In most cases conservative treatment is not effective, this should be performed surgery. This they do in such cases:
- extensive varicose veins, which occupies the largest part of vienna?
- acute phlebothrombosis or thromboembolism;
- incorrect expansion of subcutaneous veins?
- the presence of edema in the legs?
- violation of the circulation of blood in the venous system?
- food progressive wounds, which are not amenable to medical treatment?
- chronic fatigue of the legs, and a traffic violation.
Restrictions and contraindications
Unfortunately, there could be no surgery, despite the severity of the disease. Surgery is not performed in cases of:
- function status of the disease, when surgery will not give effective results?
- concomitant essential hypertension grade 3, Ikhs it?
- sepsis or other inflammatory and infectious processes in the body?
- age age greater than 75 years?
- pregnancy 2 and 3 quarter?
- diseases of the skin in the period of exacerbation (eczema, contact dermatitis, rózsa, and others).
The types of businesses in the veins of the lower limbs
Today medicine can offer multiple options operations on varicose veins of the lower limbs:
- complete removal of a vein or phlebectomy for?
- removal of the affected areas of vienna or mikroflebektomiyu it?
- technology laser coagulation with the help of a laser knife?
- radio frequency ablationem it?
- sclerotherapy it?
- Phlebotomy.
Miniflebektomiya
Refers to mild microinvasive operational interventions, which removed the damaged sections of the ship.
The advantage of this method is the absence of occurrence of postoperative complications, as the surgery is performed through small holes.
This reduces the recovery period and increases the aesthetic result.
Laser removal
So passing the treatment of varicose veins with the help of laser Expensive operation which is based on the removal of small varicose veins using a laser knife. The substance of the transaction in exposure to laser beams in the vessel, with the result that the blood coagulates and the vessel closes and is removed. In the future vienna to be resolved.
Advantages of operation in case of absence of surface defects and a short recovery period. Immediately after surgery, the patient can go home on foot.
The radiofrequency ablation
The method is an improved version of the previous fashion, the less dangerous and traumatic than the existing ones.
Thanks to this, you can delete the veins of any caliber by the varicose sites, without the use of anesthesia. The recovery period is not necessary, because in two weeks you may be actively running.
But it is worth noting that in some cases the result is not better than after laser removal.
Neuropathy compression sclerotherapy
This method is difficult to mention functional. At its heart is the use of sclerosant – specific substances, which when introduced into the vessel converts to a fibrous fly. Injections are several times and only the veins of small caliber.
For the conduct of the sclerotherapy doesn't need anesthesia, it is mainly used in those who have anesthesia intolerance. But that requires a long recovery period. Patients necessarily wear a compressive knitted or crocheted not less than 3 months.
Results of the surgery
After surgery on the veins of the lower limbs possible complications for which surgeons take care to warn their patients in advance. All these complications occur at different stages of carrying out the manipulation and depends on factors:
- way for surgery?
- stage neglect of the process and the amount of robot?
- the choice of anesthetic and method of administration.
Depending on these factors, the probability of complications is different, and techniques to deal with them. Of course, the traumatic and risky of the techniques is phlebotomy. Because offendimus all the fabrics of the lower limbs, a high probability of complications. The most basic of them:
- the aseptic inflammation of the skin around the stitches?
- the formation of heavy weight in which builds up the blood, with redness, pain, sense?
- secondary inflammatory processes for the integration of bacterial infection?
- bleeding from the wound?
- significant swelling due to trauma of the lymphatic vessels and nodes in the groin area?
- thromboembolism system venous thrombosis in the investigation of the standing of bed rest without preventive activities, use of compression stockings, minimal motor activity and drugs, improves blood rheology);
- bruises and exasperatur seams in the area of surgery?
- relapse and the progress of the disease.
Actions during the first few days after surgery
Once the patient wakes up after anesthesia, you need to move the edges as possible. In services, the exercise enters the rotation on the knee and the ankle of the knee, flexion and extension of leg. The main thing is not to overdo it, to not make things worse.
On the second day of the surgery they bandage, after which they wear a special knitted underwear or tight bandaging of the feet.
The edges preferably the elevator, to improve the circulation of blood. In any cases, the components are not watering, as well as visiting the baths, as they can dissolve the seams. If the patient is shivering, it is worth to take a non-steroidal anti-inflammatory drugs, then be sure to consult your doctor. In cases of oedema of the feet, it is desirable to reduce the physical loading.
9-10 days stitches are usually removed. Then assigned a private restoration. Full recovery occurs depending on the stage of the disease and the physical condition of the individual.
- Lifestyle change and physical activity of patients?
- Correct diet after the surgery?
- Neuropathy compression therapy in the postoperative period.
Lifestyle change and physical activity of patients
Given that one of the main reasons of varicose veins is physical inactivity, for quick restore and recovery are the walking outdoors every night, especially physical exercises without weights, walking on the "socks" and "heels", cycling, circular movements on the joints of the lower extremities, exercises of type "scissors", as well as a foot massage and sound sleep.
Correct diet after surgery
Excess weight contributes to the relapse and progression of the disease in that, if the patient suffers from obesity, you need to change your diet: caloric reduction, the food is diverse, the nutritional change. It is preferable to eat only lean meat, seafood and marine fish, dairy products, cereals, fruits, vegetables, berries and nuts. On the same day to have a drink close to 2 liters of ordinary water.
What else do I need to remember patients
Patients need to remember that education seam going on for over 3 months. Then formed a scar. In this space should carefully relate to operated section ends:
- Don't rub the place of business rough and hard sponges during the shower, as well as to use cosmetic scrubs. To this end, use soft sponges or simply wash your hand.
- The water while swimming should be warm.
- It's not worth to try to remove the iodine, Zelenka, or other bright antiseptics for a time, this will cause unnecessary friction.
- If the seam position itching, apply over the iodine, will offer antiseptic properties and cleans itching.
- It's not worth it to cut peel on their own, they themselves will disappear.
- If the position of the welding red or in the about this appeared strange spots, consult your doctor.
- Try to safeguard yourself from the stress and worries.