Varicose veins are a disease that affects not only women, but also men. Among its main symptoms are heaviness and pain in the lower extremities, cramps, burning, fatigue after long walks and prolonged standing.
In addition, the disease is accompanied by visible cosmetic defects. At the initial stages, varicose veins can be treated with local methods. However, in advanced cases, surgical intervention is necessary.
There are several types of it. Depending on the chosen operation, the patient must adhere to certain recommendations during the rehabilitation period.
There are general recommendations that are given to all patients in the postoperative period. The doctor must prescribe :
Correct application of the doctor’s recommendations is the main condition for the patient’s complete relief from varicose veins. Let us dwell on the main methods of rehabilitation in more detail.
Rehabilitation after surgery to remove leg veins must necessarily include taking tablet medications . Sometimes, due to a person’s personal characteristics or the need for increased exposure to the medicine, the doctor prescribes a course of injections.
With the help of drug therapy, the risk of developing possible complications and relapse of the disease in the future is reduced. Taking tablet medications is aimed at:
Among the drugs that doctors prescribe to patients in the postoperative period, it is worth highlighting anticoagulants and antiplatelet agents .
The purpose of the first group is to prevent the formation of blood clots by influencing the activity of blood thrombins and reducing liver activity.
The purpose of the second group is to thin the blood, increase its fluidity and reduce its coagulability . They have an anti-inflammatory effect and accelerate the process of tissue regeneration after surgery. Drugs in this group improve the condition of the walls of blood vessels, increase their elasticity and permeability.
One of the important aspects of the rehabilitation of the vessels of the lower extremities after surgery is their normal blood circulation. For this purpose, special compression products are used. These include elastic bandages and elastic tights and stockings .
The use of these funds after surgery is mandatory . They will help to completely eliminate the formation of postoperative swelling, avoid the appearance of compactions and hematomas.
You should not buy compression products yourself. They are prescribed by the attending physician, who is based on:
Using compression products allows you to naturally:
Compression devices are used immediately after surgery. In the first couple of days, the patient wears them around the clock without taking them off. Subsequently, they are used only during the day, and it is recommended to remove them at night.
Modern medicine recommends the use of therapeutic exercises immediately after surgical treatment. In the first hours after surgery, it is necessary to keep the lower limbs slightly elevated. This is necessary to improve blood flow inside the vessels and prevent the appearance of edema .
How long can you walk after surgery for varicose veins of the lower extremities? After a day, the patient needs to get up and begin to gradually walk. Don't overload your legs .
In addition to these simple physical activities in the first days, doctors subsequently prescribe a course of therapeutic exercises.
During the rehabilitation period, the patient must adhere to a number of mandatory rules. Among them:
During the rehabilitation period, doctors prescribe a special diet . It consists of products that have a strengthening effect on the walls of blood vessels, the process of blood formation and prevent increased blood viscosity.
What do the vessels look like after leg vein surgery, before and after photos:
In order for the treatment to be successful and the patient to forget about such a problem as varicose veins forever, he needs :
As you can see, there is nothing complicated in rehabilitation after surgery on veins in the legs. You just need to strictly follow them and constantly monitor your condition. Remember, the beauty and health of your feet is in your hands.
What prevention should be done after surgery to avoid relapse:
The most effective and reliable method of treating varicocele is surgery, but even the most successful of it can come to nothing if you do not adhere to special rules during the rehabilitation process.
In general, recovery after varicocele surgery does not last long and a person can return to their normal lifestyle almost immediately (with some restrictions). Typically, the patient is sent home after several hours of observation or on the second day, and then the dynamics of recovery from illness are monitored in a hospital setting.
There are several types of surgical intervention and, accordingly, the period of hospital stay and rehabilitation after each of them will be different.
With microsurgical revascularization, the patient feels the results almost immediately. For three days after the operation, you should avoid exertion, and after that you are allowed to engage in sports, and even athletics. In 98% of cases, the operation is completely successful.
The spermogram shows positive results within a month. After such an operation, complications rarely occur, and the size of the scar does not exceed two centimeters. Microsurgery is the most progressive and safest method of treating varicocele of all those existing in andrology.
These methods of treating varicocele are good because a person can return to their daily lifestyle almost immediately. However, in this case, there is a risk of thromboembolism (blockage of a blood vessel with a blood clot that has broken away from the site of its formation, fraught with the occurrence of an ischemic heart attack).
That is why the patient, after undergoing such an intervention on a varicocele, must follow all the instructions and be examined by a vascular surgeon every six months.
Laparoscopy (endoscopy) is a closed operation; stitches are often not applied to punctures in the abdominal cavity due to their small size. The operation is usually easily tolerated by patients, but after it a hospital stay of up to three days is required.
There is also a risk of complications (due to incorrect placement of titanium staples) in the form of suppuration, internal bleeding and hydrocele, in which case a repeat operation (sclerotherapy or embolization) is prescribed. If the operation is successful, recovery occurs within the first or second day.
This is an open cavity (retroperitonial) operation, which is performed less and less these days due to the high risk of complications, relapses and a long recovery period (you can’t play sports or lift weights for about six months).
Immediately after the operation, which is performed under local anesthesia, the patient is given painkillers, and ice is placed on the wound area to prevent swelling. The rehabilitation period can be quite difficult, the first 5-7 days of movement may be constrained, swelling may form as the nerves and muscles of the groin area are damaged. The stitches are removed after about a week.
For a faster recovery, the patient is advised to start walking as early as possible and wear a jockstrap (a support bandage to prevent deformation of the scrotum). Antibiotics, pain relievers and anti-inflammatory drugs are also prescribed as directed by the doctor.
The rehabilitation period can last from 9 to 14 days depending on the age of the man, but the pain may remain for a longer time.
There are various symptoms characteristic of the postoperative period. It is necessary to distinguish which of them are dangerous and which are the norm.
Don't worry if you have:
Contact your doctor if you notice the following signs:
Instructions that every man must follow during the rehabilitation process after surgical treatment of varicocele, which will prevent possible undesirable consequences and complications:
Patients are recommended to rest when signs of fatigue appear, rest in the first two days after surgery and long, deep sleep. Surgery is stressful in itself, so the body needs rest for complete recovery.
For two days after surgery, patients are not recommended to shower (postoperative wounds must be kept dry until they are completely healed.
In addition, you cannot take a bath for 5 days: stitches, if any, may come apart, the blood temperature will rise and there will be a high risk of inflammation.
Due to the possibility of relapse, doctors strongly recommend adjusting your lifestyle. You can start doing light sports in about a month, when the cut off veins are empty.
During the period when soft tissues are recovering after surgery, they are very vulnerable, so if a man does not comply with the doctor’s instructions, there is a high risk of complications in the form of reappearance of varicocele and infertility.
Visits to the doctor a month, six months and a year and a half after surgery, and a spermogram are required. If inflammatory signs appear, a man needs to see a doctor immediately.
In addition, patients during the recovery period are usually recommended to:
In most cases, abstinence from sex and masturbation is necessary only in the first week after the intervention, and in the case of the Ivanissevich operation - three weeks - this is exactly how long it takes to restore tissue and hormonal levels; Abstinence is recommended due to the risk of pain and inflammation in the scrotum
Sex after surgical treatment of varicocele is possible when movements stop causing pain and the scrotum takes on a healthy appearance.
Contrary to popular belief, sexual sensations after varicocele surgery do not become less quality or intense; on the contrary, due to the cessation of painful sensations in the scrotum, sex can become significantly better than before the intervention.
By the way, sex is the best prevention of relapse of this disease. Also, 90% of men experience an increase in sperm activity after surgery. The further course should be taken to eliminate the causes that led to the occurrence of varicose veins of the testicular veins.
In order to avoid recurrence of varicocele, it is very important not only to follow all the doctor’s recommendations, but to take the following preventive measures:
To prevent the occurrence of varicocele, it is recommended:
The vast majority of people diagnosed with varicocele are young men, for whom infertility can be a terrible death sentence.
Today, operations to remove varicocele are low-traumatic, effective, and cannot be called complex or difficult to tolerate.
When fighting a disease, it is important to eradicate its very cause, and not just the effect. Therefore, you need to be more attentive to your health and not neglect it.
In Russia, 35 million people suffer from various forms of chronic venous insufficiency, the first of which is varicose veins.
If dilated veins appear in the legs, then tablets and ointments will not be effective - a phlebectomy of the lower extremities will be required - an operation to remove dilated veins, which can be combined with non-surgical treatment methods.
Rehabilitation after surgery for varicose veins of the lower extremities begins in the hospital, but most of it takes place at home.
Phlebectomy is performed under general or epidural anesthesia, so the initial recovery period takes place in the hospital.
On the first day, you need to observe bed rest, after 6-7 hours the patient is allowed to get up.
On the second day you can already walk, but at a calm pace.
When lying down, during sleep or rest, your legs should be elevated by 10-15 cm.
In the first days after surgery, the patient receives painkillers to relieve pain.
To restore proper blood circulation, the legs are fixed with an elastic bandage after surgery. The bandage is not removed for the first 2 days.
Postoperative sutures are placed at the puncture and incision sites. Dressings are done on days 1, 3, 6 after surgery. All this time the patients remain in the hospital. On day 6-7, the sutures are removed.
If there are no complications, the patient is discharged after 6 days.
Upon discharge from the hospital, each patient receives recommendations from the attending physician to reduce risk factors after surgery.
At home, the patient continues to provide sufficient compression of the veins of the lower extremities.
After elastic bandages, compression hosiery is used, which mechanically distributes pressure on the veins of the legs.
Due to the action of compression knitwear, the following is ensured:
Compression knitwear includes stockings, tights, leg warmers and knee socks. It comes in 4 types of compression and is selected individually by a phlebologist.
Compared with elastic bandaging, therapeutic compression hosiery is more convenient to use. Such tights and stockings look aesthetically pleasing on your legs.
The patient wears compression products around the clock for 1 month, then only during the daytime. It is better to put on the product in the morning. Medical knitwear retains the original degree of compression for a long time.
The next pair will need to be purchased after 4-6 months of daily use of the product.
During the first month after surgery, stress on the body should be limited to walking at a calm pace.
By the end of the first month, after the sutures have healed, you can begin special exercises that normalize blood flow in the lower extremities.
All elements of therapeutic exercises are performed on a flat surface, for example, on a mat on the floor.
Exercises while lying on your back:
Rotation of the feet is carried out first when the legs are on the floor, and then in weight.
The gymnastics complex also includes bending from a standing position and from a sitting position. In both cases, the legs should be slightly apart, the back should be kept straight.
Exercises are carried out with moderate strength, alternating them with rest.
During therapeutic exercises, the necessary compression of the limbs must be maintained.
Proper nutrition after surgery is an important part of the rehabilitation period.
Better vein healing, return to well-being after surgery and a lower risk of recurrence are statistically associated with a normal body mass index (BMI) of 18-25.
If you need to lose weight, then flour products, marinades, and canned food are excluded from the diet. Soups should be cooked in vegetable or low-fat meat broth.
Even with normal weight, you need to limit the amount of foods you consume:
During the recovery period, products such as:
After surgery, to reduce the risk of complications, the patient is prescribed drug therapy aimed at:
To prevent infection from entering puncture and incision sites, wounds should be treated with antiseptic drugs:
If the body temperature rises, if a general blood test reveals inflammation, additional antibacterial drugs will be prescribed.
Antibiotics immediately after surgery are also prescribed to older patients and people with certain chronic diseases.
During the postoperative period, restrictions apply:
After phlebectomy of the veins of the lower extremities, a certificate of incapacity for work will be issued for at least 7 days. But sick days can last up to 4 weeks depending on the patient's health condition.
The patient's performance is fully restored within 24-30 days.
If you follow the doctor's prescriptions during the rehabilitation period, the risk of negative consequences is minimal.
Sometimes complications arise:
Postoperative thrombosis is extremely rare.
Sometimes, after treatment and rehabilitation, the patient may observe a resumption of symptoms of varicose veins in the area where the operation has already taken place.
The reappearance of veins with dilated areas can occur for the following reasons:
Olga, 32 years old, Vyborg: “I had the operation 2 years ago. It's simple, no need to be afraid. But you must follow all the doctor’s instructions: be sure to walk, but not overload; do not skip dressings for the first 2 weeks, then bandage your legs with an elastic bandage and wear compression garments. Now there is no pain or swelling, the scars have lightened.”
Anastasia, 40 years old, Novosibirsk: “2.5 months have passed since the operation. Postoperative sensations begin to appear when the anesthesia wears off. The first day my legs hurt, I need to take painkillers. But on the same day you start walking. A month ago I went for an ultrasound, which showed empty canals in place of the removed veins. No varicose veins! I wear compression stockings every day. Legs look good."
Alena, 21 years old, Moscow: “I decided to have surgery at the age of 20, after I began to feel embarrassed about the pronounced blue veins on my legs. At the hospital, only the dilated sections of the saphenous veins were removed. A year has passed and I don’t regret the operation. Heels cannot be worn often, but I can afford to wear short skirts. The main thing is not to forget about prevention so that varicose veins do not return.”
Varicose veins are a serious disease that causes vein pathology. When it occurs, blood flow is disrupted, spider veins appear and veins are affected. Over time, the lower limbs become very swollen and significantly enlarged, especially for overweight people.
Most patients feel heaviness in their legs, and note the occurrence of cramps and swelling. To enhance the effect of treatment, a special diet is recommended along with therapy, which allows you to normalize weight by strengthening blood vessels.
A properly selected diet, along with an active lifestyle, will help you quickly get rid of the disease and restore thinned blood vessels.
Nutrition has a significant impact in any treatment, including varicose veins. Even if you take expensive medications and consult with the best specialists, poor nutrition will significantly complicate the body’s recovery process.
Varicose veins of the lower extremities are a chronic disease, so it is important to start treatment as quickly as possible. It is important to contact a competent and trusted specialist and follow all his recommendations so that the treatment is as effective as possible.
If necessary, you should buy compression hosiery and normalize physical activity, not forgetting about proper nutrition.
If you managed to overcome the disease, for example, with the help of minimally invasive surgery, you should not stop treatment immediately, because varicose veins may return again. This pathology recurs in many cases.
A serious illness seems to be constantly waiting for the right moment to manifest itself. Failure to maintain a healthy lifestyle and poor diet are the best conditions for the development of varicose veins.
What diet is better to choose for varicose veins? Which foods are important to eat more often, and which ones should you avoid altogether?
Following a diet allows you to normalize blood flow, remove toxins from the body and reduce the load on weakened blood vessels. It is important to adhere to it in any form of the disease, regardless of the degree of its effect on the legs and some pelvic organs.
A special diet is even used as a preventive measure when the first symptoms of the disease appear. If surgery is prescribed for treatment, then diet is a mandatory component before and after surgery.
To properly develop a dietary regimen, a specialist studies the individual characteristics of each patient and takes them into account when creating a diet. Important indicators are weight, sensitivity to allergies, age, constant lifestyle, heredity, and so on.
A properly formulated diet for the treatment of varicose veins on the legs makes it possible to provide your body with useful microelements and substances. Even despite possible restrictions, following the doctor’s recommendations and proper nutrition does not cause problems with the gastrointestinal tract.
Maintaining a healthy diet involves choosing meat products that are not very fatty. This applies to meat and fish equally. Fatty pork is a harmful product, which concerns not only sick patients.
Fried meat will only saturate your body with cholesterol, which will not be good for you. This can have a detrimental effect on inelastic veins. After all, they are the ones who promote too viscous blood to the heart. It is not at all recommended to give up meat, but it is better to steam or boil it.
Fish is an important component in the treatment of varicose veins. It contains a sufficient amount of useful substances and microelements that can positively influence the recovery of the body in case of varicose veins. Moreover, it is best to prepare such products by baking or steaming. You should not use mayonnaise when cooking; give preference to milk sauces, which will make the dish tasty and healthy.
You can supplement fish products with seafood. Optimal and affordable squid, caviar (in small quantities) and seaweed will help strengthen blood vessels and synthesize elastin.
It is very difficult not to doubt the usefulness of the juices that fill the shelves of modern stores. Bright packages, reminiscent of various juices in composition, almost never contain useful substances. It is worth giving preference to freshly squeezed juices, but if this is not possible, then it is better to buy drinks in glass jars. There is a greater likelihood that the product will be useful.
When you drink natural juice that turns out to be very sour, you should dilute it with water in a ratio of 1 to 3. You can get the maximum benefit from it without harming the stomach.
This oil is a champion in terms of vitamin E content. It is beneficial for blood vessels, so this product is indispensable for varicose veins. You can use it as a dressing for various salads; in this quantity it will be enough for the body.
The full list of foods that are prohibited for varicose veins includes salty, sour, spicy and fatty foods. To maintain careful weight control, it is important to stop eating baked goods and sweets. Only if the rules provided are followed, a diet for the treatment of varicose veins on the legs will be able to bring positive results, helping to effectively restore health.
The following products are strictly prohibited:
It is important to completely avoid fatty pork meat, processed foods, canned food, and hamburgers. Spices containing unnatural ingredients are prohibited. It is better to reduce the amount of salt consumed, and if necessary, add salt to dishes only after they are fully cooked.
If you need to follow a diet, it is not necessary to select it on the Internet; it is better to consult a doctor who can advise you on proper nutrition, taking into account the characteristics of your body. We offer you a sample menu for one day, which will allow you to build your complete diet. In this case, you will be able to not only cure varicose veins, but also bring your figure to its ideal form.
One small sandwich of bread and cheese. Half a glass of juice (preferably tomato or carrot). Fruits – no more than 150 g.
One yogurt (low-fat), fruit or green tea.
Any type of baked fish. You can eat it with a side dish of rice or vegetables. Fish can be baked in milk or sour cream sauce.
Fruit or vegetable salad, which is best seasoned with olive oil.
It is better to eat a dish made from cottage cheese or eggs. If you don’t like these products, then you can replace it with tomato soup with plain black bread.
The menu turns out to be quite interesting. You definitely won’t remain hungry, and your body will be able to get the necessary microelements to restore your veins. Do not forget about the constant consumption of plain water, which can enhance the therapeutic effect of this diet.
Varicose veins are very dangerous, because most often they are noticed only when the disease takes a serious turn.
Therefore, it is important to follow some recommendations from doctors to prevent complications from occurring:
Varicose veins are a common disease that is characterized by inflammation of the veins, the appearance of nodes, and swelling. Treatment of the disease must be started when the first symptoms appear. There are many methods of therapy. One of them is phlebectomy.
Many people have a question about what are the recommendations during the postoperative period of phlebectomy (venectomy).
Phlebectomy is a surgical intervention that involves removing veins in order to improve blood circulation . During all actions, those saphenous veins in which the blood flow includes less than 10% of the total volume are removed.
This operation is indicated if the patient has:
This type of intervention is recommended by a specialist if drug therapy has not been successful . This type of intervention is not dangerous. Thanks to the latest technology, minimal harm is caused to the body. If such an operation is indicated, you should not delay it. This may worsen the patient's condition.
Before carrying out the operation, it is necessary to go through all stages of preparation . All the important steps are:
Before the operation, the patient must undergo a complete diagnosis, based on the results of which a verdict is made. The examination is carried out by a phlebologist, who most often prescribes an ultrasound of the veins and capillaries.
Important! If at least one symptom appears, you should consult a doctor for recommendations. The earlier the surgery is performed, the fewer complications may occur.
During the operation, the patient is tied to the operating table . This is a very important precaution. Any involuntary movement of the patient is dangerous. There are several techniques for performing the operation.
A small incision is made in the upper and lower parts of the leg where the veins are located. The venous trunk is fixed, everted and removed through perfect incisions. After this they are sutured. The duration of all activities is no more than two hours.
If the surgery is performed correctly, recovery from phlebectomy is very smooth. In case of any violations, exacerbations may occur.
Among the exacerbations after the intervention are hematomas and bleeding from wounds . This is considered the absolute norm, since such consequences occur after any surgical intervention.
After all the actions, more serious complications may appear. These include:
All of these complications pose a danger to the patient's life . Therefore, their prevention needs to be given a lot of attention.
In the postoperative period after phlebectomy, it is important to wear elastic compression and take all prescribed medications, which is the prevention of thrombosis and thrombophlebitis. If the recommendations are not followed, the consequences can be very serious.
The patient may complain that the leg hurts after phlebectomy. On the first day, patients are given strict bed rest . It is only allowed to carry out actions with the legs a couple of hours after the intervention. Walking around the ward is only possible after obtaining permission from the attending physician.
They are usually discharged from the hospital on the second or third day. It depends on the patient's condition. You will need to wear compression garments for about two months. You should take all venotonic drugs prescribed by a specialist. You should not skip taking medications. As a preventive measure, medications may be prescribed that help reduce blood clots and blood viscosity.
In the early stages after surgery, restorative physical education is prescribed. Beginning with some time, the patient is advised to take long walks.
When rehabilitation has begun after a phlebectomy operation, patients are strictly forbidden to wet the limb that has undergone the intervention . Even the smallest wounds should have time to heal and heal.
It is forbidden to pick off crusts that have formed from wounds . This can disrupt the entire healing process. The seam area should be treated with antimicrobial agents.
It is forbidden to give physical stress to the limbs . At first, you need to walk as little as possible. Wear compression garments while walking. Experts recommend taking sick leave and not working for a week.
During the recovery period, all wounds and stitches require very careful treatment . There should be no risk of infection through these wounds. For this purpose, you need to apply special hygienic bandages.
Find out from this article how leg vein removal surgery is performed.
After surgery, to avoid recurrence of the disease, it is very important to use compression garments . The compression must be worn around the clock. After a month, only daytime wear is possible. This is extremely necessary to eliminate venous insufficiency.
To prevent the disease, experts recommend that you continue to wear such underwear. Compression stockings help relieve swelling and pain in the legs.
In order to avoid undesirable consequences while at home, you need to pay great attention to the seams . Scar formation can occur over several months. For this reason, it is important to follow certain rules for caring for them:
Since physical activity is prohibited, in the first month you need to rest as much as possible . After this period of time, you can return to your usual physical activity.
During the recovery period, the patient must follow the recommended diet . It is necessary to include in the diet those foods that help dissolve blood and strengthen the vascular wall. It is important to reduce your fat intake. You should increase the amount of foods containing vitamins.
From all that has been said, we can summarize that phlebectomy is a very effective method of treating varicose veins. If you follow all the doctor’s recommendations, maintain hygiene and adhere to preventive measures, then no complications will arise.
Varicose veins not only cause cosmetic inconvenience, but also, if left untreated, can cause quite serious complications. If you consult a doctor in a timely manner, you can get rid of the pathology with the help of drug therapy, but if the disease is diagnosed in an advanced stage, conservative treatment will not give a positive result. The only way to stop the progression of the disease is surgery. One of …
Varicose veins are a disease that is completely impossible to get rid of. If it has already begun, then you can only stop its development, and in most advanced cases, surgical intervention is indicated. An alternative could be stripping - this is a minimally invasive intervention in which you do not have to radically cut the tissue. What are varicose veins Varicose veins are a vascular disease. At …
Varicose veins are a disease accompanied by pain, the formation of nodes and swelling of the lower extremities. In advanced forms of the pathology, when drug therapy does not bring a positive result, the patient is prescribed surgery. The indications and techniques for the Narat, Babcock and Cockett operations differ from each other. Patients often have a question: which of these procedures is optimal and whether...
Since today about 30% of the population suffers from varicose veins, one of the most common operations is phlebectomy - surgical removal of the affected area of the veins. Despite the fact that this type of intervention is not considered dangerous, successful recovery largely depends not only on the experience and qualifications of the surgeon, but also on whether the patient adheres to the advice for further recovery. ...
Deep vein thrombosis of the lower extremities is an extremely dangerous disease, the main characteristic of which is damage to the vessels located under the muscles. With this disease, pathogenic blood clots form in the veins, narrowing the lumen of the capillary, which can result in its blockage. The danger is that the disease does not have pronounced symptoms, and if treatment is delayed, it can cause serious complications. Symptoms...
The term “phlebectomy” refers to the surgical removal of veins; in professional language, such an intervention is also often called a venectomy. During the operation, the surgeon carefully cuts out the areas affected by varicose veins and re-sutures the veins. Doctors assure that such a procedure is not complicated, and after the body establishes new pathways for the outflow of blood, the patient will be able to go home. Complications after...
Modern pharmaceuticals offer a large range of medications for the treatment of vascular diseases of the legs. However, therapeutic methods only slow down pathological processes. In most cases, a dramatic improvement in the condition of the legs can only be achieved through surgical methods. Developed back in the 19th century, the Troyanov-Trendelenburg operation is one of the ways to restore impaired blood circulation in a diseased limb. What is vein crossectomy Varicose veins of the legs...
In advanced stages of varicose veins, it will not be possible to cope with the problem either with the help of pharmaceutical drugs or through sclerotherapy. At this stage, heavy artillery will be required - surgical treatment of varicose veins of the lower extremities. Any surgical procedure is a severe injury to the human body. First of all, it is important to be informed about the operation to remove veins on the legs. ...
Having reached a certain stage of development, varicose veins of the legs no longer become a cosmetic problem, but a rather serious and dangerous pathology. Modern medicine offers a large number of options to combat this disease. When conservative treatment methods no longer provide the desired effect, laser treatment of varicose veins is one of the most effective, modern and popular treatment methods. This method is low-traumatic and gives good results. Surgical...
All information on the site is for informational purposes only and does not claim to be absolutely accurate from a medical point of view.
Treatment must be carried out by a qualified doctor. By self-medicating you can harm yourself!
Almost every carrier of this disease has to deal with the removal of veins for varicose veins. Even at an early stage of the disease, vessels appear that cannot be restored using conservative methods. Then patients begin to think about how to remove varicose veins from their legs forever. Unfortunately, surgery will not be able to completely stop the progression of the disease. To stop the disease, you will have to adjust your lifestyle and take care of your blood vessels. By removing varicose veins, doctors achieve a significant improvement in the patient’s condition: swelling, pain, and heaviness in the legs disappear.
Removal of varicose veins is not indicated for all patients. Of course, there are women and men who are unhappy with the vascular tubercles under the skin. They prefer to eliminate veins for aesthetic reasons. But most patients do not decide to take this step on their own, but are referred for surgery by a doctor. Indications for surgical intervention are as follows:
Despite the fact that many patients are afraid of this operation, it is not at all harmful to the body. If surgery is performed using modern instruments and techniques, the patient will recover very quickly. Of course, vein removal is prescribed if drug treatment does not work at all.
A referral for surgery is given by a phlebologist, but a vascular surgeon is specifically involved in developing a plan for the surgical treatment of varicose veins. He carefully examines the patient, assesses the condition of the venous valves using hardware research techniques. If external veins are affected, then radiofrequency obliteration or sclerotherapy can be used. For deep varicose veins, phlebectomy will be required.
Surgical intervention is performed in a hospital day hospital or in a specialized vascular surgery department. In government institutions, if there is a referral from the attending physician, the operation is performed free of charge. Surgical treatment of varicose veins in private clinics costs from 20,000 rubles. There is no maximum cost limit, because... hospitals offer a different range of services.
Despite the fact that the removal of varicose veins is considered a universal method of treating the disease, not everyone can undergo the procedure. It is contraindicated for some categories of patients due to the tendency to bleeding and thrombosis. If you have coronary heart disease or a recent stroke, veins cannot be removed. This will increase the load on the cardiovascular system. The patient must first recover and then undergo a re-examination. The list of contraindications for surgery includes:
A few days before surgical treatment of varicose veins, the patient must undergo general and biochemical tests. The blood's tendency to form blood clots must be checked. If everything is in order, then you will not need to take other tests. On the morning of the operation, you need to take a shower and remove excess hair from the leg that will be operated on. Also, preoperative preparation before removal of varicose veins includes:
The day before surgery, it is advisable to limit yourself to a light dinner. It is better not to drink 3-4 days before surgery. There are also some contraindications depending on the type of anesthesia that the doctor decides to use.
Vein-sparing surgery for varicose veins is currently possible. All patients who decide to undergo surgery should know this. Today, doctors are developing a way to eliminate varicose veins while preserving the saphenous main vein. The main problem with this technique is that it is not suitable for all patients. Carrying out surgical intervention on a group of volunteers showed that with advanced varicose veins it will not be possible to save the vessel.
Using some methods, you can remove varicose veins in parts, i.e. excise the affected vein and stitch its healthy sections together. But this approach to treating the disease must be approved by a vascular surgeon, because Not all patients' veins will be able to recover normally. The following methods for removing varicose veins are most often used in surgical practice:
This procedure involves the removal of saphenous veins. During crossectomy, all tributaries of the vein are first ligated, and then it is stopped. The vessel is removed along with the branches. The incision is made in two places. This technique is used to operate on patients with a risk of thrombosis.
The difference between this operation and the classic one is that punctures are made on the surface of the legs instead of incisions. The operation is less traumatic for the patient, but there are some disadvantages. Not all veins can be removed through punctures and it is not suitable for all patients. If the patient has an extensive network of capillaries or vessels, then this method cannot be used.
This method of surgery is considered minimally invasive. During the operation, only the affected part of the vein is removed, while the entire vessel remains. All manipulations are performed through a small puncture of the skin. Stripping is often part of a phlebectomy. The cuts themselves are barely noticeable. Their length rarely exceeds 1 cm. The advantages of this technique include a short recovery period. After just 2 weeks, the patient can return to their normal lifestyle.
This procedure involves injecting a specialized sclerosing agent into the affected vessel. The affected vein sticks together, the blood flow stops, and varicose veins recede. This operation is performed if it is necessary to eliminate vessels that are small in length and diameter. The sclerosant will not be able to blind large veins. After some time, they are restored and blood begins to circulate through them again.
This method was developed as a replacement for classical vascular surgery. The technique is that a directed radio frequency wave acts on the walls of the vessel, sealing it. After some time, blood stagnation is eliminated, and blood flow is normalized. Before starting vein treatment, the following parameters are entered into the device:
This approach to the operation makes it possible to completely eliminate injuries to surrounding tissues and nearby vessels. Disposable materials are used for the operation. When the operation is completed, the punctures are disinfected and, if necessary, sutured (if the bleeding does not stop). The patient can go home 4-5 hours after surgery.
This method of removing varicose veins is considered the most modern and less traumatic. The doctor does not make tissue incisions, so patients do not have to worry about the aesthetic component of their legs. The skin is pierced in a certain place. A laser light guide is inserted through the hole, which evaporates the damaged vessel. One of the advantages of laser coagulation is the low number of relapses. Only 5% of patients seek re-removal of blood vessels after laser treatment.
The first step in any surgery is to numb the surgical site. Epidural anesthesia for varicose veins is indicated if the treated area is large. The patient will be constantly conscious, but motor activity will be completely disabled. If you need to remove only one small vein, then conduction or local anesthesia is used. The further sequence of actions depends on what type of operation is being performed. The general scheme of surgical intervention is as follows:
Features of rehabilitation after removal of a vein on the leg for varicose veins depend on the individual patient’s body and the type of surgical intervention. Immediately after all manipulations are completed, elastic bandages will be fixed on the leg. They cannot be removed for several hours. Until the end of the postoperative period after varicose veins, the patient must follow the following recommendations:
A light massage can speed up leg recovery. It is not necessary to go to a specialist for it. You can massage your feet yourself using light pressure movements. Permission to undergo other restorative procedures must be given by a doctor.
Some patients experience negative consequences after surgery. Complications develop in people with a genetic predisposition to thrombosis and problems with blood clotting. The presence of hematomas and bruises is normal if up to 1 month has passed since the operation. The most common complications are:
Seroma after treatment of varicose veins develops most often due to the genetic tendency of the patient’s capillaries to accumulate lymph. Despite its not very attractive appearance, this liquid is not dangerous for the patient. In approximately 90% of cases, it resolves on its own and only in 10% of patients does it have to be sucked out. Caring for sutures with seroma is the same as for regular skin lesions.
Removal of varicose veins on the legs occurs without consequences for 96% of patients. The first few days there may be some mild pain, but then it will go away. The patient should exclude fatty and unhealthy foods from his diet. After surgery, the patient’s main task, in addition to recovery, is to maintain the veins in good condition. To do this you need:
Morning and evening leg exercises come first. Exercises in this group will help relieve fatigue from the legs, strengthen blood vessels, ligaments, and tendons. You also need to introduce daily walks in the fresh air. Ideally, a person should walk at least 8 km a day. If it is difficult for you to cover such a distance at once or you do not have enough time, then you can reduce it to 3 km.