remove varicose veins

varicose vein removal surgery

Conservative therapy will help relieve the symptoms of varicose veins. Minimally invasive techniques, laser therapy or classic surgery will get rid of it. As long as you pay attention to prevention and follow the doctor's advice, there will be no recurrence after surgery.

Varicose veins are a pathology of thinning of the walls of veins. An annoying disease that is difficult to treat conservatively. Once a vein is dilated at least once, it never returns to its original size. Conservative therapy helps strengthen the veins and inhibit the development of complications.

In severe forms of the disease, when the use of compression underwear, alternative therapies, and medication is no longer helpful, they turn to curative treatment for varicose veins—removal of the veins.

Surgery to remove varicose veins in the legs

Excessive disturbance of blood flow, presence of thrombus and threat of separation, enlarged and tortuous venous vessels, varicose veins are indications for phlebectomy (surgery).

Operation type

The vein is removed using traditional surgery or minimally invasive techniques.

Classic surgery is performed under general anesthesia. During surgery, the surgeon removes the saphenous vein. In this case, the doctor needs to remove all its tributaries. Unclean operations can lead to recurrence.

To remove the affected vein, the surgeon makes a deep incision. Scars stay in their place. Post-operative time is longer and patients take a long time to recover.

Minimally invasive technology, even with an extensive network of veins in the leg, can get through with a minimal number of small incisions. The results of these treatments are as effective as conventional surgery.

Minimally invasive treatment is performed in an outpatient setting. The patient will not be under general anesthesia (using local or spinal anesthesia) when these procedures are performed. Consciously, he does not experience pain and discomfort and easily tolerates vein removal.

The sutures do not leave scarring due to the small incision, the use of atraumatic instruments and ultra-thin sutures. They are almost invisible on the legs. A person's lifestyle during the postoperative period is the same as before surgery. He is able to stand and walk. He was discharged on the second day after the operation.

venule resection

Veneectomy is a minimally invasive procedure in which the skin is not cut, but a small puncture is made in it. This process is fine because:

  1. Safe and minimally invasive. After implementation, no cosmetic defects were left. Tiny punctures heal quickly and leave no marks.
  2. It is performed under local anesthesia. This anesthesia is sufficient so that the patient does not feel pain during the vein removal procedure.
  3. performed in outpatient clinic. After the lower extremity veins were removed, the patient resumed daily activities immediately.

Internal Medicine

Doctors have successfully treated the leg veins using a high-tech method called endoscopic surgery. The affected vein is removed using a surgical endoscope. Optical instruments allow you to separate the incision site and the resected area of the damaged blood vessel.

The surgeon does not cut the skin when performing this procedure. He made a small puncture in the epithelium through which the veins were removed. During the procedure, the soft tissue is hardly injured. Patients are easy to tolerate and do not stay in the hospital for too long.

short peel

Using this method of vein resection, surgical intervention on the lesion is minimal. After a double vein scan, the doctor removes only the affected part of the blood vessel. Healthy tissue is not affected. The surgeon performing the dissection uses an endoscope. This allows him to see the affected area of the vein, slightly affect the nearby soft tissue, and avoid mistakes.

recovery

After a phlebectomy, your doctor will provide individualized advice to each patient. At the same time, they took into account the degree of disease progression and surgical intervention, the presence of complications, age characteristics and the general condition of the patient.

To reduce postoperative pain and thrombosis, appropriate medications are prescribed. Immediately after the operation, the patient was put on elastic underwear, which was not taken off for 3 days. Wear it during the day for 2 months.

Ask your doctor - what are the best compression tights to choose for varicose veins after surgery (products vary in degree of compression). They will help you avoid recurrence after surgery.

To avoid complications, during the first week and a half, patients were prohibited from overloading the blood vessels in the legs. Don't go to the sauna and gym, do sports and cardio. After the sutures were removed, the drainage surgery was started, and a bicycle was allowed for 6 months after the operation.

In the future, patients must observe precautionary measures. Thanks to them, it is possible to avoid relapses. Moderate physical activity helps restore blood flow in the veins. Patients are advised to take leisurely walks, swim, do light massage and therapeutic exercise, stretch their feet, do yoga, and do water aerobics.

Laser treatment for varicose veins

To perform this procedure, radial light guides are used. The instrument is inserted into a vein to make a small puncture in the skin. Once the light guide reaches the focal point, the laser starts emitting thermal radiation. The veins affected by it are blocked and blood flow is reduced.

Welded veins are replaced by connective tissue, which gradually recedes. At the same time, blood circulation is not affected (blood is redistributed through healthy blood vessels). Nearby tissues are not deficient in nutrients. The newly established blood flow provides them with adequate nutrition.

The duration of the laser treatment is 40 minutes. The procedure is painless. Patients leave the clinic on their own. They can immediately get to work on business that requires their presence.

Endovascular Laser Coagulation (EVLK)

The procedure is performed by successive ultrasound scans of the venous vessel wall. The pathologically enlarged lumen is closed under the action of laser radiation. The vein is not removed, it thickens and subsides after a while. With lasers, they do not harm the skin or leave cosmetic imperfections on the skin. EVLT is used to treat patients with severe nutritional changes in the skin.

Sclerotherapy

With sclerotherapy, the walls of the veins with an overly dilated lumen are treated with drugs that bind the blood vessels together. After the introduction of sclerotherapy, occlusion and adhesions of the vein walls occur. No thrombus formation.

Sclerotherapy is performed without anesthesia. After it, there are no scars and scars. In one procedure, all areas that the disease has managed to affect are removed.

Sclerotherapy to remove varicose veins

How to Heal Varicose Veins Without Surgery

For the treatment of varicose veins, without surgery, sclerotherapy, lasers and complex conservative treatments can be used to stop the progression of the disease. It is impossible to completely cure varicose veins without surgery.

Conservative treatment is effective for early varicose veins. It is suitable for patients who are contraindicated for surgery due to age or concomitant diseases. Varicose veins can only be treated conservatively during pregnancy.

Conservative approaches include leeches and folk remedies for varicose veins, medication and compression therapy, massage and therapeutic exercises, and diet.

Simple varicose veins are treated with elastic compression. Apply an elastic bandage to the lower extremity. In this case, compression underwear is an excellent alternative to bandages. Much more comfortable to wear. Stockings, stockings, and tights have different levels of compression. Their choice depends on the course and stage of the disease.

The initial form of the disease is treated with a variety of varicose vein preparations for topical and internal use. To get rid of varicose veins, IVs and blood thinners are prescribed. Thanks to them, they got rid of edema, cramps and pain syndrome.

A phlebologist develops an individual treatment plan for each patient. He prescribes the necessary drugs, sets the dose and determines the duration of treatment.

A phlebologist prescribes topical medications (gels, ointments, creams) and tablets to treat varicose veins.

Don't be discouraged if the vascular surgeon insists on the procedure. Minimally invasive surgery will save you from varicose veins. You will regain an easy gait.

18.02.2022