During most of the 20th century, a combined phlebectomy was regarded as a gold standard for the surgical treatment of varicose veins, in which the damaged veins were completely removed together with adjacent tributal flows. Now this technology is considered outdated. It was replaced by new modern methods for the treatment of varicose veins. With their help, they can treat patients on an outpatient basis and not violate their habitual lifestyle for them.
The treatment of varicose veins at home, folk remedies and/or tablets from varicose veins cannot radically solve the problem. In this article we will only talk about surgical methods to get rid of veins on the legs.
What is a combined phlebectomy and what are your defects?
A combined phlebectomy is an operation to remove the damaged vein, which is carried out by a skin section under general or spinal anesthesia. During the operation, the surgeon first distinguishes the subcutaneous vein on the fuselage at the place of its confluence to deep. The blood vessel and the tributaries in this place are bound and crossed. The doctor then removes the interrupted veins and tributaries of the main vein. The operation takes about two hours, according to which the patient stays under the supervision of doctors in a hospital for about a week.
The combined phlebectomy has a number of considerable disadvantages:
- Great traumatic surgical intervention;
- A long rehabilitation period - the patient is unable for up to three months;
- Large scars and scars remain in the place of surgical manipulations;
- There is a risk of serious complications from which the most dangerous lung artery is thromboembolism.
Many people who have undergone the operation to remove veins are confronted with an impaired sensitivity of the skin of the limbs. In some of them, the sensitivity is completely lacking, in others, even the touch of clothing causes severe pain.
Currently, the combined phlebectomy is often used to treat patients in municipal hospitals in the regions. In large medical centers, innovative techniques were replaced by EVVLK (Endeosis laser cagulation (sponge) of veins), Rchuis (radio frequency deflection), sclerotherapy, mini -fleeing bectomy, mechanochemical and adhesive feed feed from Ven.
Advantages of modern methods of surgical treatment of varicose veins
The treatment methods mentioned above are more effective for the patient and less dangerous compared to the classic combined phlebectomy. These methods have several advantages:
- Most of the time, the patient is not admitted to the hospital - after a few hours and immediately after the company he goes home.
- There are no ugly scars and scars on the skin;
- During the operation, the patient is conscious;
- There is no long rehabilitation - you can return to the usual lifestyle the next day and run on the same day;
- The infection risks are minimal.
Endovasal laser coagulation of veins (EVLK) - removal of veins with a laser
Laser coagulation is one of the thermal methods for the treatment of varicose veins. During the operation, the doctor makes a small puncture on the skin of the limbs, which introduces a light conductive fiber under the control of the ultrasound in Vienna. The venous wall heats up under the influence of a laser beam, the vein is scarred. As a result, a pathological (perverted) blood flow stops, and in six months or a year a shortened vein will be absorbed.
Laser coagulation is used to treat varicose veins in different stages. The operation does not last longer than an hour, in most cases it only takes 30 minutes.
EVLK advantages:
- The procedure does not require hospital instruction and long -term preoperative preparation.
- The skin does not cut, which means that there will be no ugly scars;
- All consumables, including lamps, disposable - the risk of infection is reduced to almost zero.
The next day after the operation, the person goes to work, and the usual physical exertion can return a bath or sauna after 2-3 weeks. For comparison, rehabilitation after classic phlebectomy will take about three months.
Radio frequency prison (Rchu) veins
The radio frequency prison (RFO) of the veins is understood as an operation that is carried out with a special device that emits the radio frequency of certain parameters. The doctor makes a special syringe a puncture of the vein through which the adapter introduces. It introduces a radio frequency catheter with sensors into the desired area through it.
A high frequency current is delivered to the inner surface of the damaged vein, under whose influence the venous release is removed. The catheter only works in a vein, the adjacent substances are not affected.
The advantages of Rchu:
- The operation does not take much time - usually not longer than 40 minutes;
- To treat the damaged vein with a high frequency current, you only need a small puncture.
- After the operation there are no scars;
- Most people have no pain during manipulation, so the operation is carried out without anesthesia.
- No hospital stays are required after the procedure.
Against the background of the conventional phlebectomy, the number of complications after radio frequency dams is extremely low. A deep venous thrombosis only occurs in 0, 1% of cases, so RCH is considered one of the safest methods for the surgical treatment of veins and EVLK.
Today EVLK and RFO are the gold standard among all modern methods of surgical treatment of varicose veins.
Sclerotherapy in the treatment of venous diseases
Sclerotherapy is a method for removing varicose veins by introducing a damaged vessel of a sclerosing solution or a foam into the lumen. Under its influence, the vein point is "glued", the pathological blood flow stops on it. In the future, the processed vein will be transformed into a fibrous fabric and is absorbed.
Advantages of sclerotherapy:
- Low, compared to EVLK and RFO, the costs of the procedure;
- There is no long -term preoperative preparation;
- Hospital stay is not required - the procedure is carried out on an outpatient basis.
- General anesthesia is not required - manipulations are almost painless for most patients;
- Low risk of complications.
Sclerotherapy is effective in different stages of developing the disease. In many cases, the method can be combined with EVVK and RFA, but the costs of the operation are higher.
Paneling of Venen
This method for treating varicose veins is one of the latest. His essence is that a special glue is inserted into the patient's lumen, which leads to gluing the walls of the veins. After such an intervention, the painful vein immediately stops breaking the venous blood flow and is completely absorbed over time.
The advantages of the methodology are:
- The procedure is carried out on an outpatient basis
- Do not need compression tricks after the intervention
- There is no need to carry out anesthesia
- It is carried out after 1 puncture
The following include the following:
- The procedure cannot be carried out by all people
- Pretty high price.
Finally via modern methods for the treatment of varicose veins
The method of surgical treatment is selected by the doctor. At the same time, we take into account the state of health and the characteristics of the pathological process. All methods have their advantages and disadvantages. One person can either use a modern method for treating varicose veins or their combination. It depends on the characteristics of the structure of the veins, the type and stage of the course of varicose veins. Error an appointment with a phlebologist to get competent advice and choose the correct tactics of the treatment of your illness.