Types of operations to remove leg veins with varicose veins

Drug treatment of varicose veins of the lower extremities does not always lead to the complete elimination of the problem. Because of this, in some cases it is necessary to remove the veins in the legs in order to save the patient's life. Nowadays there are several types of surgical interventions that make it possible to make a sick person's legs healthy. Before performing the operation, you should understand all the risks of performing it, the tactics of performing it and the specifics of rehabilitation. In this case, the chance of successful treatment increases significantly.

Indications for surgery

Surgeons performing an operation to remove varicose veins

Surgery to remove veins in the legs can only be done if the disease appeared after the loose trunk type.There are currently many different minimally invasive ways to get rid of this disease. Surgical treatment of varicose veins can be recommended by the attending physician in the following cases:

  • extensive damage to a large part of the blood vessel in the leg;
  • neglected course of the disease with a developed complex of all symptoms;
  • violation of blood flow in the leg veins, which leads to a constant feeling of fatigue, heaviness and the appearance of painful sensations;
  • long-term formation and spread of chronic ulcers;
  • permanent damage to the skin in the form of trophic wounds;
  • an aggravated stage of the course of thrombophlebitis;
  • violation of the outflow of lymphatic fluid;
  • the appearance of thrombosis;
  • the appearance of necrotic phenomena of tissues adjacent to the diseased vein.

The need for surgical treatment of varicose veins should only be established by the vascular surgeon. This specialist assesses the patient's condition and can perform the appropriate operation.

Contraindications

The doctor takes into account the contraindications before prescribing surgical treatment for varicose veins

In some cases, surgical treatment for varicose veins may be contraindicated for the patient.This is mainly due to such health problems that the operation becomes the factor that significantly worsens the patient's condition. They are:

  • hypertonic disease;
  • Ischemia of the heart muscle;
  • infectious or purulent processes on the patient's skin;
  • Eczema or dermatitis;
  • Damage to the skin and nearby tissues from streptococci;
  • carry a child;
  • the baby's breastfeeding period;
  • Atherosclerosis of the lower extremities;
  • Obesity.

Age is also taken into account with varicose veins on the legs. Older patients may be denied surgery because of the high risk of consequences and the possibility of death.

Prepare the patient for vein removal surgery

Surgical treatment of varicose veins requires special training for the patient and the surgical team. First, a phlebological examination is prescribed.It consists in performing a certain type of ultrasound examination - duplex scan of the veins of the lower extremities.The results of such diagnostics directly influence which type of operation the patient will undergo - classical phlebectomy or minimally invasive surgery. This choice is very important, since in the second case the harm to the sick person will be minimal and the rehabilitation time will be significantly reduced.

In addition, in order to get rid of varicose veins in the legs using a surgical method, it is necessary to assess the patient's condition using a number of standard indicators. Among them are the following:

  • general and biochemical blood test;
  • general urinalysis;
  • Coagulogram;
  • Tests for certain infections, such as human immunodeficiency virus, acquired immunodeficiency syndrome, syphilis, and viral hepatitis;
  • EKG of the heart;
  • general examination by a family doctor.

Specialists can prescribe an operation only after analyzing all the examination data, ruling out possible contraindications and assessing the patient's condition.

The doctor should have a full list of all medications the patient has been taking recently and right before they are admitted to the hospital. This is because its components can have a strong interaction with anesthesia and cause unforeseen reactions in the human body. In addition, the patient should warn specialists about allergies.

If the preparation for vein removal surgery is done as correctly and correctly as possible, there is, in most cases, a high probability that the patient's rehabilitation will be short and successful.

Types of operations

Removal of varicose veins on the legs is currently carried out in a number of ways. Their choice mainly depends on the individual characteristics of the patient. This is because for the same person one type of surgery can have beneficial consequences while another can lead to complications. Before starting the removal of leg veins, specialists study the form of the disease, the severity of symptoms, the duration of the course of the disease and the possibility of its consequences. The cost of the operation depends directly on the type and extent of the vascular lesion.

Phlebectomy

Phlebectomy - an operation to treat varicose veins in the legs, in which the affected vein is tied off with an incision

Until recently, varicose veins of the lower extremities were most commonly surgically removed using phlebectomy. Now they are gradually moving away from it, but in some cases this is the only way to remove veins.

Phlebectomy is the most invasive and extensive operation for treating varicose veins of the legs.Because of this, the risk of consequences afterwards is relatively higher. It is done only in cases when other types of operations cannot achieve the desired effect.

Phlebectomy involves making small incisions in the patient's groin that connect the affected vein, where it opens into a larger vessel. Thereafter, the patient's skin is dissected while the veins are located. It is gradually extracted with special probes. Once the surgery is complete, doctors place sutures with self-absorbable sutures at the incision sites. In general, the operation lasts 1 to 2 hours, after which the patient has to stay in the hospital for another day.

In some cases, doctors do not remove a vein completely, but partially. This process is called stripping. It is not done with skin incisions, but with punctures. This significantly reduces the risk of adverse consequences, in addition, in this case, the patient's recovery will be much easier.

Surgery on the leg veins in the form of phlebectomy is quite expensive - the price for it depends on the degree of vascular damage.

Sclerotherapy

Sclerotherapy procedure - injection of a sclerosant into the varicose vein

Varicose veins can be treated with sclerotherapy.In this procedure, a sclerosant is inserted into a vein through a special puncture - a substance that sticks up the lumen of the vessel, thereby preventing blood flow.Over time, it is replaced by scar tissue and stops working. During this process, the symptoms of varicose veins in the sick person go away.

Correction by sclerotherapy is carried out in two ways:

  1. Echoscleropathy. An indication for such a procedure is an enlargement of the vessel lumen by more than 1 cm. In this case it is tightened to a normal level with a sclerosant so that blood can flow through it.
  2. Sclerotherapy with foam. Removing veins in this way is the safest and most painless. A special foam is placed in the lumen of the vessel, which completely blocks the movement of blood.

After sclerotherapy, there are almost no relapses of the disease. Most of the time, this procedure is carried out in several steps. The decision is made by the team of vein surgeons. Often up to 5 such operations are required.

Endovascular laser coagulation

Treatment of varicose veins in the legs with a laser

Today laser surgery on leg veins is considered one of the most innovative and technologically advanced.It can eliminate pathologies in the form of dilated vessels in almost 90 percent of all cases. The main advantage of such an operation is that it does not require incisions, which is why there are no cosmetic defects after the treatment.

Veins on the legs are removed with a laser through a small puncture through which a special light guide is inserted into the diseased vessel and emits light waves. This causes the veins to dissolve. Relapses occur in only 5 percent of patients.

Laser vein removal is similar to radiofrequency obliteration. It is done in the same way, but microwaves act on the vessels and solder the walls. Such operations are carried out even in the most severe cases of the disease.

The price for such a treatment can vary.

Possible complications after surgery

Complications and consequences of operations with varicose veins are very rare.The vast majority of these cases are due to a phlebectomy. Most often, this surgical procedure results in bruising or bleeding in areas of skin damage.

In very rare cases, patients experience an increase in body temperature after 2-3 days. This is due to the aseptic inflammatory process that occurs under the skin.

Sometimes blood accumulates and thickens in the subcutaneous space. When this happens, their clots become quite painful and hard. If the tissue around them turns reddish, it indicates a bacterial infection.

Some other possible complications from surgical interventions can also be identified:

  • Numbness of the skin and the appearance of pain;
  • bruises;
  • Swelling of the legs.

The most dangerous consequence of the operation is acute deep vein thrombosis. Most often, it occurs due to a hypodynamic lifestyle of patients and non-observance of the rules of the rehabilitation period.

Rehabilitation after vein removal surgery

The vein treatment consists of an operation and a rehabilitation phase.If, thanks to doctors, the operation can be successful, then recovery rests entirely on the patient's shoulders.He must observe the following rules:

  1. Bandage your legs with an elastic bandage.
  2. Wear knitted compression stockings.
  3. Do not lift heavy objects weighing more than 10 kg.
  4. Participate in physical education and gymnastics in moderate doses.
  5. Control your weight.
  6. Take venotonic medication.

The first three days after the operation are the most important. During this time you are not allowed to smoke, drink alcoholic beverages, lift weights, drive a car, sunbathe in the sun, and take hot baths.

prevention

In some cases, even if the operation is successful, there is a risk of recurrence. To prevent this from happening, it is worth following some preventive measures:

  1. You need to lead an active lifestyle.
  2. You should monitor your posture and not cross your legs. It is always worthwhile to be in the position necessary for the vessels of the lower extremities.
  3. It is necessary to control body weight.
  4. Coffee and tea should be consumed in moderation.
  5. In the morning you should do gymnastics for the legs.
  6. Clothing and shoes must be sized accordingly.

Lower extremity varicose veins are a dangerous disease, so it is very important to follow a correct lifestyle after leg vein surgery.

Testimonials from patients

In order not to worry about how the operation is carried out and whether with its help it is actually possible to get rid of the consequences of varicose veins, you should read some patient reviews about this procedure:

  1. She was very afraid of the operation because she didn't want to see any scars on her legs. In fact, the operation is done quite quickly and its consequences are difficult to notice after a few days. Now the legs look healthy and beautiful. Remove the damaged vein and remove the word "varicose veins" from your card.
  2. For a long time I was worried about how to decide on a treatment because I didn't know how much the operation would actually cost. In private clinics, prices are by no means low. But after she decided to trust our free medicine, she doesn't regret it. The surgeons did not pay a cent for phlebectomy of the great saphenous vein. She only gave money for the appropriate drugs and medicines.
  3. It turned out that sclerotherapy does not completely eliminate all symptoms. After the operation, you need to constantly take tablets so that the disease does not come back. Doctors warned that this might be possible if the veins were bad, but I didn't think this would happen to me. I am satisfied with the way the drugs work and the results of the surgery, but the very fact that they have to be taken is a bit depressing.