Removal of veins for varicose veins

Vein removal surgery for varicose veins

Conservative therapy will help relieve the symptoms of varicose veins. Minimally invasive methods, laser therapy or classical surgery will get rid of it. If you pay attention to prevention and follow the doctor's advice, relapses will not occur after surgery.

Varicose veins are a pathology caused by thinning of the venous walls. Conservative treatment of a disturbing disease is difficult. Once an artery has dilated at least once, it will never return to its previous size. Conservative therapy helps to strengthen venous vessels and prevents the development of complications.

In severe forms of the disease, when the use of compression underwear, alternative and drug treatment ceases to help, they resort to radical treatment of varicose veins - vascular removal.

Surgery to remove varicose veins in the legs

Excessive blood flow disturbances, the presence of blood clots and the danger of their separation, venous vessels with enlarged lumen and curved bed, convex vessels are indications for phlebectomy (surgery).

Types of operations

Veins are removed by conventional surgery or minimally invasive methods.

Classical surgery is performed under general anesthesia. During the operation, the surgeon removes a large saphenous vein. In this case, the doctor must remove all his arms. Impure operation leads to relapses.

The surgeon makes deep incisions to remove the affected veins. The scars remain in place. The postoperative period is quite long, it takes a long time for the patient to recover.

Minimally invasive methods can be obtained with a minimum number of small incisions, even if there is a wide venous network in the legs. The results of these treatments are as effective as conventional surgery.

Minimally invasive treatment is performed in an outpatient setting. When performing them, the patient does not receive general anesthesia (local or spinal anesthesia is used). Because it is conscious, it does not feel pain and discomfort, and easily tolerates the removal of blood vessels.

Thanks to small incisions, the use of atraumatic tools and ultra-thin stitches, there are no scars left on the seams. They are practically invisible on the feet. In the postoperative period, a person's lifestyle remains the same as before the operation. He is able to stand up and walk. It is discharged on the second day after the procedure.

Miniflebectomy

Miniphlebectomy is a minimally invasive procedure in which the skin is not cut, but small punctures are made. This procedure is good because:

  1. Safe and less traumatic. There are no cosmetic defects after its implementation. Small punctures heal quickly without leaving a mark.
  2. It is performed under local anesthesia. This anesthesia is sufficient so that patients do not experience pain during vascular removal.
  3. It is performed in an outpatient setting. After removing the vessels in the lower extremities, patients immediately return to their daily activities.

Endosurgery

Doctors successfully treat varicose veins using high-tech methods - endoscopic surgery. Affected vessels are removed using a surgical endoscope. The optical instrument allows the separation of the incision site and the area of removal of the damaged vessel.

The surgeon performing the procedure does not cut the skin. It makes a small puncture in the epithelium, through which the venous vessel is removed. Soft tissues are practically not damaged during the procedure. Patients are easily tolerated and do not stay long in the hospital.

short peeling

With this method of vascular removal, surgical intervention on the lesions is minimal. After performing a duplex vein scan, the doctor removes only the affected part of the vein. Healthy tissues are not affected. The dressing surgeon uses an endoscope. This allows him to see the affected areas of the veins, make a small impact on the nearby soft tissues, and avoid mistakes.

Rehabilitation

After phlebectomy, doctors give individual recommendations to each patient. At the same time, they take into account the degree of disease development and surgery, the presence of complications, age characteristics and the general condition of the patient.

Appropriate medications are prescribed to relieve postoperative pain and thrombosis. Immediately after the operation, the patient is put on compression underwear that is not removed for 3 days. In the future, it is worn during the day for 2 months.

Ask your doctor - what are the best compression tights to choose for varicose veins after surgery (products differ in the level of compression). They will help prevent relapses in the postoperative period.

To prevent complications, in the first week and a half, patients are forbidden to overload the arteries of the legs. Do not go to the sauna and gym, do physical training and aerobics. Water procedures begin after the stitches are removed, and you can ride a bike 6 months after the operation.

In the future, patients should follow preventive measures. Thanks to them, it will be possible to prevent relapse. Moderate physical activity helps restore blood flow in the arteries. Patients are advised to walk comfortably, swim, do light massages and therapeutic exercises, stretch their legs, do yoga and aqua aerobics.

Laser treatment of varicose veins

A radial light guide is used to perform the procedure. The instrument is inserted into a vein and a small puncture is made in the skin. As soon as the light guide reaches the focus, the laser begins to emit thermal radiation. Under its influence, the venous vessel is sealed and blood flow is reduced.

The cast vein is replaced by connective tissue, gradually dissolving. At the same time, blood circulation does not suffer (blood is redistributed through healthy blood vessels). There is no shortage of nutrients in nearby tissues. The newly established blood flow provides them with complete nutrition.

The duration of laser treatment is 40 minutes. The procedure is painless. After that, patients leave the clinic voluntarily. They can start work that requires their immediate presence.

Endovasal laser coagulation (EVLK)

The procedure is performed by continuous ultrasound examination of the walls of venous vessels. Under the influence of laser radiation, the pathologically enlarged lumen closes. The vein is not removed, after a while it will thicken and dissolve. They do not damage the skin using a laser, do not leave cosmetic defects on it. EVLT is used to treat patients with severe trophic changes in the skin.

Sclerotherapy

With sclerotherapy, the walls of the arteries with excessive dilation of the lumen are treated with a drug that can stick the arteries together. Obliteration and adhesion of the venous walls occur after the application of sclerosing drugs. Thrombosis does not occur.

Sclerotherapy is performed without anesthesia. After that, there are no scars and scars. In one procedure, all areas affected by the disease are removed.

sclerotherapy to remove varicose veins

How to treat varicose veins without surgery

For non-surgical treatment of varicose veins, sclerotherapy, laser and complex conservative therapy are used, which can stop the disease. It is impossible to completely cure varicose veins without surgery.

Conservative treatment of early varicose veins is effective. It is prescribed to patients with contraindications to surgery due to age or concomitant diseases. Varicose veins during pregnancy can be treated only with conservative methods.

Conservative methods include treatment of varicose veins with leprosy and folk remedies, drug and compression therapy, massage and therapeutic exercises, diet.

Uncomplicated varicose veins are treated with elastic compression. An elastic bandage is applied to the lower extremities. In this case, compression underwear is an excellent alternative to bandages. It is much more comfortable to wear. Socks, stockings and tights differ in the level of compression. Their choice depends on the course and stage of the disease.

Early forms of the disease are treated using various drugs for varicose veins for local and internal use. Venotonics and blood thinners are prescribed to eliminate varicose veins. Thanks to them, they get rid of edema, cramps and pain syndromes.

The phlebologist develops an individual treatment regimen for each patient. Determines the necessary drugs, determines their dose and duration of treatment.

A phlebologist prescribes both external medications (gels, ointments, creams) and tablets for varicose veins.

If the vascular surgeon insists on surgery, do not despair. Minimally invasive surgeries will save you from varicose veins. You will restore easy walking.

18.02.2022