Varicose vein removal: reviews

In the article, we will consider how the removal of veins is carried out with varicose veins.

Varicose vein disease is a pathology in which the thinning of blood vessels located in the lower extremities occurs as a result of impaired blood flow. In the absence of the necessary effect of therapeutic and drug exposure, experts often recommend the removal of veins with varicose veins.

Indications for surgery

Similar procedures can be performed if the patient has a wide variety of indications. The condition of the patient is determined by the phlebologist. As a rule, a vein removal is prescribed if the pathology is in an advanced state, as well as in the following situations:

1. If varicose veins provoked the development of complications.
2. If the symptomatology of the pathology manifests itself more often, causing discomfort in the patient.
3. In the case of extensive varicose veins.
4. The development of blood flow disorders.
5. The development of thrombophlebitis, trophic ulcers.
6. The occurrence of excessive fatigue and severe swelling of the legs.

The operations prescribed for varicose veins are safe, they are carried out using modern techniques. In this regard, the likelihood of complications is small, the body does not need significant changes.

Who is contraindicated in vein removal for varicose veins?

Contraindications for surgery

Despite the fact that operations related to the removal of veins have good predictions and are carried out using effective techniques, there are certain contraindications for its implementation:

1. Old age.
2. Pregnancy (2-3 trimester).
3. Infectious diseases, pathologies of the heart.
4. The development of inflammatory processes in the lower extremities, including eczema, erysipelas.
5. Thrombotic phenomena in the deep veins of the lower extremities.
   

Training

Before the operation to remove the veins with varicose veins, the specialist prescribes a certain examination to the patient. The results of these studies will allow you to choose the right technique for removing veins.

The main preparatory studies are:

1. Laboratory study of blood samples.
2. Duplex scanning.
3. Magnetic resonance phlebography. This study detects blood clots, if any.
4. Dopplerography (examination of veins using ultrasound).

How exactly can a vein be removed for varicose veins?

Varieties of surgical interventions

Currently, there are several types of surgical interventions used for varicose veins. To correctly select the type of operation, the phlebologist must take into account the results of preliminary studies, the condition of the surface layers of the skin, the presence of other pathologies, the patient's condition, and the severity of the course of the disease.

Most often, if surgery is required to remove veins on the leg with varicose veins, the following types of surgical interventions are used:

1. Steam treatment.
2. Radiofrequency surgery.
3. Laser coagulation.
4. Sclerosis.
5. Phlebectomy.

Each of the methods has certain features, disadvantages and positive aspects. Let's consider them in more detail.

Phlebectomy

This type of operation to remove veins with varicose veins is a classic, it is recognized as one of the most effective ways to combat varicose veins, so it is used much more often than others. The technique involves the removal of dilated veins through incisions made on the surface of the skin. Only those sections of veins that have been damaged are subject to removal.

Phlebectomy has been used for a long time, in connection with which the methodology for its implementation is extremely well developed. Such an operation lasts about 1-2 hours, the patient after surgery remains in the hospital for only a day.

According to reviews, removal of a vein with varicose veins is most often quite easy.

In the vast majority of cases, phlebectomy is performed in combination, using several techniques.

1. Endoscopic dissection. It is carried out using a probe, which is injected into the veins, and then the affected part of the vessel is excised. This method is characterized by a small number of possible complications.
2. Microflebectomy Its main difference from classical phlebectomy is a different access to the vein. With microphlebectomy, puncture of the skin occurs.
3. Stripping. The technique involves ligation of the vein, subsequent freezing to a surgical instrument and removal. Stripping can be partial and complete. The method is considered minimally invasive surgery. All actions are performed through a puncture of the surface tissues, that is, there is no need for suturing.
4. Safenectomy (Babcock method). This technique involves dressing and crossing the main vein. Access in this case is through an incision made in the groin area. The vein is opened, soft tissues are separated from it. Safenectomy is used for advanced forms of varicose veins.
5. Crossectomy In this case, the surgeon makes small incisions in the area where the dilated saphenous vein connects, or over the connective membranes of the lower leg. After surgery, traces of cuts do not remain. This technique is used, as a rule, if secondary operations are required for varicose veins.
   

Sclerotherapy technique

Using this technique, gluing the internal surfaces of the veins is carried out. For this purpose, the substance sclerosan is used - they fill the vein. Such a glued vein is later transformed into scar tissue. A similar method of removing leg veins in varicose veins is minimally invasive. Its effectiveness has been proven in the treatment of varicocele.

Sclerosis can be performed in the following ways:

1. Foam-Form sclerosis. In this case, the venous cavity is filled with foam, which provokes the gluing of the vascular walls.
2. Echosclerotherapy. In this case, the walls of the vessels are glued together by injection of a sclerosant.

Laser removal of varicose veins

The method involves the removal of veins in the lower extremities with varicose veins without performing incisions. Small punctures are made in the skin, and then the affected parts of the vein are sealed with a laser beam. The technique has established itself as the most effective, since after it side effects do not develop. In addition, after vein removal using laser coagulation, the symptoms of varicose veins almost never develops again.

After laser coagulation, suturing is not required, the operated patient is discharged from the hospital after a few hours.

Laser vein removal is used if treatment is required for small veins whose diameter does not reach 1 mm. The advantage of this technique is the lack of risk of wound infection during the intervention.

Method of radiofrequency surgery

If laser coagulation of veins is not indicated for a patient with varicose veins, the phlebologist may recommend radiofrequency surgery. The technique does not provoke the development of negative consequences, but the cost of such a procedure significantly exceeds the cost of previous operations.

Steam Processing Technique

This technique is one of the latest phlebological developments. It involves the introduction of steam into the affected vein, which acts in such a way that gluing of the vascular walls occurs. Steam treatment is effective if the vein is excessively tortuous.

After such a procedure, the patient is discharged after a day. Scars and damage to the skin after treatment of the veins with steam does not remain.

Advantages of operational techniques

Therapy of varicose veins by removing the affected leg veins using modern surgical methods has several positive aspects:

1. Short recovery period.
2. Minimum patient stay in a hospital.
3. No need to use general anesthesia.
4. Minimal intervention in the patient’s body, a small area of ​​damage due to surgery.

What happens after vein removal with varicose veins?

The recovery period after surgical removal of veins with varicose veins

The likelihood of re-development of varicose veins or the occurrence of negative manifestations during the implementation of surgical interventions of this kind remains at a fairly low level. However, the patient during the rehabilitation period must strictly adhere to medical recommendations.

Among the main requirements that should be followed after surgery involving the removal of veins in varicose veins are the following:

1. Wearing comfortable shoes.
2. The use of disaggregants recommended by a specialist (medicines that prevent blood clots in blood vessels).
3. Exercise exercises, compliance with the load recommended by the doctor. After completing the course of physiotherapy exercises, you should continue to do gymnastics on your own in order to prevent stagnation in the bloodstream of the lower extremities.
4. Imposing tight dressings on the affected area (the best option would be to use elastic bandages).
5. Wearing special compression underwear that prevents veins from expanding.

It is also important to remember that during the recovery period it is forbidden to lift weights, gain body weight, or drink alcohol. It is important to refuse to visit the sauna, drive a car, or perform any work involving heavy physical activity.

Probable complications

What are the consequences of vein removal for varicose veins? As a result of even a successful surgical intervention, side effects can develop.

Possible manifestations that can occur due to surgery associated with the removal of veins in the legs with varicose veins can be:

1. Re-development of varicose veins. This phenomenon occurs if the patient has a hereditary predisposition or he violated medical recommendations.
2. Swelling of the legs.
3. The appearance of a seal at the puncture or incision of the skin. It will disappear simultaneously with hematomas.
4. Hematomas of significant size. They disappear within 1-4 months.
5. Painful attacks when touching the skin. Such a complication can occur if damage to nerve endings occurred during the operation.

To prevent the development of negative symptoms, you should keep the muscles and veins in good shape so that the blood flow in the lower extremities is not disturbed.

Prevention Activities

If a person has an unfavorable heredity or is at risk for other reasons, he should follow the preventive measures:

1. Blood circulation is well influenced by cycling, walking, swimming, physical education.
2. The use of compression garments is recommended.
3. Medications should be taken periodically, for example, Phlebodia, Detralex, but the need for their use should be agreed with a specialist.
4. You should regularly drink vitamin C, it helps strengthen blood vessels, improve blood composition characteristics.

In addition, prevention involves maintaining a healthy lifestyle. You should get rid of harmful addictions and review your own diet.

Reviews about the operation to remove the vein with varicose veins

Patients respond very well to the procedure, regardless of the vein removal technique used. Operations can significantly improve the well-being of the patient, eliminate the characteristic symptoms of varicose veins - remove swelling, heaviness in the legs, cramps, pain. The consequences of such interventions are very rare, that is, the operations are practically safe.

We examined how leg veins are removed for varicose veins.