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Treatment of varicose veins on the legs with medications is not always effective.It is particularly difficult to cure varicose veins if they are in an advanced stage.In this case, surgery is the only option to eliminate the disease. Classic phlebectomy, mini-phlebectomy, sclerotherapy, laser ablation of veins are effective methods for solving the problem of varicose veins.However, not all women suffering from varicose veins immediately decide to choose one.Fear of the surgeon and the operating room, fear of general anesthesia and complications stop patients, so they are afraid to go to the doctor for a long time, relying on some forms of home treatment.During this time, varicose veins progress and the situation gets worse.
Will varicose veins “reappear”?Should I hide unsightly stitches after surgery?Will you really have to wear a special jersey for a year after the operation?These and other questions torment women and remain unanswered, and such an operation, necessary for the health of the legs, is postponed for several months or even years.But today, not only classic phlebectomy is carried out, which is a full-fledged surgical intervention (with general anesthesia, a long recovery period and return to normal life), but also mini-operations on veins, which are carried out on an outpatient basis, under local anesthesia, and after which a long leave from work is not even necessary.
Choosing a method of treating varicose veins
Each of the listed operations, whether it is classic phlebectomy, mini-phlebectomy, laser or sclerotherapy, is prescribed by the doctor taking into account the stage of varicose veins of the lower extremities and the patient's condition.You cannot choose the method of removing varicose veins yourself;it is determined by the doctor after examination:
- Double-sided scanning of the vessels (veins) of the lower extremities is universal and informative,
- X-ray contrast venography and computed tomography methods are rarely used in complex diagnostic cases.
Features of surgical methods of treating varicose veins
Different types of operations are widely performed in inpatient and outpatient settings.Each method has its own indications and contraindications, advantages and disadvantages.
Classic vein removal surgery
Very often, the attending physician chooses classic phlebectomy.
The operation is carried out under anesthesia (general or spinal).During the operation, the great saphenous vein as well as the varicose veins are removed.After the operation, you will need to stay in the hospital for several days, then at home for several weeks.The sutures are removed 7 to 10 days after surgery;Healing time varies individually.
Advantage classic phlebectomy is very effective in the treatment of moderate and severe varicose veins.The technique has been used for many decades, has proven itself and has allowed millions of patients to maintain healthy legs.
The disadvantages include a long recovery period, deterioration in general well-being after surgery and the inability to immediately return to your usual routine (work, driving, long walking distances), as well as insufficient cosmetic effect that persists for several months.
Mini-phlebectomy
Unlike traditional surgery, mini-phlebectomy involves removingindividual affected superficial veins through several small incisions or punctures.The surgeon uses small special instruments (hooks, mini-scalpels).The intervention is carried out at different stages of the disease and can be combined with other methods (laser ablation, sclerotherapy).
Advantages of the method:
- outpatient surgery, under the supervision of doctors for several hours after the procedure,
- local anesthesia,
- rapid healing of bites and micro-incisions, no stitches,
- the ability to immediately return to your usual routine, as well as an excellent cosmetic effect.
After the operation, some complications are possible - hematomas at the site of incisions and punctures, discoloration of the skin at the site of the operated veins, but in general these risks are minimal.
Laser Removal
Laser removal of varicose veins (endovasal laser coagulation of veins) is an innovative, widely used and very effective method.
During an intravascular (endovasal) operation, a small incision or puncture is made in the skin: under ultrasound guidance, a long light guide is inserted through a catheter into a vein.Through it, a laser beam acts on the walls of the vein, “gluing” them together.
The advantage of this method consists of carrying out the operation on an outpatient basis, under local anesthesia. Laser removal of varicose veins can be combined with mini-phlebectomy, sclerotherapy and provides an excellent cosmetic effect, which is very important for women of any age.The catheter insertion site is sealed with a special dressing, which is removed after 8-10 days;no points are required.After the operation, you can live at your usual pace, practically without any restrictions.
Compared to classic phlebectomy laser vein ablation for varicose veins considered less traumatic and safe.
But it should be noted that the method is not considered universal for treating patients with varicose veins (like others).Carrying out such an operation, like classic venous ablation, is possible only after a comprehensive examination of the patient, taking into account all the features of the course of the disease.
Choosing a clinic for varicose vein treatment and surgery
Conservative and surgical treatment of varicose veins is practiced today in many public and private medical centers.The clinic to which you entrust your health must have a serious reputation and experienced doctors who have mastered various methods of vein surgery.
In high-tech operating rooms, classic phlebectomies, mini-phlebectomies, sclerotherapies (in various variations), etc. are performed.are carried out.It is important that the choice of method by the doctor is always strictly justified by the clinical picture and is discussed with the patient, the advantages and disadvantages of the methods, the risks of consequences and possible complications are explained.For example, in varicose vein treatment clinic It is not always advisable to use minimally invasive (“easy”) techniques.Contraindications to this: severe varicose veins, thrombophlebitis, blood clotting disorders and others.In this case, a combined operation is performed to obtain a good result.
For doctors clinics treating varicose veins, the results of treatment and the condition of patients are very important - both at the beginning and at the end of the postoperative period.That is why surgeons are always in touch and ready to answer all questions of interest to operated patients.
Advice from a phlebologist
Despite the choice of surgical techniques to eliminate varicose veins and the possibility of minor outpatient interventions, any operation requires a rehabilitation period and special attention to one's health.So, from the first appointment until the end of medical follow-up after the operation, you must do everything recommendations of a phlebologist:
- first of all, wear a medical shirt;special underwear is worn immediately after surgery, after phlebectomy.As a rule, the first two days it is recommended to wear knitwear around the clock. Then wear daily for 3-6 weeks (according to the doctor's instructions);
- after endovasal interventions (laser therapy), which are not combined with any other methods, compression therapy is not necessary;in the case of a combined operation, shipping is required for a month or two.The first two days the knitting is left overnight.
- others recommendations of a phlebologist relate to physical activity and a healthy lifestyle, control of excess weight and changes in working conditions if this involves prolonged static load on the legs.You should walk for 40 to 60 minutes every day.You can add special exercises to your daily walks to strengthen your veins and blood vessels.For the first two months after surgery, perform all physical exercises wearing compression stockings.Remove squats and weightlifting (dumbbells, barbells) from the complex.Also, don't put too much pressure on your lower abdomen.
In general, the most important condition for successful correction of varicose veins is the cooperation of the doctor and the patient.Trusting your doctor, following all his recommendations and then following the rules of prevention allows you to maintain the health and beauty of your feet.