In most cases, conservative treatment therapy is not efficient, for this it is necessary to perform a surgical operation. Do this in such cases:
- an extensive varicose veins, which occupies the major part of vienna;
- sharp phlebothrombosis or thromboembolism;
- incorrect extension of the vein;
- the presence of edema in the legs;
- the violation of the circulation of the blood in the venous system;
- trophic gradual ulcer, which is not amenable to medical treatment;
- the chronic tiredness of the feet and of violation of the movement.
The limitations and contra-indications
Unfortunately it is not for everyone, you can carry out the surgical intervention, despite the severity of the disease. The operation does not pass in cases of:
- implementation of a disease state, when the operation will not give effective results;
- concomitant hypertension grade 3, Ikhs ;
- sepsis or other inflammatory-infectious processes in the body;
- senile age over 75 years;
- pregnancy 2 and 3 periods;
- skin diseases in the period of exacerbation (eczema, contact dermatitis, mug, and others).
The types of operations in the veins of the lower limbs
Today medicine can offer several options of operations on varicose veins of the lower limbs:
- the complete removal of the vein or phlebectomy;
- the removal of the affected areas, vienna or mikroflebektomiyu;
- laser, coagulation with laser knife;
- radio frequency ablationem;
- sclerotherapy;
- Phlebectomy.
Miniflebektomiya
Treating conservatively microinvasive operational interventions, through which are eliminated the damaged fragments of the vessel.
The advantage of this method is the absence of post-operative complications, such as the operation pass through small holes.
This shortens the period of rehabilitation and improves the cosmetic effect.
Laser removal
Thus treatment of varicose veins with the help of laser An expensive operation is based on the removal of small veins, with the help of a laser knife. The essence of the operation on the impact of the rays of the laser into a vessel, causing the blood to roll, and the vessel is closed and separate. In the future, vienna resolved.
Pros operations in the absence of surface defects and in a short recovery period. Immediately after surgery the patient can go home on your feet.
Radiofrequency ablation
The method is an improved version of the previous method, that the less hazardous and traumatic for all the existing.
Thanks to it, you can remove of vienna, of any calibre up to the varicose sites, without the use of anesthesia. The rehabilitation period is not necessary, because the two weeks, since that is actively.
But it is worth mentioning that, in some cases, the effect is not better that after removal of the laser.
Compression sclerotherapy
This method is difficult to be called from the operating system. It is based on the use of sclerosant – special a substance that, when administered in a vase turns it into fibrous weight. The injection of the pass several times and only of veins of small caliber.
For the realization of sclerotherapy doesn't need anesthesia, which is why it is used, mainly, those that have an intolerance to anesthesia. But it requires a long period of rehabilitation. Patients must be compression of meshes not less than 3 months.
Effects of the operation
After a quick intervention in the veins of the lower limbs likely to occur complications, about what the surgeons necessarily warn their patients in advance. All these complications occur at different stages of realization of manipulation and depend upon factors such as:
- the form of the operational intervention;
- phase of neglect of the process and the amount of robots;
- the choice of anesthetic and the way of its introduction.
Depending on these factors, the probability of complications is different, as and methods of solution. Of course own traumatic and dangerous of the methods is phlebectomy. Because offendimus all of the tissues of the lower limbs, the greater the chance of complications. The main of them:
- aseptic inflammation of the skin around the seams;
- the formation of the bands that accumulates in the blood, with redness of the skin and armbar sensation;
- secondary to inflammatory processes due to the accession of bacterial infection;
- the bleeding of wounds;
- significant edema due to trauma of the lymphatic vessels, and sites in the area inguinal;
- thrombosis of the system of deep veins, in consequence of permanent rest in bed, without activities of prevention (use of compression stockings, the minimum amount of physical activity and the administration of drugs that improve the rheology of the blood);
- bruising and exasperatur amendments to the location of the operational intervention;
- the relapse and the progress of the disease.
Actions in the first days after surgery
Once the patient wakes up after anesthesia, it needs to move the members to the extent possible. In a set of exercises includes rotation knee and ankle joint, flexion and extension of the feet. The important thing is not to overdo it, to not make things worse.
On the second day of operation they do wear, after that place it in a special mesh of linen or make tight bandages feet.
None of the members of the preference to shrink, to improve the blood circulation. In none of the cases, the parcels may not get wet, but also the access to the baths, as the break through the seams. If the patient cringe, it is worth taking the drugs anti-inflammatory non-steroids, after that you should consult your doctor. In cases of edema of the feet is desirable to reduce the physical the download.
By 9-10 days of amendments, generally soar. Then, it is assigned to a private rehabilitation. Complete recovery occurs in, depending on the stage of the disease and the physical condition of the person.
- Change of life style and physical activity of patients;
- Correction of feeding after the surgery;
- Compression therapy in the perioperative period.
Change of life style and physical activity of patients
Since one of the main causes of varicose veins is to physical inactivity, for a speedy recovery and convalescence to recommend walks in the open air, all night, special physical exercises, without charge, to walk in the "tip" and "jumps", cycling, circular movements on the joints of the lower limbs, exercises of the type "scissors", and also with a foot massage and a healthy sleep.
Correction of feeding after the surgery
The excess weight contributes to the relapse and progression of the disease, therefore, if the patient is obese, he needs to urgently change your diet: reduce calories, food varied, the power mode change. It is advisable to consume a diet of meat, seafood and marine fish, dairy products, cereals, fruits, vegetables, fruits, and nuts. So for the day to drink close to 2 liters of normal water.
What still needs to remember patients
Patient, it is worth remembering, that the education amendment occurs over the course of 3 months. Then formed in the double. This time should be carefully treat the operated stage members:
- Do not rub the site of the operation resistant and hard sponges during the taking of the soul, as well as enjoy the amenities of scrubs. To do this, use a soft cloth or simply wash your hands.
- The water at the time of the bath should be warm.
- Don't cost you try to delete the iodine, Zelenka, or other bright antisepsis for a time, this will cause excess friction.
- If the location of the splice itchy, apply a iodine, it will provide an antiseptic effect and remove the itching.
- Not cost breaking of the shell independently, they will fall.
- If the location of the splice blush or around it appeared strange spots, contact your doctor.
- Try to protect yourself from the stress and excitement extra.