What surgery should be preferred for varicose veins - how to remove varicose veins

Types of surgical treatment of varicose veins

Varicose veins are a pathological process that affects the blood vessels, disrupts their normal structure and thins their walls.

This disease is not generally fatal, but once it starts, it can become a very serious problem.

Necessity of operation

The need for surgery can only be determined by a doctor based on a study of the whole organism. If the disease begins to worry about the symptoms, the walls of the arteries begin to grow, it is necessary to seek advice.

It is better not to reject the proposed operation. In many cases, it may be the only way to get rid of varicose veins.

Operating Instructions

There are special instructions for surgery to remove varicose veins, which may prompt the attending physician to recommend surgery:

  • wide varicose veins;
  • extremely large pathological varicose veins;
  • bright signs of blood flow (swelling and high fatigue of the legs);
  • acute thrombophlebitis;
  • trophic ulcers.

Contraindications to surgery

There are also contraindications to the removal of varicose veins, any operation is completely contraindicated. These include:

  • the patient is very old;
  • final stage of disease development;
  • complicated infectious processes;
  • ischemic heart problems;
  • acute hypertension;
  • presence of serious skin diseases (pyoderma, eczema, erysipelas, etc. );
  • pregnancy.

When surgical treatment is not possible, the doctor is looking for alternative methods of treatment that can affect the disease and cure it.

Which vessels generally require surgery

Every human being has a superficial, deep, and communicative vascular system that conditionally connects the previous two.

Most of the blood flow passes through deep veins and only about 10% is directed to the subcutaneous veins.

However, these are the ones that can be affected by varicose veins. Extensive deposits began to appear on the surface of the skin and the symptoms became very bright, may require intervention

Prepare for the procedure

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

It should be noted that there is no disruption of normal blood flow, so there is no need to be afraid of surgery.

As a rule, it disappears after a few months.

As a rule, the removal of varicose veins does not require long-term preparation for surgery.

Thus, the necessary research is carried out to determine the condition of the body.

The surgeon should be informed in advance of possible allergies to various medications, as well as what medications are taken during the week.

Immediately before the operation, you should take a shower and shave the affected area.

Types of operations

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

The main differences will be in the style of implementation, characteristics and differences.


How to perform phlebectomy for varicose veins

This intervention, like others, will aim to restore normal blood flow through the arteries. Removal of affected parts usually takes no more than two hours.

Spinal anesthesia is performed at the beginning of the operation. A vein with varicose veins is surgically removed through incisions of up to five millimeters using a special probe.

Previously, where the varicose vein flows into a deep vein, it closes and only then is it cut.


It can be considered an analogue of phlebectomy, but it is performed according to some features.

For example, a vein is removed through a puncture, not an incision. This allows for a quick recovery period and a high cosmetic effect.

In general, the whole operation is similar to phlebectomy.

Atraumatic stripping

This operation is intended for the day of removal of varicose veins in the legs. First, a probe is placed through a small incision in the groin area.

The vein is closed, and an additional incision is made under the knee joint where the affected vein is removed. The branches are removed through other small incisions.

The main positive difference of this intervention from others is that the rehabilitation period is very short. The patient will soon be able to return to a moderately active life.

Short peel

This intervention involves the removal of only part of the affected vessel.

short peeling operation for varicose veins

First, the doctor determines the area to be removed, then 2 holes are drilled and removed through them.

The intervention has a high cosmetic effect.

It is generally produced using a technology similar to atraumatic peeling.

Endoscopic Vascular Dissection

Surgical intervention uses an endoscope to control its development.

During the operation, an endoscope is inserted into the affected varicose vein.

Thanks to this, the doctor monitors his progress and minimizes the possible negative consequences with a large command.

The vessel is closed with a carefully measured small incision. In general, there are no special difficulties in the intervention process, so it is successful.

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Endovasal laser coagulation

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

An indication of this particular type of intervention:

  • dilation of the lumen in the vessels;
  • pathologically altered trunk vessels have a straight path;
  • symptoms of trophic diseases;
  • a small number of arm veins affected by varicose veins;
  • Large perforated defects on the tibia.

Vascular removal is performed during sleep. After marking the extracted area, a special light guide is inserted into it.

This is followed by surgery under swollen anesthesia and Doppler ultrasound.

Radio frequency ablation

The advantage of this method is that it is not operated at all. Also, the rehabilitation period is very short.

During the operation, a radiofrequency catheter is placed in the vessel body, with the help of which a current is injected into the walls. The high frequency of the current allows the barrel to be sealed.

It should be noted that doctors warn that in some cases the effectiveness of radiofrequency ablation may be a lower order than EVLK.

Postoperative complications

Postoperative complications are unlikely, but still possible.

Their appearance will depend on a number of symptoms, from the condition of the blood vessels to the ability of the skin to heal.

Of course, these factors are completely individual, so it is pointless to say for sure whether symptoms are possible.

Again, it is worth noting the most common results of varicose vein removal using surgery:

  1. Thromboembolism.Involves the development of thrombosis in the deep layers of blood vessels and the occurrence of infection in the tissues. To prevent the phenomenon, you should stop bed rest as soon as possible and strictly follow all the recommendations of your doctor.
  2. Bleeding. They are generally visible during dressing and are not dangerous.
  3. Caries.They leave in a few weeks.
  4. limb paincan last for several days.
  5. Short-term
  6. Temperature rise.

In addition, recurrence of the disease is possible, because surgery does not mean treatment of varicose veins, but only allows the removal of the affected parts.

Most of the potential complications are only temporary measures. Danger is only the first problem, because it can lead to new interference.

Rehabilitation measures

During the recovery process, you will need to wear an elastic bandage that lasts for several weeks to ensure good compression, healing, and prevention of possible complications.

In addition, your doctor may prescribe venotonic drugs.

The timing of rehabilitation measures will depend on the condition of the skin, as well as the stage of damage to varicose veins.

Immediately after the intervention, it is worth staying in bed and not bothering your feet, but the next day, when a compression bandage is applied, it is not only possible, but also to start walking.

It is recommended to do physiotherapy exercises and massage in the process of tissue regeneration after surgery.

They will significantly increase blood flow and prevent blood clotting. Exercise is especially important for the elderly, because it significantly slows blood flow.