Vascular diseases are one of the most pressing problems today. Treatment requires an individual approach. Surgery for varicose veins cannot always solve the problem. This is mainly due to late application.
How often do people with advanced forms of varicose veins visit a phlebologist’s office? In this case, you can hear from the doctor: “An operation is necessary to remove varicose veins; in the later stages, it is useless to treat the disease conservatively!”
Varicose veins (morbus varicosis) are characterized by constant dilation and lengthening of the veins, with functional valve insufficiency.
According to statistics, among surgical diseases, varicose veins account for about 5%, and among peripheral vascular diseases up to 40%. Often the disease leads to loss of ability to work. The disease is very insidious with its complications.
If the moment is missed when it is possible to do without surgery, it is necessary to urgently solve the problem surgically. Today, phlebologists-surgeons are developing new, more gentle methods of surgical treatment of varicose veins.
Humanity has been plagued by varicose veins since ancient times. Hippocrates, Galen, and Avicenna searched for an effective method of treatment.
The first steps in varicose vein surgery were made in 1860 by Friedrich Trendelenburg. He proposed a method of operating for varicose veins on the legs using an incision in the upper third of the thigh. Alexey Alekseevich Troyanov in 1848-1916, using the Friedrich Trendelenburg method, managed to diagnose insufficiency of the valvular apparatus of the veins.
In the 19th and 20th centuries, more than two dozen methods of operating for varicose veins were proposed. However, these methods were very traumatic and required a long period of rehabilitation to return a person to full working capacity. Today, these options are modified and allow you to quickly restore your body after surgery.
Surgery to remove varicose veins is used in the following cases:
All this indicates an urgent need for removal of varicose veins.
There are situations when surgical intervention is not possible:
Even surgeons cannot always help patients.
Proper preparation for surgery presupposes a successful outcome. It is necessary to undergo a number of studies:
Only based on the test results can the doctor assess the risks and make the right decision.
Modern medicine offers more gentle and less traumatic methods of surgery. Therefore, patients do not even question whether surgery is necessary for varicose veins.
Today there are procedures after which the patient can return to normal life after some time. The main thing is to contact a specialist in time.
So, there are several methods corresponding to the degree of damage to the venous system.
After surgery, you will need to wear compression stockings for 2-4 weeks. Also, strictly follow the doctor’s instructions.
After varicose vein surgery, the consequences are predictable, and unpleasant moments may rarely occur. Usually complications make themselves felt against the background of other chronic diseases. For example: diabetes mellitus, anemia, etc.
After surgery, especially phlebectomy, minor bleeding may occur due to small vessels. Thrombosis and embolism occur very rarely. This is often due to failure to wear compression stockings and early activation of the patient.
Infectious and inflammatory complications develop due to bacteria entering the surgical wound. Usually this is the result of violations of the rules of asepsis and antisepsis.
Prevention of varicose veins after surgery is mandatory to avoid complications. If you follow the recommendations, the postoperative period passes without any difficulties.
Recovery includes the following activities:
The main thing is to remember that varicose veins are a serious illness that should be treated in the early stages. Follow the doctor's recommendations and if surgery is indicated for you, do not be afraid of it.
Varicose veins are currently quite common among the population of different countries. Despite significant advances in conservative methods of treating this pathology, surgery for varicose veins in the legs is performed in up to 15-17% of all cases among all planned surgical interventions. It's all about the peculiarities of the course of this disease. Provoked vessel walls and valve apparatus do not always respond to drug therapy, and then the surgeon’s scalpel is forced to come to the aid of the patient. These operations help many people avoid disability and restore a full life.
Modern medicine is developing rapidly, new methods of treating patients are constantly appearing in the practice of surgeons and phlebologists, and medical technology is being improved. However, most city hospitals do not have time to move with the times due to poor funding and a simple lack of qualified personnel.
The vast majority of patients who seek help at municipal medical institutions will be offered phlebectomy. This operation for varicose veins of the lower extremities consists of total removal of the damaged vessel. The indication for vein removal is chronic dysfunction of the valves, which leads to backflow of blood, swelling, inflammation and the development of trophic ulcers.
For varicose veins, endovasal laser coagulation is indicated. It is performed for dilated varicose veins of the lower extremities, provided their dilation is no more than 1.5 cm. EVLT has many advantages over others.
If the decision is made to remove the provoked vessel, the patient is recommended to go to the hospital one day before the intended surgical intervention. Preparation for surgery is practically no different from other elective procedures.
Given the mandatory anesthesia (general or spinal), the patient is given a full course of laboratory examination, including chest X-ray, ECG and monitoring of the blood coagulation system. The anesthesiologist, in a conversation with the patient, finds out the possible risks of future anesthesia and determines options for pain relief.
The process of removing a damaged vein usually takes from 2 to 3 hours, depending on the severity of varicose veins. After preliminary applying the contour of the diseased vein to the patient’s skin, the surgeon isolates the great saphenous vein, separates it from the main vessel and removes it from the leg of the patient being operated on.
The entire operation is performed from two small incisions in the ankle area of the diseased limb and groin. For removal, special probes are used, which reduce the trauma of surgical intervention to a minimum.
The duration of inpatient treatment and subsequent rehabilitation is influenced by a large number of factors. This may include:
Typically, treatment in the hospital does not take more than 1 - 2 weeks; after the sutures are removed, the patient is discharged for outpatient treatment.
The clinic surgeon will help you properly navigate the recovery period, indicate the limits of physical activity, and give recommendations on taking medications and various ointments and creams. All this will allow the patient to reduce the time of disability and reduce the risk of developing postoperative complications. Rehabilitation after such operations is designed for 1 - 2 months, provided there are no complications and all instructions of the attending physician are followed.
Considering the fairly high degree of tissue damage during phlebectomy and the long recovery period, many patients wonder which surgery is best for varicose veins. Many surgical and cosmetology centers have long abandoned this method of treating varicose veins.
For most patients with varicose veins of the lower extremities, there is currently a wide choice of surgical treatment methods. They all have different advantages and disadvantages, but they also have common features.
This is what many grateful patients call one of the main methods of treating varicose veins - sclerotherapy. The technique is based on the process of gluing the lumen of a damaged vessel, the formation of bypass capillaries and collaterals.
The technique of such an operation is quite simple. A specially developed glue, a sclerosant, which can be liquid or foamy, is injected into the lumen of the damaged vein. The lumen of the vessel narrows as much as possible and then simply disappears.
Sclerotherapy is used in patients suffering from grade 1 and 2 varicose veins of the superficial veins. The duration of the manipulation does not exceed 15 - 20 minutes, no anesthesia is required, hospital stay is limited to 2 - 3 hours.
Laser endovenous coagulation is rightfully considered the most common method of treating varicose veins. The method is quite effective, the relapse rate after such an operation does not exceed 7 - 12%.
When treating varicose veins with a laser, a special thick needle is inserted into the lumen of the damaged vessel, allowing the surgeon to insert the laser wire into the vein. Under ultrasound control, the light guide of the laser device is delivered to the problem area, an anesthetic substance is injected into the vessel cavity, and the vein is coagulated from the inside.
The effect is practically no different from the use of sclerotherapy, pain during the operation is minimal, and the procedure takes no more than 1 - 1.5 hours. The formation of bypass vessels is facilitated by healthy tissue around the vein.
High-quality surgical treatment of varicose veins of the lower extremities using a laser can also be achieved by preliminary examination of the affected vessels using a sonograph. This examination method makes it possible to localize the site of exposure and not injure the walls of a healthy section of the vein.
In addition to high-tech techniques, the arsenal of modern surgeons also includes modern developments in operations on the blood vessels of the legs. This method in medical circles is called microphlebectomy according to Vardi.
The essence of the operation is to remove the damaged vein through skin punctures. There may be several such pieces, and they extend throughout the entire affected area. Unlike a simple phlebectomy, such an operation does not require large incisions. This allows the intervention to be performed under local anesthesia and minimizes the patient’s hospital stay.
The principle of the Varadi operation
Quite often, such operations are performed in a clinic or day hospital. It all depends on the qualifications of the surgeon and the availability of appropriate equipment.
The negative aspects of this method include the formation of hematomas at the puncture site. However, the use of special absorbable ointments, such as heparin, will help solve this problem within a few days.
The methods listed above are among the most popular, but medical surgical science can offer many more options for the treatment of varicose veins. In the USA, the most popular technique is radiofrequency surgery for such pathology.
This method of treatment allows you to excise even veins located almost under the skin. In principle, this operation is a modification of endovenous laser coagulation, but requires significant financial costs from the patient.
Quite often there are situations when patients ask a surgeon the question: “How is surgery for varicose veins done?” It should be noted that the technical side of surgical treatment of this pathology should not worry the common man. We need to leave these problems to the specialists.
When deciding whether to undergo surgical treatment, you need to solve three main problems:
Patients with vascular problems in the legs should remember that varicose veins are a chronic pathology, and surgery cannot completely restore health. Treatment for this disease is usually complex. And only this approach can bring success in the fight against varicose veins of the lower extremities.
Treatment methods for varicose veins of the lower extremities are quite extensive. Before deciding to go under the knife, it is worth trying alternative options.
For varicose veins, a miniphlebectomy operation is performed. It can be performed according to Varadi, Muller. The postoperative period is short, but the ducts and the condition of the veins need to be observed throughout the year. Complications may include bumps, lumps, and others.
Depending on how developed varicose veins are on the legs, as well as on contraindications, the option of removing blood vessels is chosen. Laser treatment of varicose veins is becoming a worthy alternative to any of them.
Crossectomy surgery is often prescribed only for emergency indications for thrombophlebitis and other complications with the veins. The technique involves removing the problematic vein. The postoperative period takes up to a week.
An elastic bandage for varicose veins can relieve acute symptoms of the disease and contribute to the restoration of veins. How to wear it correctly?
Drug treatment of varicose veins in the legs is carried out using gels, ointments, and tablets. What drug treatment for varicose veins will be effective?
Pain occurs with varicose veins if the disease is advanced. They can be in the pelvis, groin, legs, knees. How to relieve or alleviate severe pain from varicose veins during pregnancy, after surgery, and remove cramps? What folk remedies will help?
The reasons for the development of varicocele in men may lie in weakness of the scrotal muscles. Symptoms are nagging pain, burning, infertility, bulging veins. Treatment depends on the stage, it can be done without surgery or with it. Recovery after conservative methods depends on the option. Consequences without treatment - testicular atrophy, infertility.
Varicose veins of the lower extremities affect about 80% of all women and 30% of all men. The only reassuring thing is that varicose veins are not a fatal disease, and you can somehow live with it. However, this is not a reason to resign yourself to the disease and endure all its symptoms. It's better to get rid of the extension once and for all. Alas, therapeutic methods (tablets, ointments, creams, gels) do not always give the desired result - and then the only way to defeat the disease is surgery for varicose veins.
Operations for varicose veins of the lower extremities are recommended in two cases:
The most basic reason for surgical removal of veins in the legs is the emergency situation of the patient: the onset of bleeding from dilated veins, signs and symptoms of thrombophlebitis, trophic ulcers or other pathological damage to superficial or deep veins. In these cases, if surgery is not performed, the patient may face serious consequences, including embolism and gangrene of the legs. There is no need to be scared for no reason, since these complications occur infrequently and only in very advanced and complicated cases.
With initial and moderate degrees of varicose veins, there is no threat to the patient’s life, and doctors try to treat the person without surgery - surgical intervention is indicated only if there is no progress in drug and physiotherapeutic treatment.
If varicose veins are not very complicated, then the patient may be offered sclerotherapy (also called sclerotherapy). This procedure is considered an operation, but does not require surgery. What is this treatment? During sclerotherapy, dilated veins are not removed, as in a standard operation, but are “soldered together” with a special medical solution injected through a syringe with a thin needle. As a result, the lumen in the vein noticeably narrows and the pathological blood flow in the varicose veins stops. For sclerotherapy, either sodium tetradecyl sulfate or Polidocanol is most often used.
Approximate price for this type of operation
A sclerotherapy session for spider veins will cost an average of 4,500 rubles. Sclerotherapy of segmental veins costs from 7,000 rubles. Sclerosis of a large number of veins on the leg - from 10,000 to 19,000 rubles.
Video about how sclerotherapy is performed on the legs for varicose veins:
Phlebectomy is a collective term used to describe all operations during which varicose veins are removed through incisions and punctures. There are many types of open operations on blood vessels – and we will look at the main ones in this article. Let's begin our review of phlebectomy methods with a description of a surgical procedure called crossectomy.
Crossectomy (also called the Troyanov-Trendelenburg operation) is used in the treatment of severe varicose veins, mainly accompanied by septic thrombophlebitis. When performing such a removal, the surgeon will make an incision in the leg, ligate the large saphenous vein, and remove the dilated tributaries located nearby.
It is difficult to imagine a person who has never heard of varicose veins of the lower extremities. The disease is extremely common, especially in people over 35 years of age. Varicose veins change the appearance of the leg, leading to a serious aesthetic defect. But the problem is not limited to this, since the function of the affected limbs also suffers. For a long time, specialists have been prescribing drug therapy, but it is not always possible to achieve improvement with its help. In such situations, operations are used for varicose veins on the lower extremities.
There are several options for surgical treatment of varicose veins. The method of removal is determined only by a phlebologist. However, with increasing trophic disorders with the formation of ulcers on the leg, surgical correction becomes inevitable. Currently, in addition to traditional traumatic interventions for varicose veins, which have been used by surgeons for many decades, gentle techniques have emerged that help eliminate the problem in a matter of days.
Below are the most common types of surgery for varicose veins.
Each operation for varicose veins has its own indications and limitations. The decision to perform surgical removal of a vessel is influenced not only by clinical symptoms, but also by the patient’s financial capabilities, since the price of various types of treatment varies significantly.
Phlebectomy is the most famous and widely used. This type of intervention against varicose veins involves the complete removal of the affected vein in the leg. It is used only on superficial vessels, which account for no more than 8% of the total blood drainage from the legs. Below are the main advantages of classic vein removal for varicose veins.
The procedure can only be used on superficial vessels, and involves complete removal of the diseased vessel.
However, there are also significant disadvantages. The main disadvantage of this type of surgery for varicose veins on the legs is its high morbidity. Treatment of the disease is carried out as follows: through two small incisions in the upper and lower parts of the legs, a metal olive is inserted, through which the venous line is removed along with the surrounding tissues. As a result, phlebectomy leads to nerve damage and bleeding may occur. Rehabilitation after surgery sometimes takes up to a month. Despite the presence of disadvantages, phlebectomy for varicose veins still has no alternative in many regions. Reviews about the operation are positive even several years after it was performed.
For about 20 years, classic removal of varicose veins has had a microtraumatic alternative. This is a mini-phlebectomy according to Varadi. The essence of the operation is that the vessel is removed in small sections through punctures at the most convenient points. For severe varicose veins, this technique is impractical, since due to adhesions with surrounding tissues, complete removal will not be possible.
The undoubted advantage of the intervention is the good aesthetic effect achieved by the operation. Most surgeons can perform this manipulation; the technique itself is not complicated. But there can be many punctures, since due to adhesion with neighboring tissues with varicose veins, difficulties arise when removing veins. The rehabilitation period extends to 7 days. Bleeding is possible, since due to the small surgical field it is not always possible to perform high-quality hemostasis. This operation, used to treat varicose veins, does not last long. Its entire course can be seen on video. Reviews about the operation are mixed; many do not like the prolonged swelling that persists after the intervention. It goes away only after one and a half or even two months.
The procedure is easy to perform and after it there is a good aesthetic effect.
A relatively minimally invasive surgical intervention is stripping. To perform the operation, a cryoprobe is required, which is used to freeze the vein to be removed in case of varicose veins of the lower extremities. The technique is simple - a venous vessel is removed through a small incision in the upper part of the legs, frozen to the cryoprobe and turned in a counterclockwise direction. Then completely removed.
Below are the main advantages of treating a disease in which phlebectomy is performed using cryostripping.
However, there are also significant drawbacks. Varicose veins of the lower extremities often require crossectomy - the intersection of perforating veins to reduce the re-development of collaterals. Cryostripping cannot be combined with this technique due to the nature of the effects of cold. Therefore, in severe cases of varicose veins, this manipulation of the disease is not used. Superficial veins that are too close to the skin do not allow this surgical procedure to be performed on the legs, as the likelihood of a cold burn increases dramatically. When performing an operation through one incision in the presence of adhesions from complex varicose veins, it is extremely difficult to turn out a vein in the leg. This will require additional interventions through punctures to administer saline.
After the procedure, a small number of relapses are observed.
This manipulation operation can be called a stretch. No incisions are made, and recovery after the intervention is very fast. The essence of the operation is that special sclerosing substances are introduced into the vessel for varicose veins, which cause its collapse and atrophy. The operation can even be done on an outpatient basis.
Below are the main types of benefits for the patient if such treatment is performed.
However, there are also serious disadvantages. After surgery, you will need to wear compression garments. There is a high probability of infection if the manipulation technique is violated. There are often relapses of the disease due to the development of collaterals. It is not always possible to completely sclerose the venous line with varicose veins, which leads to the appearance of pathological blood flow. Because of this complication, a second operation is required after surgery because the treatment is ineffective. It is better to carry out this manipulation if there is no other alternative. Feedback on watching the video of this intervention is positive, since there is no incision typical for surgery.
These are completely new types of interventions for varicose veins of the lower extremities. Most of them appeared after the 20th century. The manipulation is based on the impact on damaged venous walls in the legs using thermal radiation. Below are the main types of surgical correction of varicose veins performed using these techniques.
The technique is effective but very expensive.
The essence of each type of intervention for varicose veins on the legs is puncture and catheterization of the affected venous line.
Further treatment of the disease involves inserting a catheter with a source of thermal influence into the lumen of the vessel. How long the conductor needs to be inserted is controlled using video. If a vein with varicose veins is detected on the leg, it is subjected to sclerosis through a dosed burn. Bleeding does not occur, since nearby vessels also coagulate.
Treatment of the disease is not carried out on both legs. After the first intervention, it is better to wait for the rehabilitation period. After 3 months you can have surgery on the other leg. If emergency surgical treatment is necessary on both legs, intravenous coagulation techniques are not used. The advantages of these types of therapy for varicose veins include a short rehabilitation period after removal of the vessel. They are often called “office” operations because little time is spent on them. The biggest disadvantage is the high probability of relapse of the disease, sometimes in a short time.
Thus, there are several methods for quickly getting rid of varicose veins on the legs. Each treatment for a disease has its own advantages and disadvantages, so it is better to trust the choice of surgery to an experienced specialist. If you want to forget about varicose veins forever with an effect for many years, it is advisable to use classical phlebectomy techniques. If you have the financial opportunity and limited time, quick “office” removal of blood vessels for varicose veins on the leg will help. No matter how long conservative treatment lasts, consultation with a surgeon cannot be avoided in most situations.
Unfortunately, preventive and prophylactic methods do not eliminate varicose veins themselves. Over time, the incompetence of the vein valves only increases, which leads to increasing congestion in the veins, which in some cases becomes life-threatening. As a rule, varicose veins occur only in the saphenous veins, which carry no more than 10% of the volume of blood drained from the extremities; the main drainage function is performed by deeper veins, which pass through up to 90% of this fluid.
A radical method of treating varicose veins is the removal of the saphenous veins, and the function of draining blood is completely and without problems taken over by deeper veins, although, however, there are other methods. Regarding the various operations to remove varicose veins, you will need to know the following:
Phlebectomy is traditionally used in the treatment of varicose veins. It consists of making small incisions in the skin, 4-5 centimeters long, and inserting flexible probes into them, with the help of which the saphenous veins are removed. Incisions are made, as a rule, in three places: in the groin, around the knee and on the inside of the ankle. The effectiveness of this operation is 100% and takes no more than two hours. Your attending physician will tell you in more detail how surgery is performed for varicose veins. The time spent in the hospital is no more than 5-7 days.
For those whose areas of varicose veins are not too extensive, a more gentle type of operation is performed - miniphlebectomy. With this operation, instead of incisions, pinhole punctures are made, through which the dilated sections of the vein are sutured and ligated. In practice, there is a forced strengthening of the walls. The effectiveness of this operation is 98-100%. Since trauma to the skin is minimal, the time spent in the hospital is reduced to 1-2 days.
There is also such an operation for varicose veins as endoscopic dissection. The meaning of this operation is that a small probe with a set of instruments is inserted into a small incision on the lower leg and, moving it along the vein, the doctor performs manipulations depending on the detected patterns of damage to the veins. This probe contains tools such as a mini video camera with backlight, a coagulator (cauterizer) and a “stapler”. When the surgeon, guiding the probe through the vein, sees an enlarged section of the vein, then using a “stapler” he puts a kind of staples on it, thanks to which blood then stops flowing into this enlargement.
If the doctor sees varicose veins of a small vein, then he uses cauterization of this area, thanks to which after some time this area simply heals itself. The effectiveness of such an operation is also 98-100%. The hospital stay is 1-3 days.
Sclerotherapy is considered the most gentle method. However, it should immediately be noted that the reliability of cure is only 70%. During this operation, a certain substance is injected into the dilated section of the vein, which causes aseptic (sterile) inflammation of this section of the vein. Due to this, keloid (scar) tissue forms at the injection site, and this area heals on its own. On average, two or three injections are given during the operation, which are absolutely painless. The patient is discharged immediately after the operation. Redness from inflammation goes away in one to two days.
Varicocele is a disease that affects up to twenty percent of people (male). The average age of the patients is 15-25 years.
The number of people suffering from infertility exceeds 30%. The most common form is left-sided varicocele in 90-98% of cases.
Right-sided and bilateral scrotal vein disease are very rare cases that require detailed study. Testicular vein problems occur in a third of the male population. The disease can manifest itself as early as adolescence.
“The disease in the early stages does not bother the patient and is not serious” - this is the opinion of many who do not know anything about the problem. But then, if you do not seek help from specialists, bad consequences may occur and the disease will be at the very last stage (3), when it will be impossible to do without surgery. And the worst thing about this disease is that you can become infertile, so you should not forget about medical examinations and be attentive to the recommendations of doctors.
Reasons for the development of the above disease:
Without exception, all of these “phenomena” can become provocateurs for the development of the disease. The video of how varicocele surgery is performed clearly shows the whole process.
First of all, you need to get tested. Next, you need to follow simple instructions.
About two weeks (before surgery) you need to undergo all the necessary tests. This:
Varicocele is the male “plague of the 21st century.” 57% of men lose one or 2 testicles and become infertile and impotent.
It is mandatory to go to a general practitioner's office, also have an electrocardiogram, take blood tests for syphilis, do fluorography, donate blood for group and Rh factor. Hair must be removed from the area where varicocele surgery is performed.
The essence of the varicocele operation is that it is necessary to completely cross, remove or ligate the “sick” vein. Treatment is performed through incisions approximately 3-6 cm in size.
Another good way is sclerosis of diseased testicular veins. The procedure for varicocele surgery is as follows: the femoral vein is punctured (in the groin area). A long bendable device called a catheter is inserted through the puncture (into the vein). With this, the surgeon first enters the inferior (vena cava) and then into the left (renal) vein. Then the point of the catheter should fall into the stoma of the damaged vein. And finally, a sclerosing substance is injected into the vein, which stops the blood flow into the vessel.
Preparation for surgery is a long process that requires special attention, because it directly determines what treatment will be prescribed to the patient and what type of surgical intervention will be chosen.
To perform an endoscopic (laparoscopic) operation, three small “holes” are performed (on the stomach), through one of which an endoscope is inserted. After finding the “affected area,” the doctor closes the vein in the scrotum, which is responsible for the formation of varicose veins. The duration of the varicocele operation is less than half an hour.
Such surgical intervention as according to Ivanissevich can be carried out:
“What kind of anesthesia for varicocele surgery” according to Marmar is also an interesting question. The answer is as follows: when microsurgical intervention is performed according to Marmar, anesthesia is administered intravenously or local anesthesia is used, but it is even possible to combine all these types of anesthesia.
Laparoscopic (endoscopic) surgery is performed under general anesthesia along with microsurgical testicular revascularization.
“Does varicocele surgery hurt?” many men are interested in. It's simple: during surgery no pain is felt, since the patient is under anesthesia. It is felt only after recovering from anesthesia, and even then it is insignificant.
This may depend on what procedure you need to perform. But as usual, any simple operation lasts about 30-60 minutes, in some cases from an hour to three hours.
“Where to have varicocele surgery” is a fairly common question among patients.
Finding a place where to get rid of the above-mentioned ailment is not so easy, since specialists are worth their weight in gold these days. You can contact government agencies as well. Another option is to find a private clinic.
In this case, you won’t even need to stay in the hospital, since the patient will be able to leave the clinic on the same day. Recovery processes will take about 2 days, but sometimes more.
One of the well-known surgeons in this field is the famous doctor and professor of medical sciences - S.I. Gamidov. He has more than several thousand transactions on his account. He is fluent in the Marmara method technique.
Here are a few places to go:
However, where to operate on a varicocele is up to the patient to decide.
Bogdan Strizhenko: “How did I get rid of varicocele right at home in 1 week? An ordinary one helped me. "
Today, new diseases appear every day, but those long known to mankind are progressing no less actively. One of these is varicose veins. This disease can affect not only the veins in the legs, but anywhere in the body. For example, a person may have dilated veins in the pelvis, esophagus, or uterus. There are many reasons for varicose veins. This may include excessive regular stress on the legs, poor lifestyle, hormonal problems, and so on. Sometimes the situation is so serious that the patient requires surgery on a vein in the leg.
Even in well-developed countries of the world, doctors are not able to prevent massive damage to varicose veins. At first, the disease is not taken seriously. It is considered simply a problem that worsens the appearance of the legs. However, as the disease progresses, other more serious symptoms appear. Swelling of the lower extremities occurs, severe pain occurs, the skin in the area of the dilated vessels darkens, trophic ulcers may even appear, then surgery - removal of veins in the legs - is extremely necessary.
Although the root cause of varicose veins is a genetic predisposition, more serious stages of the disease occur when the legs are overused. For the disease to begin to progress, the body most often needs stress. This could be pregnancy, childbirth, or simply a sharp increase in physical activity. As a result, the pressure in the bloodstream of a person’s legs rises and the normal functioning of the valves is disrupted. This is the impetus for the progression of varicose veins.
Most often it occurs due to previous vein thrombosis, as well as due to inherited diseases. Secondary expansion, or postthrombophlebitic disease, is a serious problem, and if it is not given importance, then a deep pathological process begins in the circulatory system of the lower extremities.
This leads to expansion of the saphenous veins and blockage of large vessels, since the valves do not have time to cope with the increasing pressure. Also, re-expansion of veins can occur due to arteriovenous fistulas. In rare severe forms, Klippel–Trenaunay syndrome develops, which also leads to the secondary stage of the disease.
When a person reaches despair in the fight against varicose veins, he has to resort to a surgical solution to the problem, namely the removal of an enlarged section of venous vessels. If the operation is performed by experienced and conscientious surgeons, this can save a person from the disease and the discomfort associated with it for many years.
Modern medicine has all the necessary developments and tools for leg vein surgery to be successful. The new method of seamless technology is interesting. The affected areas of the circulatory system are removed using micropunctures.
After such an operation, stitches are not even required. The patient's leg is simply wrapped in an elastic bandage, and after just five hours he can already get up and walk a little. No matter how complex the operation on the leg veins, the consequences may still be felt for some time. For example, the compression period after any surgical procedure can range from one to three months.
If a person has developed trophic ulcers on his legs, then surgeons use endoscopic equipment. Gradually, the most painful and terrible methods of removing dilated blood vessels are being replaced by more civilized ones.
The most common treatment method for dilated veins in the legs is phlebectomy.
Medicines, including anesthesia, are administered through the epidural opening in the spine (using a catheter). This method promotes high-quality pain relief, while maintaining consciousness and reducing harm and stress to the body.
Although many surgical techniques have been invented at the moment, the method of combined phlebectomy is used more effectively. It consists of several stages.
The first stage is called crossectomy. It involves crossing the great saphenous vein at its junction with the femoral vein. It is convenient to carry out such work from an incision in the groin; this also allows you to easily ligate the tributaries that are close to the anastomosis.
The next part of the operation is the actual removal of the fragment of the great saphenous vein. In some cases, the required varicose vein surgery involves a small area of blood vessels only in the thigh area. And sometimes long stripping is used (the so-called vein removal itself), that is, the subcutaneous vein is removed completely - from the groin to the ankle.
In this case, the vessels are stretched using a special probe. To understand how this removal occurs, imagine how the stocking is turned inside out when removed from the leg. This is approximately how a vein is removed during complete removal. This method allows you to preserve the integrity of the remaining elements of the circulatory system, not damage the surrounding tissue, and avoid the appearance of scars and hematomas. If this is how the leg vein surgery was performed, rehabilitation will be faster and easier.
After the main trunk has been removed, they begin to eliminate the tributaries damaged by varicose veins. Moreover, if the blood vessels that connect the deep veins with the superficial ones are also susceptible to pathology, they should definitely be ligated. Dressings are made from separate small incisions.
In order for leg vein surgery to be successful, you need to be properly prepared for it. The attending physician gives the necessary directions, which will certainly include blood tests, urine tests, cardiogram, and fluorography. Women will need to see a gynecologist, and some patients still need permission to undergo surgery from a general practitioner. You should also purchase several elastic bandages at the pharmacy in advance and take them with you when checking into the hospital.
Phlebectomy is indicated for patients diagnosed with varicose veins of the legs associated with problems in the saphenous veins (large or small).
Under no circumstances should pregnant or breastfeeding women use this method. It is also worth considering the general condition of the patient and other pathologies to which he may be susceptible. Phlebectomy is not performed for those who have worsened thrombosis or thrombophlebitis of the veins, as well as in the presence of purulent formations on the legs.
Sclerotherapy is a relatively new and successful method of treating varicose veins without traumatic intervention. Such operations are performed on the veins of the legs with a laser. This sclerotherapy is especially effective when removing small dilated veins. And when treating spider veins, spider veins and reticular veins, this technique is simply irreplaceable.
With this intervention, only the energy of the laser beam acts on the problem area, as a result of which the vein is thermally closed. The procedure has a relatively high cost, and specially trained medical personnel are required to perform it.
Thanks to this method, it became possible to combat the causes of trophic ulcers. This operation - removal of veins in the legs - has become the most modern and effective, so patients recover quickly without feeling any negative consequences.
This is an equally safe and modern operation on leg veins. Reviews about this technique are quite good. It is both painless and easy for the patient to understand. However, after the surgical procedure, your legs may be sore for some time, and this method should not be used to treat perforating veins.
Unfortunately, this problem is extremely common in society. On average, more than 30% of the population has swollen veins. In 20% of cases, varicose veins are complicated by the appearance of trophic ulcers, and more than 25% of cases of the disease progress to the stage of thrombophlebitis. This behavior of the disease can often lead to even more serious consequences.
This complication occurs more often than others and poses a serious problem, as it can cause blockage of the deep veins. Caused by a slowdown in quality blood circulation in the vessels of the lower extremities. Leads to swelling, trophic ulcers, darkening of the skin in the affected area.
Such an ulcer is a sign of severe venous insufficiency. Without proper treatment, it may not heal for a long time, and may even progress, damaging your legs more and more. After vein surgery, this problem is easier to solve.
Such thrombosis can increase the risk of thrombophlebitis, and thromboembolism can generally lead to serious pulmonary and heart failure, which in half of the cases is fatal.
Regardless of how the surgery for varicose veins went, in order to recover, you need to adhere to the course prescribed by your doctor. When recommending treatment, the doctor will take into account how severely the veins were damaged and how impaired the blood flow is.
After leg vein surgery has been performed, you should be in bed for the first 4 hours. However, this does not mean that you need to lie still. The doctor will tell you how to bend your legs and what movements to make with your ankle joints to speed up recovery. Sometimes it will be necessary to bandage the lower limbs with an elastic bandage or even secure them in an elevated position.
The next day, doctors will allow the patient to sit down. After both legs are bandaged with an elastic bandage, the patient will try to stand up and walk around the room.
Finally, everything is over, surgery was performed on the veins of the legs. Reviews about it, of course, can be both positive and negative. But nevertheless, we must not forget that we need to maintain the health of blood vessels further. In this case, a special massage will come to the rescue, as well as regular walking. All this will help you avoid varicose veins today and in the future!