Varicose veins are a specific vessel disease of the venous department accompanied by irregular operation of the valve and the injured outflow of blood.From Latin "varicose" can be translated as a "draft", which fully suits the visual image of the disease.Work for varicose veins of the lower extremities is the most common and more efficient treatment method.
When conservative treatment does not help
The treatment of varicose veins provides several options.In the initial phases, conservative therapy is prescribed, but sometimes even in this period may prescribe the operation.
The reasons for surgical intervention are as follows:
- Physiological pathology - is understood that the development of varicose veins does not cause a secondary factor, but precisely the characteristics of the body or heritage;
- Extreme phases of varicose veins, when conservative medicine is already powerless;
- presence of trophic ulcers in the lower extremities;
- Breach of blood circulation vessels of lower extremities, directly affects the general condition of the patient;
- Sudden blockade of blood vessels (thromboflebitis).
Contraindications
Despite the inefficiency of conservative therapy, operations are not used in all situations.
Contraindications for varicose vein operation:
- constant increase in blood pressure or tendency to this disease;
- Jake infectious pathology;
- Heavy heart disease (recently suffered heart attacks myocardial, coronary disease);
- Age more than seventy years;
- Dermatological diseases inflammatory in nature - eczema, psoriasis;
- Pregnancy (other half of the term).
In each individual case, Dr. Flekbolog also assesses the patient's condition and makes a decision on appointment of the type of varicose vein surgery.
Types of Vienna
The surgical treatment of varicose veins of the lower extremities provides for several ways to influence the focus of the problem.
Flebectomy
The most common type of surgical intervention, which provides surgical removal of varicose veins.
This method includes the application of a small cut on the skin in the field of varicose expansion expansion.After that, the affected area of the vein is completely removed.
Removing veins on your feet lasts about an hour, the patient is released from the hospital in one to two days.However, the efficiency of the method reaches a sufficiently high percentage, however, with non-complicated doctors, serious complications are possible.
Miniflebectomy
Mineflebectomy is a method for treating varicose veins, which means punching the skin in the area of lesion instead of cuts.The operation is performed under local anesthesia in the day hospital.This means that, after the end of medical manipulation, the patient goes home almost immediately.
Advantages of midiflebectomy:
- Lack of need for general anesthesia;
- Ambulances;
- Minimum contraindicate number;
- Minimum skin injuries;
- Lack of rehabilitation period.
MineteBectomy for varicose veins is often used as an auxiliary method or used in combination with other types of operations.
Sclerotherapy
Sclerosis vein on their feet - Determination of varicose surfaces using ultrasonic examination.After that, a special solution in the affected vein that glued varicose veins, preventing blood flow.Thanks to the operation, the blood of the lower extremities was renovated, and the trophic ulcers gradually heal.
There are 2 sclerotherapy methods:
- Echosclerotherapy- The operation is used for varicose veins in diameter of more than one inch.This method is based on the examination of the problem and the next entry of a special substance.Tears the lumen of the vessel, returns the bloodstream.
- The use of foam- The safest and efficient type of surgical intervention, which provides for the introduction of a special foaming substance in a varicose vein.The lumen of the vessels completely overlap, saves the patient from pathological events.
Sclerotherapy for varicose veins is used in complex form.
Removing veins with laser
The removal of varicose veins with laser is the most modern, technological and safe method of influence on varicose surfaces.The principle of operation is based on the skin break in the field of varicose vent and introduce laser light inwards.The width dissolves the area of varicose veins without consequences for the patient's body.
Laser coagulation is a type of laser paper, and the action leads to soldering varicose veins, blocking the bloodstream.
RH
RFA venom of the lower extremities - radio frequency paddown.The principle of operation is based on breaking areas of leather with subsequent ultrasonic sensor introduction.For special microwave ovens that affect varicose veins, leading to their coagulation.The positive side of the paper is the possibility of dosing waves, thus regulating the glued vein processes.
Preparation
Surgical treatment of varicose veins, regardless of the method, is sufficiently serious manipulation that provides an extensive preparatory phase:
- Inspection and consultations in the surgeon.
- The ultrasound for varicose veins is a mandatory diagnostic method that allows you to determine varicose areas.
- General blood and urine test.
- Biochemical blood test.
- Blood coagulation indicators.
- ECG.
- X -raj breasts.
- Blood pressure control.
On the eve of the operation, it is necessary to limit yourself to a mild meal, and in the morning to appear in the medical institution on an empty stomach.In order for anesthesia to not harm the body, it is necessary to provide information on allergies and possible drugs to which such a reaction may appear in advance.
Postoperative period
The postoperative period after removing varicose veins on their feet continues smoothly and in most cases without complications.Specific recommendations depend on the type of operation.For example, if after phlebectomy, the patient needs 2-3 days for recovery, and then after laser varicose vein removal returned home to the day of surgery.
Those patients need disease leave, the document is issued for a period that provides the opportunity to rejoice depending on the type of activity.If the profession is not associated with physical effort and long-term invention of a person during the day, sick leave is issued for a period of 5-7 days.By the way, confirmation of incompetence for work can have a period of up to 2-3 weeks.In each individual case, the doctor makes a decision on the basis of an indicator of the postoperative period.
Registration prevention
The operation for the treatment of varicose veins provides for a set of preventive measures:
- First days after varicose vein removal operation, you need to use elastic bandages in a breakthrough or incision field;
- Use linen compression - socks, golf;
- After surgery, limit the increase in any weight, and within six months - in the amount of no more than 10 kg;
- Limit sports in small races, walks, swimming;
- oversee excess weight;
- Over time, subject to drug therapy courses aimed at returning tons of veins and exclude formation of varicose veins;
- Timely reviews in the doctor;
- Reduce the use of coffee and tea;
- Do your legs of gymnastics;
- Use free shoes;
- More often to be in fresh air and lead a healthy lifestyle.
In the first days, after surgery for the removal of varicose veins, it is necessary to exclude the use of hot baths, heavy physical voltages, including car driving, as well as smoking and drinking liquor.
Surgical intervention costs
The price of varicose veins depends on many shades.This includes a medical exam and a complex of additional tests, which cannot be delivered.
As a rule, when testing in the same clinic in the same clinic in which surgery is planned, service costs will be lower if the manipulations were made in different places.
The question that the operation is more efficient, in this case you can safely focus on the prices.Despite the fact that the laser removal of varicose veins is the most expensive method, it is most efficient, painless and does not provide for relapse.