suture.

Mini phlebectomy is used to remove very short sections of the vein, vein ligation is not used during the operation. No incisions are made on the skin, and a piece of the vein is removed through a thin puncture in the skin that does not require suturing.

left - phlebectomy, right - mini-phlebectomy

With a small area affected by varicose veins, it is possible to perform a more gentle technique - stripping. This is pulling out with a thin hook only a varicose vein. Pulling is carried out through two incisions on the skin with their subsequent suturing. A variation of this technique is cryostripping - "freezing" of the vein to the cryoprobe using low temperatures, the destructured node is also pulled outward.

stripping phlebectomy

Sclerosis of a vein this is the introduction of a sclerosant into its lumen - a substance that “glues” the walls of the vein together, but the vein remains deep under the skin without fulfilling its function. The blood flow through the vein stops and goes through the collateral vessels without disturbing the outflow of venous blood from the lower limb. Vein sclerosis is performed under ultrasound control.

Laser coagulation

Laser endovascular coagulation of varicose veins is the latest method in phlebology and consists in introducing a thin probe into the lumen of a vein with laser radiation, which has a cauterizing effect on the walls of the vein.

Method radiofrequency obliteration of veins also applies to more modern treatment varicose veins, but not all medical institutions are equipped with appropriate equipment. The technique consists in a “cauterizing” effect on the vascular wall of high frequency radio waves.

Indications for vein removal

Not all patients are indicated for surgery, but in some cases it is still necessary to do without it, since it is better to remove the source of potential inflammation and blood clots than to expect complications. Conditions requiring surgical intervention include the following:

The risk of or already occurring thrombophlebitis,
Frequent exacerbations of thrombophlebitis,
Extensive damage to the saphenous veins,
Pronounced symptoms of varicose veins - a constant feeling of heaviness and pain in the legs,
Non-healing trophic ulcers,
Nutritional disorders (trophic) of the tissues of the lower extremities - discoloration and cooling of the skin of the legs and feet.

Contraindications for surgery

Carrying out even minimal vascular intervention is contraindicated in the following cases:

Pregnancy 11 and 111 trimesters,
Acute infectious diseases
Exacerbations of chronic diseases (bronchial asthma, diabetes mellitus, peptic ulcer, etc.),
acute stroke,
acute myocardial infarction,
Erysipelatous inflammation of the lower extremities.

In any case, all indications and contraindications are determined by a phlebologist or surgeon during an on-site examination of the patient.

Which method to choose?

The use of a particular method of treatment is evaluated only by a doctor, based on the degree of spread of the process.

Of course, for small nodes, less invasive methods are preferable, such as mini-phlebectomy, short stripping, laser ablation and sclerotherapy, due to the fact that they are less traumatic and require almost no rehabilitation period. At the same time, with a large length of varicose veins, preference is given to traditional phlebectomy, which not only requires spinal anesthesia, but is also a rather traumatic operation, leaving an aesthetic defect in the form of postoperative scars on the legs.

In this regard, you should not postpone a visit to the doctor with the existing initial stage of varicose veins, and even more so, you should not refuse a less traumatic operation if the doctor saw this as necessary during the examination.

When is the best time to have surgery?

The decision on the need for surgical treatment is made only after consulting a phlebologist or vascular surgeon. However, on early stage When the patient is concerned only with aesthetic discomfort in the form of varicose veins, as well as slight swelling of the feet at the end of the day, you can try to stop the further progression of the process with the help of compression stockings and venotonic drugs.

In the case when there is pain in the limbs, as well as a high risk of complications, it is not recommended to delay the operation.

Preparing for the operation

Before planning an operation to remove the veins, the patient should undergo a number of necessary examinations. These include consultation of a surgeon or phlebologist, as well as ultrasound of the veins of the lower extremities. In the case when the removal of veins is indicated for the patient, he is examined at the outpatient stage, in particular, general and biochemical analyzes blood, a blood test for coagulation (INR, APTT, etc.), ECG and chest X-ray.

On the day appointed by the doctor, the patient must appear at the medical institution practicing phlebectomy. You can shave the hair on the lower leg, thigh and in inguinal zone on the side of the affected limb. The day before should be limited light dinner You must come to the operation on an empty stomach. The patient should warn the operating physician and anesthesiologist about intolerance to previously taken medicines.

How is the operation performed

After the patient arrives at the clinic and the initial examination by the operating surgeon and anesthetist, the issue of anesthesia is decided. In the case of conventional phlebectomy, spinal anesthesia is used; in mini-operations, local anesthesia is used by chipping the skin with solutions of novocaine or lidocaine.

After the onset of anesthesia, the surgeon determines the location of the vein using Doppler ultrasound (USDG). Then, a probe is inserted through the incision on the skin into the lumen of the vein and the main stage of the operation is carried out - the intersection and ligation of sections of the vein during phlebectomy, the stretching of the vein during mini-phlebectomy (only through punctures, and not through the incision) or laser exposure to the walls of the vessel. The main stage takes from half an hour to two or three hours, depending on the volume of the operation.

After the main stage, the incisions on the skin are sutured, a pressure aseptic bandage is applied to the wound, and the patient is escorted to the ward, where he will be under observation from several hours to a day. In the ward, the patient puts on compression underwear, which is not removed for three days.

A day later, the patient goes home. If the surgeon prescribes dressings, the patient visits them daily or every other day. The sutures are removed seven days after the operation, and two months later, a control ultrasound scan of the veins of the lower extremities is performed.

Video: preparation and progress of the operation

Are there complications after the operation?

The technique of operations, honed to perfection for decades, allows you to reduce the risk of postoperative complications to a minimum. However, in extremely rare cases (less than 1%), adverse effects such as:

Postoperative hematomas on the skin - resolve within a couple of months,
Postoperative seals under the skin along the bed of the removed vein also disappear in a month or two after the operation,
Mechanical damage to the lymphatic vessels leading to lymphostasis (stagnation of lymph) is treated conservatively, but after a few months the lymph begins to circulate through the anastomoses, and the lymph flow from the limb is carried out properly.
Damage to the saphenous nerves, manifested by transient disorders of skin sensitivity, self-levels within a few months.

Cost of leg vein surgery

The phlebectomy operation can be performed on an outpatient basis in the day hospital of the surgical department of the polyclinic or in the vascular surgery department of the round-the-clock hospital. Operations in most cases are performed free of charge if indicated, but if the patient wishes, they can be performed for paid services or in private clinics.

The cost of operations varies, ranging from 20 thousand rubles for vein sclerosis on one limb to 30 thousand rubles for mini-phlebectomy and 45 thousand rubles for phlebectomy with a one-day hospital stay. In some private clinics, services such as phlebectomy, a one-day stay in a 24-hour hospital, dressings and removal of sutures, as well as follow-up for a month can reach the cost of about one hundred thousand rubles.

Prognosis and lifestyle after surgery

After the operation, aching pain in the operated limb and slight swelling are possible for several days. To relieve unpleasant symptoms, the doctor prescribes non-steroidal drugs - ketorol, nise, etc. Immediately after the operation, the patient should start wearing compression underwear and perform physical therapy exercises prescribed by the doctor.

On the second day after the operation, the patient is allowed to walk a little. After a week or two, you should ensure slow walking for a couple of hours a day.

From the correction in the way of life, such provisions are relevant as:

Rejection of bad habits,
Proper nutrition with the exclusion of fatty and unhealthy foods,
Compliance with the regime of work and rest,
Exclusion during working hours of only a sitting or only standing position - it is necessary to change the position of the limbs in the process of work.

In conclusion, I would like to note that, judging by the reviews, vein removal operations are tolerated quite favorably, and there are practically no serious complications. Moreover, the risk of life-threatening complications of varicose veins (thromboembolism, for example) is sharply reduced after the removal of an enlarged vein. Currently, limb amputation operations due to severe inflammation and even gangrene due to thrombophlebitis (especially against the background of diabetes) is not uncommon, so it is better to contact the surgeon at an early stage and not refuse to remove the veins if necessary. Thus, you will save yourself not only healthy limbs, but also the health of the whole organism as a whole.

Video: phlebectomy - removal of varicose veins (surgery)

Today, new diseases appear every day, but no less actively progressing and long known to mankind. One of those is varicose veins. Such a disease can affect not only the veins on the legs, but also any place in the body. For example, a person may have varicose veins in the pelvis, esophagus, or uterus. The reasons for varicose veins are "sea". This includes excessive regular load on the legs, wrong lifestyle, hormonal problems, and so on. Sometimes the situation is so serious that the patient needs surgery on

Expansion of the veins in the legs

Even in the well-developed countries of the world, doctors are not able to prevent mass defeat varicose veins. At first, the disease is not taken seriously. It is considered just a problem that worsens appearance legs. However, as the disease progresses, other more severe symptoms appear. There is swelling of the lower extremities, severe pain, the skin in the area of dilated vessels darkens, trophic ulcers may even appear, then the operation - removal of veins in the legs - is extremely necessary.

Although the root cause of the formation is a genetic predisposition, more serious stages of the disease occur when the legs are overloaded. In order for the disease to begin to progress, the body most often needs stress. It can be pregnancy, childbirth or just a sharp increase in physical activity. As a result, the pressure in the bloodstream of a person's legs rises and the normal operation of the valves is disturbed. This is the impetus for the progression of varicose veins.

secondary stage

Most often it occurs on the basis of already transferred vein thrombosis, as well as due to inherited diseases. Secondary expansion, or post-thrombophlebitic disease, is a serious problem, and if it is not given importance, then a deep pathological process begins in the circulatory system of the lower extremities.

This leads to the expansion of the saphenous veins and blockage of large vessels, as the valves do not have time to cope with the increasing pressure. Also, re-expansion of the veins can occur due to arteriovenous fistulas. In rare severe forms, the Klippel-Trenaunay syndrome develops, which also leads to the secondary stage of the disease.

Surgical operations on the veins of the lower extremities

When a person comes to despair in the fight against varicose veins, one has to resort to a surgical solution to the problem, namely the removal of the enlarged section of the venous vessels. If the operation is performed by experienced and conscientious surgeons, it can save a person from the disease and from the discomfort associated with it for many years.

IN modern medicine there are all the necessary developments and tools for a successful leg vein operation. interesting new method seamless technology. The affected areas of the circulatory system are removed using micropunctures.

After such an operation, suturing is not even required. The patient's leg is simply wrapped with an elastic bandage, and after only five hours he can already get up and walk a little. No matter how difficult the operation on the veins of the legs is, the consequences may still make themselves felt for some time. For example, the compression period after any surgical procedure can be from one to three months.

If a person has had trophic ulcers on his legs, then surgeons use endoscopic equipment. Gradually, the most painful and scary methods for removing advanced blood vessels replaced by more civilized ones.

Operating methods

The most common treatment for varicose veins in the legs is phlebectomy.

Medications, including anesthesia, are administered through the epidural opening in the spine (using a catheter). This method contributes to high-quality pain relief, while maintaining consciousness, reducing harm and stress for the body.

Although at the moment many methods have been invented for the operation, the method is used more effectively. It consists of several stages.

The first step is called a crossectomy. It consists in the intersection of the great saphenous vein at the place of its confluence with the femoral. It is convenient to carry out such work from an incision in the inguinal part, this also allows you to freely bandage the tributaries that are close to the anastomosis.

The next part of the operation is the actual removal of a fragment of the great saphenous vein. In some cases, the required surgery for varicose veins concerns small area blood vessels only in the femoral zone. And sometimes they use long stripping (this is the name of the removal of the vein itself), that is, the subcutaneous vein is completely removed - from the groin to the ankle.

In this case, the vessels are pulled out using a special probe. To understand how this withdrawal occurs, imagine how the stocking is turned inside out when removed from the leg. Approximately so the vein is taken out at full removal. This method allows you to preserve the integrity of the remaining elements of the circulatory system, do not damage the surrounding tissues, and avoid the appearance of scars and hematomas. If this is how the operation on the veins of the legs was performed, the rehabilitation will be faster and easier.

After the main trunk has been removed, they begin to eliminate the tributaries damaged by varicose veins. Moreover, if which connect the deep veins with the superficial ones, they are also susceptible to pathology, they must be bandaged. Dressings are performed from separate small incisions.

Preparing for the operation

In order for the operation on the vein on the leg to be successful, you need to properly prepare for it. The attending physician gives necessary directions, among which there will necessarily be blood tests, urine tests, a cardiogram, and fluorography. Women will need to go through a gynecologist, and some patients still need to get permission to admit the operation from the therapist. You should also purchase a few elastic bandages at the pharmacy in advance and take them with you when you check into the hospital.

Phlebectomy is indicated for patients diagnosed with varicose veins associated with problems in the saphenous veins (large or small).

To whom phlebectomy is contraindicated

In no case should this method be used by pregnant and breastfeeding women. It is also worth considering general state patient and other pathologies to which he may be susceptible. Do not do phlebectomy for those who have exacerbated thrombosis or thrombophlebitis of the veins, as well as in the presence of purulent formations on the legs.

Foam sclerotherapy of veins

Sclerotherapy is a relatively new and successful method of treating varicose veins without traumatic intervention. Such operations are performed on the veins of the legs with a laser. Such sclerotherapy is especially effective in removing dilated veins. small size. And in the treatment of vascular networks, asterisks, this technique is simply irreplaceable.

Operations on the veins of the legs with a laser

With such an intervention, only the energy of the laser beam acts on the problem area, as a result of which the vein is thermally closed. The procedure is relatively high cost, and for its implementation requires specially trained medical personnel.

Thanks to this method, it became possible to deal with the causes of the appearance of trophic ulcers. Such an operation - removal of veins in the legs - has become the most modern and effective, so patients quickly recover without feeling any negative consequences.

What is radio frequency obliteration?

This is no less safe and modern operation on the veins of the legs. Reviews about this technique are quite good. It is painless and easy to understand for the patient. However, after the surgical procedure, the legs may hurt for some time, and this method cannot be used to treat perforating veins.

The dangers of varicose veins

Alas, this problem is extremely common in society. On average, over 30% of the population has swollen veins. In 20% of cases, varicose veins are complicated by the appearance of trophic ulcers, and more than 25% of cases go into the stage of thrombophlebitis. This behavior of the disease can often lead to even more serious consequences.

Risks of thrombophlebitis

This complication occurs more often than others and carries with it a serious problem, as it can cause blockage of deep veins. It is caused by a slowdown in high-quality blood circulation in the vessels of the lower extremities. Leads to edema, trophic ulcers, darkening of the skin in the affected area.

What is a trophic ulcer?

Such an ulcer is a sign of a severe one. If not properly treated, it may not heal for a long time, even progress, damaging your legs more and more. After surgery on the veins, this problem is solved more easily.

Venous thrombosis and thromboembolism

Such thromboses can increase the risk of thrombophlebitis, and thromboembolism in general can lead to serious pulmonary and heart failure, which in half of the cases is fatal.

Recovery after surgery

Regardless of how the varicose vein surgery went, in order to recover, you need to follow the course prescribed by your doctor. When recommending treatment, the doctor will take into account how badly the veins were damaged, how much blood outflow is impaired.

After the operation on the vein in the leg has been carried out, the first 4 hours should be in bed. However, this does not mean that you need to lie still. The doctor will tell you how to bend your legs and what movements to make with your ankle joints to speed up recovery. Sometimes it will be necessary to bandage the lower limbs with an elastic bandage or even secure them in a raised state.

The next day the doctors will allow the patient to sit up. After both legs are bandaged with an elastic bandage, the patient will try to get up and walk around the ward.
Finally, everything is over, an operation was performed on the veins of the legs. Reviews about it, of course, can be both positive and negative. Nevertheless, we must not forget that it is necessary to maintain the health of blood vessels further. In this case, help special massage and regular walks. All this will help to avoid varicose veins today and in the future!

If conservative treatment fails positive results the patient is prescribed a phlebectomy -. This type of intervention is recommended for:

Extensive.
Pathological varicose veins.
The presence of trophic ulcers.
Strong edema.
Acute thrombophlebitis.

In many cases, surgery is a necessity. This procedure is prescribed in advanced forms and in the absence of the effect of conservative treatment.

If you have allergies, take medications or dietary supplements, tell your doctor about this at a preliminary consultation. Also, without fail, before the operation, it is necessary to pass tests and undergo an examination of the veins using color Doppler mapping.

A few days before the X event, go on a light diet. Exclude from the diet meat, fried, spicy, salty, spicy, flour. It is contraindicated to take alcohol and smoke.

For a successful operation on the leg, there should be no damage, abscesses, hematomas, trophic ulcers. If there are any, the doctor will prescribe a special therapy to eliminate defects.

Wash off the polish from your nails and shave your leg with a razor. Do not use hot wax or a depilator, as their particles can become a source of infection.

Important: if general anesthesia is indicated, give a cleansing enema. On the day of the procedure, wear comfortable shoes and loose clothing to the operation.

The essence of the procedure

Subcutaneous vessels are removed, redirecting blood through deep veins. At the same time, the load on them will increase by a maximum of 10%, which is not critical. The removal operation is performed using local, general or epidural anesthesia.

By default, the procedure consists of the following parts:

Stage 1 - crossectomy. Having made an incision (up to 4 cm) in the region of the inguinal fold, the surgeon finds the point where the main saphenous vein flows into the femoral vein. Then, the first bandage and cross. There are many vascular tributaries in this zone, they are subject to similar manipulations.
2nd stage - stripping. A probe is inserted into the great saphenous vein. It is led to the ankle, and then through a small incision (1 cm) is pulled out. Following it, the main trunk of the saphenous vein is removed.
3rd stage - miniphlebectomy. Further, the operation of varicose veins on the legs involves the beginning of "jewelry" work. The surgeon performs micro incisions and punctures. Then, with hooks, it removes small, deformed veins. The sutures on the micro-incisions are cosmetic.

On average, surgery lasts 1-3 hours. If the operation is carried out on time, then there is no need to remove a large vein. You can limit yourself to miniphlebectomy, and ligation of the connecting vessels. As a result, the risk of complications will decrease, and postoperative rehabilitation will be easier.

Near postoperative period

The next day, both legs are bandaged with an elastic bandage from the toes to the thigh. It is allowed to get up only after a properly performed dressing. At home, bandages are allowed to be replaced with compression stockings. Its degree of compression and dimensions will be prescribed by a phlebologist.

In the absence of complications, the patient is discharged 24-48 hours after the operation. The next time you need to come to the hospital to remove the stitches after 8 days. By this time the incisions should be healed.

Recovery period

Medicines are prescribed to relieve pain and prevent blood clots. A light massage directed from the foot to the thigh is also useful. For a week and a half, it is not recommended to give an increased load on the vessels of the legs. Postpone going to the sauna, gymnastics, aerobics, exercise equipment. You can wet your leg only after removing the stitches.

For the first three days, the compression underwear is not removed. After that, be sure to wear it during the day for at least 2 months.

With varicose veins, the postoperative period is quite long. Moderate physical activity will be useful to restore venous circulation. Leisurely walks, swimming, warming up the feet, water aerobics, yoga are good. Six months later, if the doctor allows, you can ride a bicycle.

Consequences of surgery

Of course, any operation is not only getting rid of the disease, but also a difficult test for the body. You may be lucky and you can easily transfer it. But it is also worth mentally preparing for possible complications:

With the complete removal of the saphenous vein, pronounced pain occurs, hematomas appear. This is a normal condition after surgery, which will pass with time.
If not all tributaries have been ligated, bleeding from the incisions is possible.
A slight increase in temperature on the fourth day indicates aseptic inflammation of blood clots that have accumulated under the skin. If there is a lot of fluid, then it is collected in the form of painful lumps and is easily palpable. Redness indicates the development of bacterial inflammation. To avoid infection, the puncture and incision sites are treated with brilliant green.
The consequences of the operation to remove varicose veins include the formation of blood clots in the deep veins. It provokes prolonged immobility.

To minimize the consequences complex operation, you should strictly follow the recommendations of the doctor. So you can avoid inflammation and quickly return to normal life.

The likelihood of recurrence after surgery

Unfortunately, the operation only removes damaged veins, but not the causes of the disease. To prevent further progression of varicose veins, you need to reconsider your lifestyle.

It is important to analyze the situation and find out: what provoked the development of the disease. After that, eliminate the cause. If this is not possible (for example, a genetic factor), it is worth as much as possible to compensate for the risk with preventive measures.

To prevent varicose veins from returning after surgery, it is necessary to wear compression underwear. If you have to stand for a long time, shift from foot to foot. When sitting, do passive foot exercises.

Do contrasting douches in the morning and evening. Even if the disease does not bother you again, go through a preventive examination by a phlebologist every year.

Conservative treatment is not always effective in the fight against varicose veins, so if you have a diagnosis of advanced varicose veins, surgery is inevitable and the only way out of this situation. Many patients are pathologically afraid of any surgical intervention, so they delay the trip to the phlebologist and try to help themselves in non-radical ways. This is one of the reasons that only complicates the course of the disease and aggravates the patient's condition.

Surgery for varicose veins is mandatory in the following cases:

with an extensive advanced course of the disease;
with pathological enlargement of the saphenous veins;
in violation of the movement of blood through the vessels, which leads to constant fatigue and a feeling of heaviness, pain in the limbs;
with trophic lesions of the skin;
with the formation of non-healing trophic ulcers;
with exacerbations of thrombophlebitis.

However, the operation of removing veins for varicose veins in the legs may not be recommended for all patients. She contraindicated in the presence of the following complications and conditions of patients:

in the presence of hypertension;
when contacting a surgeon at a late stage of the disease;
when found in a patient coronary disease;
in the presence of infectious processes in severe form;
if the patient is elderly;
if the patient has erysipelas, eczema and other similar diseases;
if a woman is pregnant (5 - 9 months of bearing a child).

Treatment of varicose veins with the help of surgery is considered to be quite effective and safe if performed by an experienced phlebolgist. You should not risk your health and go to the operating table to see a doctor about whom nothing is known. But an experienced doctor, who is fluent in the technique of the operation, will be able to remove damaged veins in 1.5 - 2 hours and eliminate the discomfort that they caused to the legs. This suggests that it is necessary to decide in advance where to operate on varicose veins.

How veins are removed for varicose veins, watch the video of the operation, filmed in one of the clinics.

Preparing for varicose vein surgery

A surgical operation to remove varicose veins is called a phlebectomy. If the doctor has prescribed it, then the patient should prepare for the specified time. A few days before removing varicose veins, the patient must pass all the tests prescribed by the doctor.

This procedure does not involve special preparations on the day of its implementation, but the following events are mandatory:

take a shower in the morning;
shave the leg on which the operation will be performed to remove varicose veins;
arrive at the clinic a little earlier than the indicated time.

If the surgical treatment of varicose veins is decided to be carried out with general anesthesia, the patient is given an enema the day before to cleanse the stomach. Before carrying out an operation to remove varicose veins and nodes, it is necessary to notify the operating phlebologist about the presence of an allergy to medications. During the surgical treatment of varicose veins of the lower extremities, novocaine is used for pain relief, drugs containing iodine are used to treat the wound. The patient should notify the doctor if there is an allergy to these drugs. If it is supposed to be in the clinic after the operation, then before the start of the operation, the doctor receives information from the patient about which drugs the patient uses systematically.

Do I need surgery for varicose veins to remove dilated veins?

Every patient with varicose veins at some point thinks about whether to do surgery for varicose veins or endure pain while it is still possible. Usually this issue should be discussed only with your doctor, focusing on your condition. Undergoing surgery just because the veins look unaesthetic is not worth it. You can try to treat them with minimally invasive procedures and drugs. In the early stages of the development of the disease, compression stockings and exercise therapy will help. However, if the disease has reached such an extent that the pain has become unbearable and the phlebologist sees no other way out to eliminate it, then there can be no doubt as to whether surgery is necessary for varicose veins. It is needed and it is necessary to carry it out in the near future, until serious complications appear.

Types of operations for varicose veins: photos and descriptions

It is difficult even for an experienced phlebologist to answer the question of which operation for varicose veins is better and more effective. The choice of the method of surgical intervention depends on the specific case. What may be recommended for one patient may not be suitable for another. The doctor must take into account how the disease manifests itself, how the patient feels, whether there are complications of the disease. The modern clinic offers several types of operations for varicose veins. Each of them has its own advantages and disadvantages. The same operation, performed by the same phlebologist surgeon, will make someone completely healthy, while others will help only for a while. About what types of operations for varicose veins can be offered to the patient, then there is a more detailed story, illustrated in the photo and video.

Surgery for varicose veins

Phlebectomy involves the elimination of veins that are affected by varicose veins. The operation was first performed in the early 20th century. Over the 100 years of its existence, it has improved significantly. Today, surgery can offer its implementation according to the method of Babcock, Nartu, Muller. These treatment methods are suitable both for the removal of the main vessels and for the elimination of small saphenous veins with nodes. To remove the affected vessels on the limbs, small incisions are made through which the diseased veins are removed.

stripping veins is a type of surgical removal of varicose veins. This type of treatment is used to remove the great saphenous vein along with its tributaries through an incision in the inguinal fold. Partial stripping involves removing part of the vessel with a probe, and total stripping means pulling out the entire vessel by freezing it to a special probe. Perforating veins should be ligated. A tight bandage is applied to the operated limb.

Watch the video, how the operation is performed to remove varicose veins.

Sclerosis of varicose veins

Sclerotherapy is considered a minimally invasive treatment for varicose veins. A special substance called a sclerosant is injected into diseased vessels. It acts on the inner wall of the vein, gluing (sclerosing) the vessel. In the future, scar tissue forms in its place, and the vessel completely disappears. Sclerotherapy of varicose veins is used not only for varicose veins. This method of treatment is used in the presence of varicocele.

There are several types of sclerosing therapy for varicose veins:

echosclerotherapy used to treat deep veins, the diameter of which reaches 1 cm. The introduction of a sclerosant into a vein is carried out under the control of a duplex scanner. A sclerosant is injected into the vessel lumen with a needle. Soon its size will decrease and the blood flow will stop.
Sclerotherapy using the "foam-form" method is carried out using a special foam as a sclerosing preparation. It fills the lumen of the vessel. The procedure does not cause pain and is completely safe.

A video of the operation of varicose veins on the legs using sclerotherapy is offered for viewing.

Treatment of varicose veins with laser: laser coagulation of varicose veins

If the clinic has the appropriate equipment, patients are offered laser treatment for varicose veins. This new medical technology will allow you to get rid of the disease without incisions in soft tissues and stretching of pathologically altered vessels. Endovasal laser coagulation (EVLK) of varicose veins is performed using light radiation, which has a wavelength of 1500 nm. A laser light guide is inserted through the puncture into the vein. Radiation enters through it, under the influence of which the diseased vein is coagulated, that is, sealed. Gradually, it dissolves and disappears. Patient reviews say that relapses after laser treatment varicose veins in the legs are absent in most cases.

And here is another video fragment that shows how laser varicose veins are removed.

Treatment of varicose veins without surgery: non-surgical methods of treatment of the lower extremities

While the disease has not had time to gain strength, you can try the treatment of varicose veins without surgery. Protruding vessels can be compressed with compression garments. Depending on the degree of manifestation of the veins, the doctor recommends the type of medical knitwear. ethnoscience offers his own ways to cure varicose veins without surgery. You can use lotions from curdled milk, which is diluted with a decoction of wormwood, compresses from infusion of hops, alcohol tincture from dry kalanchoe leaves, dressings with vinegar. Slices of tomato, cabbage leaves smeared with honey, raw potatoes are applied to the diseased enlarged veins.

At an early stage in the development of the disease, one of effective methods non-surgical treatment of varicose veins is considered hirudotherapy. The saliva of these little creatures helps to thin the blood, which improves its circulation through the veins. However, this method of treatment also has its drawbacks: after a leech bite, a small scar remains.

Blue clay will also help get rid of varicose veins without surgery, if you apply it periodically to diseased lower limbs in the form of lotions, masks, or make clay baths for sore legs.

Ointments, creams, patches, gels and tablets are also non-surgical treatments for varicose veins. However, before using any drug, you should consult your doctor.

Varicose veins: rehabilitation after surgery, postoperative period

Varicose veins usually do not return after surgery. However, the frequency of relapses and pain depends not only on the skill of the surgeon who operated, but also on the behavior of the patient, who behaves correctly in the postoperative period. To avoid the formation of hematomas, the manifestation of small bleeding from healing wounds, and other complications, you must take care of your health and follow all the doctor's recommendations during the rehabilitation period. Let us briefly dwell on what to do after the operation of varicose veins and what not to do in any case so that the disease no longer reminds of itself.

Mandatory tight bandaging of the leg with an elastic bandage.
Sports activities, taking into account the allowable load calculated by the instructor.
Use for the prevention of the disease of compression stockings.
Avoid heavy lifting.
Monitor your own weight.

First two days after surgery Absolutely forbidden:

the use of alcoholic beverages;
performance of heavy physical work;
taking a hot bath;
car driving.

In the postoperative period, 2-4 days after the removal of varicose veins and nodes, some patients feel pain in the legs, notice an increase in temperature. You can reduce pain or remove it completely with the help of massage, which is recommended to be performed independently. It is advisable not to spend a lot of time in bed. Any movement of the legs contributes to the fastest restoration of blood flow, an increase in the tone of the cardiovascular system.

After surgery for varicose veins of the lower extremities during the rehabilitation period, patients may be prescribed antiplatelet drugs that will prevent the formation of blood clots. This is Aspirin, Curantyl. Thin the blood injections of Heparin. In the presence of inflammatory processes or to prevent them, antibiotics may be prescribed. Some patients are advised to take pain medication to reduce the feeling of pain.

If surgical intervention was performed, the patients remained sutured at the sites of tissue incisions. You can remove them after a week, when the wounds are completely healed.

Surgery for varicose veins: consequences and complications

Most surgeries for varicose veins go well. In such cases, the patient can leave the clinic after a few hours. However, as in any rule, exceptions are possible, and after the surgical intervention, there may be unexpected troubles. Patients need to be aware of possible complications and the consequences that occur after surgery to remove varicose veins.

bruises may be noticeable for some time after the operation. Usually they disappear gradually on their own within a month. In rare cases, their traces are noticeable up to 2 - 4 months.
Skin seals in places of incisions or punctures, they will also disappear on their own after about the same time as bruises.
Pain when touching the ankle, they are observed in cases where the nerve endings are damaged during the incisions. Sensitivity of the skin returns to normal on its own without additional treatment.
Edema appear with heavy loads on the legs in the postoperative period. The patient needs to reconsider physical activity, avoid hard work.