The treatment варикоза of the foot with the help of medications, or always have a positive effect.
Especially difficult to heal varicosity, if it is in the execution phase. In this case, the operational intervention is the only option of solution of the pathology.
For many people, the operation looks terrible procedure, so they are very afraid to go to the doctor, with some kind of pet treatment. The disease continues to progress, and the patient's status is deteriorating.
The operation when varicosity of the lower limbs is assigned in the following circumstances:
- if subcutaneous vienna increased in consequence of the physiological condition;
- if the disease is in the phase of execution, when the treatment varicosity medicines or folk media no longer help;
- in the case of the formation of трофических ulcers on the skin покровах;
- if violations occur the vascular circulation, as a result of which the patient experiences constant fatigue, quickly gets tired, feels pain and heaviness in the legs;
- graduated sharp thrombophlebitis;
- if you have trophic lesions of the skin.
For some patients, the operation, in варикозном expansion of the veins in the legs may be counter-indicated. Factors that may hinder the achievement of surgical intervention, are:
- hypertension;
- heavy infectious diseases;
- coronary artery disease, the disease;
- the patient's age (over 70 years of age);
- skin diseases – eczema, erysipilatous inflammation and т. п.;
- the second half of pregnancy.
The operation safer and more effective treatment option varicosity. An experienced physician is able to quickly eliminate the pathology, the patient will return to normal, without experiencing the suffering that has caused you the disease.
Types of intervention
View an intervention determined on the basis of individual characteristics of the occurrence of the disease. Some types of operation, suitable for one person may not be to another. Before you assign the operation, the doctor studies the form of the disease, symptoms, as well as the likelihood of developing complications.
Surgical
The most labor-intensive and complex procedure, associated with a high probability of development of complications, it is phlebectomy the removal operation for varicose veins. It is prescribed in extreme cases, when other treatment options are not able to get any favorable effect.
During this operation, in the region of the groin of the patient are small (3 to 5 mm) cuts, through which the vein affected sutured at the site where she enters in a deep vein, and then his cut and pull the legs with the aid of special probes. After the removal of the vein in the place of the courts to impose рассасывающие amendments. The operation lasts from 1 to 2 hours, while the patient is in the hospital not more than a day, then released to home.
A variation of the phlebectomies is such a procedure as miniphlebectomy, when the which the body are not made incisions and puncture. This method allows you to perform the operation with less травмированием skin complexion and reduce the rehabilitation period.
Expoliantes – another type of surgical treatment varicosity. During this procedure, it is extracted from the entire vienna fully, and only a small its area, which has undergone a varicose expansion. The removal is performed through a puncture in the skin, which allows you to avoid overlapping points.
Sclerosing
Less traumatic method of intervention is considered склеротерапия. She resides in the fact that, with the help of ultra-sound search set the exact location extended of vienna, which introduce the specific substance (sclerosant). This substance glue affected vessels, preventing the bloodstream by it. After this operation, in place of a sick person from vienna is formed by scar tissue, disappear swelling. The patient stop tormenting the severity and pain in the legs, and if there have been trophic ulcer, they will quickly heal.
Склеротерапия is of two types:
- Echo-deduxit sclerotherapy. This operation, apply the diameter of the dead veins reached 1 cm or more. First vienna обследуются with the special help of a device – duplex scanner, and then under its control is made a puncture, after which it is injected into a vein sclerosant. This procedure allows to reduce the diameter to hit the vessel and restore blood movement by it.
- Sclerosing foam. The most safe and completely painless view склеротерапии. In struck the vessel, introduce the special foam, that fills up and stops the blood flow within this vessel.
To maximize the effects are generally performed several procedures склеротерапии. The recurrence of varicosity after she almost does not happen.
Laser coagulation
The removal operation varicosity of veins in legs laser is considered the more technological view of dealing with varicosity and helps eliminate pathological varicose veins in more than 90% of patients. During this procedure cuts the tissues is not made, which allows you to avoid cosmetics.
Through a puncture in the skin introduce the laser light guide, which emits light waves. Under its action occurs by the dissolution of the patient's vessel. This method has a low number of relapse – a repeated education varicosity occur only 5% of patients.
Similar to laser coagulation treatment method varicosity is reached contritio. The essence of the method consists in exposing the patient to the vein of a microwave oven, that is heated the vessel, causing it to "спаивание". This treatment method is considered to be more simple and painless. It can be applied and, in severe cases, when vienna hit large sizes.
The possible consequences and the state in post-operative period
Almost all of the types of operations carried out to solve varicosity feet to pass with safety, and cause any problem in very rare cases.
The increased chance of complications and heavy leaking rehabilitation can occur when phlebectomies. In the remote area of vienna can occur bruising, and sometimes from incisions can flow the blood, because they are tributaries to other veins.
After 2-3 days after the surgery, some patients may increase temperature. This occurs due to aseptic inflammatory processes in the blood, which accumulates under the skin.
If the accumulated blood will be much in the veins can form lumps, painful to the touch. If the skin over tufts acquired a reddish tone, means began the inflammation bacterial. In this case, the urgent need of hospitalization.
Other possible complications after surgery may be:
- Numbness of the skin, sensations of pain. They occur, if during the operation were damaged nerve endings. With time, the pain disappears and the sensitivity of the skin to recover.
- Bruising. Formed in phlebectomies, because it is enough traumatica operation. After some time, usually not more than a month, they disappear completely. When invasive treatment (склеротерапия or laser coagulation) bruising is almost never remain.
- The swelling. They can appear, if the patient does not follow the prescriptions of the physician in the postoperative period it moves a lot, do not need to wear special clothing, or exposes a large physical effort.
After surgery, most patients lead inactive life style. Due to гиподинамии can occur is dangerous, such as acute deep vein thrombosis of the lower limbs. To prevent it, it is necessary to do special exercises, follow a diet and take medications that prevent the thrombosis.
The rehabilitation after the removal of varicosity of the lower limbs
The fulfillment of the testimony of a physician in the postoperative period – the most important part of the treatment and prevention of the recurrence of varicosity. The majority of patients is recommended:
- Firmly connect the leg elastic bandage.
- Wearing special compression underwear – socks or tights.
- Do not lift weights more than 10 kg in the first six months after the operation.
- Exercise with moderate exercise – sports walking, swimming, cycling.
- Control the weight of the body, when there are problems with excess weight.
- Annual courses receive venotonic drug.
Within 3 days after you performed the operation patients it is strictly forbidden to smoke and drink, sunbathe, lift weights, drive the car and take a hot shower.
When you are prompted for the pain in the прооперированной leg can help the gentle massagethat you can perform independently.
Recommendations for the prevention of relapse
Even if the operation of the resolution of varicosity vein was performed with success, there is always the risk of re-development of the disease. To minimize the probability of the occurrence of relapses, must comply with preventive measures:
- lead an active lifestyle – exercise regularly to walk in the open air;
- in the sitting position must be ensured, and the posture was straight, not putting one foot over the other, because it causes violations of venous flow;
- to fight with excess weight;
- moderately coffee and tea;
- every morning, perform leg exercises;
- abandon the very tight and narrow shoes and clothes.
Varicose veins is a disease that, even after the complete cure requires adherence to a particular style of life.
Preventive measures after the operation must comply not the first few months, and throughout life. Only then will it be possible to normalize the state of your body and eliminate the possibility of re-development of the disease.