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Treatment of varicose veins on the legs with drugs is not always effective.Varicose veins are especially difficult to cure if they are in an advanced stage.In this case, surgery is the only option to remove the disease. Classic phlebectomy, mini phlebectomy, sclerotherapy, laser removal of veins are effective methods for solving the problem of varicose veins.However, not all women who suffer from varicose veins immediately decide on one of them.Fear of surgeons and operating rooms, fear of general anesthesia and complications stop patients, so they are afraid to go to the doctor for a long time, relying on some home forms of treatment.Meanwhile, varicose veins progress and the condition worsens.
Will varicose veins "pop" again?Will I have to hide unsightly stitches after surgery?Will you really have to wear a special jersey for a year after surgery?These and other questions torment women and remain unanswered, and such an operation, necessary for the health of the legs, is postponed for months, and often years.But today, not only classic phlebectomy is performed, which is a complete surgical intervention (with general anesthesia, a long recovery period and return to normal life), but also mini-operations on veins that are performed on an outpatient basis, under local anesthesia and after which no long sick leave is required.
Choosing a treatment method for varicose veins
Any of the mentioned 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:
- Duplex 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
Various types of operations are widely practiced in inpatient and outpatient settings.Each method has its indications and contraindications, advantages and disadvantages.
Classic vein removal surgery
It is often chosen by the attending physician classic phlebectomy.
The operation is performed under anesthesia (general or spinal).During the operation, the great saphenous vein is removed along with the dilated ducts.After surgery, you will need to stay in the hospital for a few days and then at home for a few weeks.Sutures are removed 7-10 days after surgery;healing time varies individually.
An advantage classic phlebectomy is very effective in the treatment of moderate and severe varicose veins.The technique has been used for decades, has been successfully proven and has enabled millions of patients to maintain healthy legs.
Disadvantages include a long recovery period, worsening of the general condition after the operation and the inability to immediately return to the usual routine (work, driving, walking long distances), as well as an insufficient cosmetic effect that lasts for several months.
Mini-phlebectomy
Unlike classic surgery, mini phlebectomy involves removalindividual superficial affected veins through multiple small cuts or punctures.The surgeon uses small special instruments (hooks, mini scalpels).The intervention is performed at different stages of the disease and can be combined with other methods (laser removal, sclerotherapy).
Advantages of the method:
- ambulatory surgery, under the supervision of a doctor a few hours after the procedure,
- local anesthesia,
- quick healing of punctures and micro-incisions, without stitches,
- the ability to immediately return to your usual routine, as well as an excellent cosmetic effect.
After surgery, some complications are possible - hematomas in the area of incisions and punctures, skin discoloration in the area of operated veins, but generally these risks are minimal.
Laser removal
Laser removal of varicose veins (endovasal laser vein coagulation) is an innovative method that is widely used and very effective.
During intravascular (endovasal) surgery, 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, the laser beam acts on the walls of the vein, "gluing" them together.
The advantage of this method The operation is performed on an outpatient basis, under local anesthesia. Laser removal of varicose veins it 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 patch, which is removed after 8-10 days;no stitches needed.After the operation, you can live at your usual pace, almost without restrictions.
Compared to classic phlebectomy laser vein removal for varicose veins it is considered less traumatic and safe.
But it is worth noting that the method is not considered universal for the treatment of patients with varicose veins (like any other).Carrying out such an operation, such as classic vein removal, is possible only after a complete examination of the patient, taking into account all the characteristics of the course of the disease.
Choosing a clinic for the treatment of varicose veins and surgery
Conservative and surgical treatment of varicose veins is carried out today in many public and private medical centers.The clinic to which you entrust your health should have a serious reputation and experienced doctors who know different methods of vein surgery.
Classic phlebectomy, mini phlebectomy, sclerotherapy (in various variants), etc. are performed in high-tech operating rooms.It is important that the choice of method by the doctor is always strictly justified by the clinical picture and that he talks with the patient, explaining the advantages and disadvantages of the methods, the risks of consequences and possible complications.For example, in clinic for the treatment of varicose veins It is not always advisable to use minimally invasive ("light") techniques.Contraindications for it: severe varicose veins, thrombophlebitis, blood clotting disorders and others.In this case, a combined operation is performed to achieve a good result.
For doctors clinics for the treatment of varicose veins, the results of therapy and the condition of patients are very important - both in the early and late postoperative period.That's why surgeons are always in contact and ready to answer all questions that interest operated patients.
Advice from a phlebologist
Despite the choice of surgical techniques for the removal of varicose veins and the possibility of minor outpatient interventions, each operation requires a period of rehabilitation and careful health care.Therefore, from the first examination to the completion of medical supervision after surgery, you must do everything phlebologist's recommendations:
- first of all, wearing a medical jersey;special underwear is worn immediately after surgery, after phlebectomy.For the first two days, as a rule, it is recommended to wear knitwear day and night.Then, daily wearing for 3-6 weeks (as indicated by the doctor);
- after endovasal interventions (laser therapy), which are not combined with any other method, compressive therapy is not required;in the case of combined surgery, it is necessary to wear it for a month or two.For the first two days, the knitwear is left overnight.
- others phlebologist's recommendations they relate to physical activity and a healthy lifestyle, control of excess weight and changes in working conditions if it is a prolonged static load on the legs.It is necessary to walk every day for 40-60 minutes.You can add special exercises to your daily walks to strengthen veins and blood vessels.In the first two months after surgery, perform all physical exercises wearing compression stockings.Remove squats and lifting weights (dumbbells, bars) from the complex.Also, don't put too much strain on the lower abdomen.
In general, the most important condition for the successful correction of varicose veins is the cooperation of the doctor and the patient.Trusting your doctor, following all his recommendations and subsequently following the rules of prevention helps to maintain the health and beauty of your feet.