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Treatment of varicose veins in the legs with medications is not always effective.It is especially difficult to cure varicose veins if they are in an advanced state.In this case, surgery is the only option to eliminate the disease. Classic phlebectomy, mini-phlebectomy, sclerotherapy and laser vein removal are effective methods to solve the problem of varicose veins.However, not all women who suffer from varicose veins immediately decide on one of them.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 home treatments.Meanwhile, the varicose veins progress and the disease worsens.
Will varicose veins come back?Will I have to hide unsightly stitches after surgery?Will you really have to wear a special t-shirt for a whole 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 full-fledged surgical intervention (with general anesthesia, a long recovery period and return to normal life), but also mini-operations on veins, which are performed on an outpatient basis, under local anesthesia, and after which a long sick leave is not even required.
Choosing a treatment method for varicose veins.
Any of the listed operations, whether classic phlebectomy, miniphlebectomy, laser or sclerotherapy, is prescribed by the doctor taking into account the stage of varicose veins of the lower extremities and the condition of the patient.You cannot choose the method of removing varicose veins on your own;It is determined by the doctor after the 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 for the treatment of varicose veins.
Various types of operations are widely practiced in hospital and outpatient settings.Each method has its own indications and contraindications, pros and cons.
Classic vein removal surgery.
Very often the treating doctor chooses classic phlebectomy.
The operation is performed under anesthesia (general or spinal).During the operation, the great saphenous vein is removed along with the varicose ducts.After surgery, you will need to stay in the hospital for several days and then at home for several weeks.The sutures are removed between day 7 and 10 after surgery;Healing time varies individually.
advantage classic phlebectomy It is very effective in the treatment of moderate and severe varicose veins.The technique has been used for many decades, has proven effective and has allowed millions of patients to keep their legs healthy.
The disadvantages include a long recovery period, deterioration in general well-being after surgery and the inability to immediately return to the usual routine (work, driving, walking long distances), as well as an insufficient cosmetic effect that persists for several months.
Miniphlebectomy
Unlike classic surgery, miniphlebectomy involves the removalindividual superficial veins affected through multiple 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 removal, sclerotherapy).
Advantages of the method:
- outpatient surgery, being under the supervision of doctors for several hours after the procedure,
- local anesthesia,
- rapid healing of punctures and microincisions, without stitches,
- the opportunity to immediately return to your usual routine, as well as an excellent cosmetic effect.
After the operation, some complications are possible: bruising in the area of incisions and punctures, discoloration of the skin in the area of the operated veins, but in general these risks are minimal.
laser removal
Laser removal of varicose veins. (endovasal laser vein coagulation) 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, “sticking” them.
The advantage of this method It is to perform the operation on an outpatient basis, under local anesthesia. Laser removal of varicose veins. It can be combined with miniphlebectomy, 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 plaster, which is removed after 8-10 days;no points required.After the operation you will be able to live at your usual pace, with practically no restrictions.
Compared to classic phlebectomy laser vein removal for varicose veins 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 an operation such as classic vein removal is possible only after a complete 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 performed 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 master various methods of venous surgery.
Classic phlebectomy, miniphlebectomy, sclerotherapy (in various variants), etc. are performed in high-tech operating rooms.It is important that the doctor's choice of method is always strictly justified by the clinical picture and is discussed with the patient, the pros and cons of the methods, the risks of consequences and possible complications are explained to him.For example, in varicose vein treatment clinic It is not always advisable to use minimally invasive (“easy”) techniques.Contraindications for this: severe varicose veins, thrombophlebitis, blood coagulation disorders and others.In this case, a combined operation is performed to achieve a good result.
For doctors clinics that treat varicose veins, the results of therapy and the condition of patients are very important, both in the early and late postoperative period.That is why surgeons are always in contact and willing to answer any question of interest from operated patients.
Advice from a phlebologist.
Despite the choice of surgical techniques to eliminate varicose veins and the possibility of small outpatient interventions, any operation requires a rehabilitation period and careful attention to health.Therefore, from the first appointment to the end of the medical check-up after the operation, it is necessary to do everything possible. recommendations from a phlebologist:
- First of all, wear a medical shirt;Special underwear is worn immediately after surgery, after phlebectomy.The first two days, as a rule, it is recommended to wear knitwear 24 hours a day.Then, daily use for 3-6 weeks (according to doctor's prescription);
- after endovasal interventions (laser therapy), which are not combined with any other methods, compression therapy is not necessary;In the case of combined operation, it is necessary to use it for one or two months.For the first two days, the knitwear is left overnight.
- others recommendations from a phlebologist They relate to physical activity and a healthy lifestyle, control of excess weight and changes in working conditions if it involves prolonged static loading on the legs.You should walk every day for 40 to 60 minutes.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 weight lifting (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 subsequently following the prevention rules helps maintain the health and beauty of your feet.