The first choice for varicose vein removal surgery-how to remove varicose veins

Types of surgical treatment for varicose veins

Varicose veins are pathological processes that affect veins, destroying their normal structure and thinning their walls.

Normally, this disease is not fatal, but if you start this process, it can become a very serious problem.

Necessity of operation

Only doctors who have studied the entire organism can determine whether surgical intervention is required. If the disease gradually begins to plague the symptoms and the vein walls begin to increase, you must seek advice.

It’s best not to reject the suggested action. In many cases, this may be the only way to get rid of varicose veins.

Indications for surgery

There are special indications for surgery to remove varicose veins, which may cause the attending doctor to recommend surgery:

  • Extensive varicose veins;
  • Pathological varicose veins are too large;
  • Clear signs of bleeding (leg swelling and high fatigue);
  • Acute thrombophlebitis;
  • Nutritional ulcers.

Surgical contraindications

There are contraindications to the removal of varicose veins. In the presence of such contraindications, any operation is strictly prohibited. These include:

  • The patient is too big;
  • Late stage of disease development;
  • Infection process with complications;
  • Ischemic heart problems;
  • Acute hypertension;
  • There are serious skin diseases (pyoderma, eczema, erysipelas, etc. );
  • Pregnant.

In cases where surgery is not possible, doctors will look for alternative methods that can affect the disease and cure it.

Veins that usually require surgery

Everyone has a venous system, which can be conditionally divided into superficial, deep and communicative connecting the first two veins.

Most blood flows through deep veins, and only about 10% of blood is transferred to subcutaneous veins.

However, they are patients who can be affected by varicose veins. If extensive redness and swelling begin to appear on the surface of the skin and the symptoms become very bright, intervention may be necessary

Preparation process

During the operation, veins damaged by varicose veins will be removed.

It should be noted that normal blood flow will not be disturbed, so there is no need to worry about surgery.

Usually, the traces disappear after a few months.

Generally, there is no need for long-term preparations before removing varicose veins.

Therefore, necessary research must be conducted to determine the state of the body.

Beforehand, it is necessary to inform the surgeon about possible allergies to various drugs and which drugs to take throughout the week.

Before the surgery, you should take a shower and shave off the limbs that will be performed on it.

Operation type

Every operation to remove varicose veins, no matter how different, will have the same list of contraindications and prescriptions.

The main difference lies in the execution method, features and differences.

Vein extraction

How to perform varicose vein extraction

Like other interventions, this intervention aims to return normal blood through the vein. The removal of the affected part usually takes no more than two hours.

Spinal anesthesia is performed at the beginning of the operation. Use a special probe to surgically remove varicose veins through an incision up to 5 mm long.

Before that, where the varicose vein flows into the deep vein, it was tied until it was severed.


It can be considered as an analogue of vein enucleation, but it is performed based on some particularities.

For example, to remove veins by puncturing instead of cutting. This can make you recover quickly and has a high cosmetic effect.

Generally, the entire operation is similar to a vein enucleation.

Peel without damage

This operation is suitable for the day when the varicose veins of the legs are removed. Initially, the probe is inserted into a small incision in the groin area.

Tie the vein and make an additional incision under the knee joint through which the affected vein can be removed. Its branches are removed through other small incisions.

The main positive difference between this intervention and other interventions is the short recovery period. Soon, the patient will be able to resume a moderately active life.

Short stripping

This type of intervention involves removing only part of the affected vein.

Short stripping surgery for varicose veins

Initially, the doctor determines the area to be removed, then performs 2 punctures on it, and then removes it by puncturing.

The intervention has a high cosmetic effect.

Usually, it is produced using a similar non-traumatic peeling technique.

Endoscopic vein anatomy

Use an endoscope to perform surgical operations, you can control the progress.

During the operation, an incision is made in the affected varicose vein and an endoscope is inserted into it.

Therefore, doctors can monitor its progress and reduce possible negative consequences by an order of magnitude.

Ligate the vein through a small incision that is carefully measured. Usually, there are no special difficulties in the intervention process, so it is successful.

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Intracavity laser coagulation

Laser coagulation is performed on the affected area using laser action. In this case, the lumen of the blood vessel will be completely closed and will be completely absorbed in the future.

The signs of this particular type of intervention are:

  • Dilation of the intravenous cavity;
  • The pathologically altered trunk vein has a straight line.
  • Signs of nutritional disorders;
  • A few veins are affected by varicose veins;
  • A large perforation fault on the tibia.

Perform vein extraction in the supine position. After marking the area to be removed, a special light guide is introduced into it.

After that, swelling anesthesia and Doppler ultrasound guided surgery will be performed.

Radiofrequency ablation

The advantage of this method is the possibility of no surgery at all. Moreover, the recovery period is short.

During the operation, a radiofrequency catheter is inserted into the trunk of the vein and an electric current is applied to its wall. The high frequency of the current allows the barrel to be sealed.

It is worth noting that doctors warned that in some cases, the effectiveness of radiofrequency ablation may be an order of magnitude lower than the effectiveness of EVLK.

Postoperative complications

Complications are unlikely to occur after surgery, but they are still possible.

Their appearance will depend on a variety of symptoms, from the condition of the veins to the ability of the skin to heal.

Of course, these factors are purely individual factors, so it is meaningless to say exactly whether symptoms are likely to occur.

It’s still worth highlighting the most common consequences of using surgery to remove varicose veins:

  1. Thromboembolism.It is assumed that the development of deep vein thrombosis and the occurrence of infection in the tissue. To prevent this phenomenon, you should end bed rest as soon as possible and strictly follow all the doctor’s recommendations.
  2. Bleeding. They usually appear during dressing and are not dangerous.
  3. Bruises.They will leave in a few weeks.
  4. Limb paincan last a few days.
  5. Temperature rise, the duration is short.

In addition, the disease may recur, because surgical intervention does not mean a cure for varicose veins, but only the affected area can be removed.

Most potential complications are only temporary measures. Danger is only the first problem, because it may lead to new interventions.

Rehabilitation measures

During the recovery process, you will need to wear an elastic bandage continuously for several weeks to ensure a good feeling of pressure, healing and prevent possible complications.

In addition, doctors may prescribe venononic drugs.

The timing of rehabilitation measures will depend on the skin condition and the stage of varicose vein disease.

After the intervention, it is worthwhile to lie in bed immediately without disturbing the legs, but the next day, after the compression bandage is done, it is not only possible, but also necessary to start walking.

It is recommended to perform physical therapy exercises to massage during the tissue recovery process after surgery.

They will significantly increase blood flow and prevent thrombosis. Exercise is especially important for the elderly, because the blood flow of the elderly is significantly slowed down.