Varicose veins on the legs manifest ugly thickening, and if men only have physical complaints, this means a significant cosmetic disadvantage for women.Conservative treatment methods only allow you to slow down the development of the disease.For all times, the defect is only eliminated surgically.Flebectomy is a traditional surgical method for the treatment of varicose veins - the exclusion of pathologically changed veins from the circulatory system to normalize it.In the process of surgical interventions, areas of changed veins with minimal blood flow are excluded.
The phleubectomy is prescribed when the patient suffers:
- Huge varicose veins;
- Heavy tiredness and swelling of the legs in the area of the lower leg, contaminated by varicose veins;
- Complications of varicose veins;
- Impaired blood drainage;
- Trophic ulcers and thrombophlebitis;
Such changes are calm for the body.The lack of problems is due to the fact that the deep veins have a slight increase in the load.
The operation in most cases results in a good result - the blood drainage comes back normally, the cosmetic defect is eliminated.People with prolonged legs are recommended to carry out such treatment.
A less traumatic method is laser phlebectomy:
- The procedure is carried out without general anesthesia;
- There is no need to make cuts in the groin area and in the popliteal area that apply seams.
- Long hospital stay is not required.
Indications for the company
The phlebectomy is assigned when the problem has accepted difficult sales, and conservative methods cannot correct the situation.The operation is a radical method to eliminate venous insufficiency if there is a risk of the formation of the formation of trophic ulcers and the development of thrombosis.
The most modern methods are used during operation to minimize damage.Additional normalization factors are:
- Use of special drugs;
- Wear of compression lines.
Phlebectomy is carried out when:
- The protruding swollen veins are clearly expressed;
- The patient has acute thrombophlebitis;
- There are trophic ulcers on both legs;
- The affected veins bleed;
- The patient has extensive varicose veins;
- The swelling of the legs almost never leaves;
- A constant feeling of tiredness.
The degree of illness and the optimal treatment method is determined by the doctor.
Restrictions for the process are rarely used:
- The risk of a disease procedure is too great.
- Modern methods are not very traumatic;
- Rehabilitation takes place without complications.
Contraindications for the company are:
- High blood pressure, coronary disease;
- Varicose veins in an advanced stage;
- Severe infectious processes in the body;
- Serious diseases of inflammatory nature (eczema);
- Advanced age;
- Pregnancy in the late stages;
- Stroke, heart attack, diabetes.
How the company takes place
The phlebologist instructs the patient to diagnostic interventions, the results of which determine the possibility of surgical treatment.Ultrasound examinations of blood vessels and veins can be prescribed (if necessary).
The most frequently carried out combined phlebectomy - you use different methods depending on the stage of development of the disease and the effects of vessels.
What the combined phlebectomy includes
The classic operating method for the treatment of varicose veins currently combines several surgical techniques.The main task is to eliminate the pathological back current (reflux).This can only be done by stopping the blood flow, which is achieved:
- Dressing;
- Removal pathologically modified areas;
- The destructive effect on the inner surface of the vessels is chemical or physical.
The main stages of the combined operation are most common and differ only in the characteristics of surgical technology.
Crossctomy
The method is used in the complicated course of the disease and ensures the cutting of a changed vein in the area in which the subcutaneous vein flows into the thighs.The league of a large subcutaneous vein and its small branches is carried out.Cosmetic seams are used after the operation.The method is independent.Such an intervention takes place after emergencies with a risk of thrombophlebitis.This is the only type of fast, small traumatic intervention with an urgent need to stop the backflow of blood.The operating volume is limited due to severe inflammation.In the event of a complex approach, surface veins are bound.
Saphenectomy
The low -invasive methodology for the treatment of varicose veins, which is prescribed in serious illnesses with the help of additional cuts and punctures, is completely removed.The excision of large veins is also used.If necessary, you can remove the ship in parts.At the end of the procedure, the punctures are closed with special ribbons.
The purpose of the operation is to eliminate the mechanism that contributes to expanding the blood vessels.The central tribes of the affected veins are removed during operation.The operation is carried out quickly and painlessly.
Negative moments:
- Longer healing of scars;
- Long rehabilitation phase;
- Scars stay on the skin.
The procedure is very effective so that the patient can do sports after him.
Strip
This is the operation of lifting veins with a thin probe.During the surgical intervention, a vein is opened and a metal probe is introduced, which enables it to separate it from other substances.With the method you can only remove a certain area of the damaged vein.
The advantage of this technology is slightly invasive.The manipulation is carried out by a small puncture (4-5 mm).Special devices are used for minimal tissue injuries.The seam remains unnoticed.The recovery phase is extremely short.
Traditional phlebectomy or laser
One of the latest methods for the treatment of varicose veins is the use of a laser beam controlled by a computer.With modern devices with special micro compounds, you can scatter the laser radiation and distribute evenly, so with the technology you can influence a high level of accuracy and offer 100% reliability.The puncture in the fabrics is small, a thin probe is reserved in the vein.Manipulation is carried out under local anesthesia, the patient does not feel any unpleasant effects.Hematomas are less pronounced according to the procedure.
How is the preparation
In order to carry out an endoscopic phlebectomy, you do not have to prepare in advance.To prepare the patient for the operation, it is sufficient:
- Shower;
- Sharpen the hair very thoroughly in the problem area.
Epidural anesthesia is used to completely rule out unpleasant sensations and pain.The duration of the company depends on the complexity and the selected exposure method.The average indicator is 3 hours.
In the absence of complications, the patient does not spend more than two days in the daily hospital.After this time he is restored at home.In fact, rehabilitation takes a little longer, and it is important to follow certain rules for the successful adoption of this phase.It is necessary to wear special compression laundry for 3 days.
You will increase the chances of quick and complete recovery:
- Light massage;
- Execution of a complex of training therapy exercises;
- Gymnastics.
Physical activity should be excluded in order not to visit pools and saunas in order not to provoke complications.In the first days after the operation, hematomas, small seals and swelling can remain on the skin.These phenomena fit into normal and don't have to worry about it.A few days later, they disappear without trace.Remove the seams on 8-9 days.A compression washing must be worn next month.An inspection is carried out 2 weeks after the operation.The next visits to the doctor and ultrasound are carried out after 2 months.
Possible complications
Complications can occur immediately or after some time after the operation.Even a small probability of such a development of events should be taken into account.
The main complications can be as follows:
- After manipulation there is no sensitivity;
- The inside of the lower leg and the ankle are deaf;
- Bleeding;
- Swelling of the foot;
- Supplement at the location of the hematoma;
- Signs of varicose veins (relapse) manifest in the immediate vicinity of the wound area;
- Change of skin color, numerous bruises;
- Swelling and pain.
In order to minimize the risk of complications, patients must comply with the doctor's recommendations.
After the operation, the doctor will inform the patient:
- How much can you run first;
- What exercises to do;
- Which physical activity is considered balanced?
- What diet.
How much does the operation of the removal of varicose veins of the lower extremities cost
In patients who are familiar with varicose veins, the problem of inexpensive and effective operation remains relevant.It is important that the manipulations are carried out without consequences and the varicose veins disappeared.In the clinic of the Russian Academy of Sciences, the doctors guarantee that the problem completely eliminate.In patients with advanced age and young people, the chances of success are equally high.Each patient can receive detailed advice and recommendations for:
- The need to carry out surgery;
- Manipulation period;
- How long will pain be;
- What time has to be spent in the hospital;
- Is it possible to get rid of scars?
If you know the answers to all interests of interest, it is much easier to agree to surgical treatment.The clinic specialists select the best option for the methodology of the procedure suitable in any case.The costs of the service are largely determined by the selected technology of its implementation.