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Treatment of varicose veins surgery

20 Sep 18

Treatment of varicose veins with EVLK laser

Endovenous laser vein coagulation (EVLC) involves the thermal effect of a laser beam on the vein wall through a light guide. As a result of exposure, the process of sclerosis develops in the vein wall and the varicose vein completely disappears.

At the turn of the 20th and 21st centuries, a colossal breakthrough occurred in the treatment of varicose veins. The classic operation to remove varicose veins (phlebectomy), with its disfiguring skin incisions, postoperative pain, long hospital stay and lengthy rehabilitation, has been replaced by a laser operation called endovenous laser vein coagulation (EVLC). This operation is performed on an outpatient basis. There are practically no contraindications for treating varicose veins with this operation. In fact, this is the removal of varicose veins with a laser: using the thermal energy of a laser beam that acts on the vein wall. Laser coagulation of veins has shown excellent long-term results and excellent cosmetic effects.

During the first visit of a patient with varicose veins to a surgeon (phlebologist), in addition to the examination, it is necessary to perform an ultrasound examination of the venous system of the lower extremities. During an ultrasound, the patency of the deep and superficial veins, the operation of the valves in the veins are assessed, the presence or absence of reflux (backflow of blood), and the consistency of the perforating veins are determined. It is the failure of the sapheno-femoral or sapheno-popliteal anastomosis, the trunk valves of the great and small saphenous veins, and perforating veins that, in most cases, is the cause of the appearance of varicose veins and symptoms of chronic venous insufficiency (CVI). The presence of clinically significant reflux in the saphenous veins is an indication for endovenous laser coagulation of veins.

The technique for performing EVLT is as follows:

It is necessary to clearly determine the vein segment for laser coagulation, the amount of energy required for complete obliteration of the venous lumen, taking into account the diameter of the vein at various levels. The doctor performs markings under ultrasound control .

Under ultrasound control, a puncture (puncture) of the vein , into which a laser light guide is passed to the point where the superficial vein flows into the deep venous system.

Local anesthesia ( tumescent anesthesia ) is then performed along the vein to be treated. Tumescent anesthesia is the most gentle type of anesthesia in venous surgery, in contrast to classical phlebectomy, which is performed under conduction, spinal, intravenous anesthesia or endotracheal anesthesia. The essence of this anesthesia is that near the vein that needs to be turned off from the bloodstream, a special anesthetic solution is injected, which creates a kind of sheath around the vein. Tumescence is performed not only for the purpose of pain relief during surgery to remove varicose veins on the leg, but also to protect tissues and structures located close to the vein from the effects of laser radiation, as well as to reduce the diameter of the vein and, if possible, push blood out of it . It should be noted that tumescent anesthesia can only be performed correctly under ultrasound guidance.

Next, the position of the laser light guide is checked and adjusted. Laser coagulation begins and the light guide is gradually removed from the vein. The main stage of the operation takes from 15 to 30 minutes.

Lateral varicose veins are removed through skin punctures 1-2 mm long using special instruments (Varadi hooks). This vein removal technique is called miniphlebotomy according to Varadi.

After the operation, the skin puncture sites are not sutured, as is necessary after phlebectomy, but are sealed with special sterile adhesives (strips). An aseptic dressing is applied.

Then an elastic stocking of 2nd compression class is put on. The duration of wearing a compression stocking is determined by your doctor.

The patient can leave the hospital 30-60 minutes after laser surgery.

Control examination , dressing and ultrasound control are carried out on the 1st day after surgery, then after 7-10 days.

Follow-up controls are carried out at 1 month, 6 months and 1 year after surgery. Further as necessary. During these controls, additional sclerotherapy sessions may be performed.

In the photo: Laser surgery is performed by Olga Vladimirovna Poznyakova

Differences between classical phlebectomy and endovenous laser coagulation of veins:

Conduction, spinal, extravenous or endotracheal anesthesia

Local (tumescent) anesthesia

Cuts on the skin

Mandatory, at least in the upper third of the thigh and at the inner ankle

No, skin punctures are 1-3 mm long

Presence of a hematoma on the thigh

The need for pain relief after surgery

Always at least 3-4 days

Rarely, maximum 1 day

Ability to walk immediately after surgery

The need for hospital stay

Always, at least 1-2 days

Presence of scars after surgery

Always, for life

Traces of skin punctures are almost invisible

NOTE FOR PATIENTS

Endovenous laser coagulation (EVLC)

Endovenous laser coagulation with a laser wavelength of 1470 nm and a radial light guide is the safest and most effective method for treating varicose veins of the legs.

Endovenous laser coagulation is the removal of varicose veins without incisions under local (tumescent) anesthesia! The operation is performed under ultrasound control!

Laser radiation heats the altered vein, as a result of which the vein is “soldered” and gradually turns into a thin scar (connective tissue), the pathological blood flow stops and varicose veins disappear without visible signs of intervention.

  • Be sure to tell your doctor if you are taking any medications;
  • Carrying out the procedure during the menstrual cycle is undesirable; this is associated with changes in blood clotting properties and can lead to the development of hematomas;
  • On the eve of EVLT, you need to shave your leg and groin; do not use lotions, creams; take a hygienic shower;
  • Come to treatment in comfortable, loose clothing and shoes
  • You can eat lightly 3-4 hours before surgery.
  • On the day of surgery, have with you:

  • all tests (if they were taken at your place of residence) and expert opinions;
  • compression hosiery (stockings) 2 compression classes;
  • The patient can leave the clinic independently. Immediately after surgery, you must walk for 1 hour. Daily walking for at least 1 hour is recommended; avoid standing or sitting for long periods of time;
  • The compression stocking and bandage on the leg are maintained for the first day without interruption;
  • Dressing and ultrasound control are performed the next day after surgery;
  • After dressing, the compression stocking is used only during the daytime;
  • 7-10 days after surgery, you can remove the bandage and take a shower;
  • For 4 weeks you cannot play sports, lift weights, visit the sauna and bathhouse, or take hot baths;
  • A follow-up examination is carried out after 1 month, 6 months and 1 year from the date of surgery.
  • Varicose veins of the legs is a chronic disease, to which, in most cases, there is a hereditary predisposition. None of the existing treatment methods guarantees complete recovery from varicose veins.
  • After surgical treatment, “spider veins”, reticular veins, varicose veins may remain in areas where there is a risk of damage to lymphatic vessels and nerves, or in the area of ​​trophic skin disorders. In this case, additional treatment (sclerotherapy) may be needed.
  • There are veins that were not noticeable before surgery, but have the potential to change (the functioning of the venous valves is impaired). Such veins are very difficult to identify before surgery and in rare cases they may later manifest themselves as varicose veins.
  • What are the possible complications of EVLT?

  • Pain in the surgical area or along the course of a coagulated vein is observed in a small number of cases. Painkillers (ketorolac, nimesulide, etc.) are rarely required.
  • Nagging pain and thickening along the laser-coagulated vein can occur during physical activity and go away on their own within 4-6 weeks.
  • In places where the skin is punctured, ecchymoses (“bruises”), hematomas, and infiltrates (indurations) may appear.
  • An increase in body temperature to 37.5° C may go away on its own. If your body temperature is more than 38° C, consult your doctor!
  • Swelling of the foot and leg is extremely rare and may be associated with continuous compression of the leg; if the swelling is persistent, tell your doctor!
  • Rarely there is a decrease in skin sensitivity in the surgical area; over time, sensitivity is restored.
  • Temporary darkening of the skin (hyperpigmentation) along the course of the coagulated vein is observed in 5-8% of patients. Light brown stripes of skin in some cases can persist for up to 1 year.
  • In very rare cases, 2-4 weeks after treatment, a thin reddish vascular “mesh” may appear along the course of the coagulated vein, usually disappearing on its own within 6-12 months.
  • Inflammation of the superficial veins (thrombophlebitis) is a rare complication that requires additional treatment.
  • Infection in the area of ​​surgical wounds (wound inflammation) is an extremely rare complication and may require the use of antibacterial drugs.
  • Deep vein thrombosis (phlebothrombosis) is an extremely rare complication of endovenous laser coagulation; it may require hospital treatment (taking anticoagulants; in some cases, surgical removal of blood clots is necessary.
  • Pulmonary embolism (PE) is an extremely rare complication that requires immediate hospital treatment.
  • Contraindications to EVLT:

    There are not very many contraindications when it is necessary to treat varicose veins using EVLT - pregnancy and lactation, current thrombophlebitis and previous thrombosis, atherosclerosis of the arteries of the lower extremities, some disorders in the functioning of the cardiovascular system, inflammatory processes in the operation area.

    Treatment of varicose veins on the legs with laser

    Varicose veins are the most common disease among all vascular diseases. There are many treatments for this disease. Laser treatment of varicose veins gives excellent results, reduces rehabilitation time, and also shows a positive cosmetic effect.

    The method is endovasal laser coagulation – abbreviated as EVLC. Laser treatment of varicose veins has received excellent reviews due to a number of advantages. Basically, they relate to the sensations themselves that the patient received during the manipulations and after them. But doctors evaluated the technique in terms of the effectiveness and duration of the procedure itself.

    Unlike traditional surgical procedures, laser therapy provides accelerated and long-lasting results. The treatment itself takes a minimum period of time, depending on the complexity of the operation.

    In the treated area of ​​the vein, blood stops circulating. After some time, connective tissue forms at the site of the treated vessel. After some time it resolves.

    When treating varicose veins, the laser always acts specifically on the walls of blood vessels, and therefore the surrounding tissues are not damaged during the operation. This is the key to the absence of severe pain in the postoperative period.

    This operation is carried out exclusively by specialized medical institutions. In this case, ultrasound monitoring is required at each stage of laser removal of varicose veins. The price is determined according to the work done. Many factors influence the cost.

    Laser treatment of varicose veins is done in three stages. For the patient, they are less traumatic and are almost painless. First, the veins are marked, after which anesthesia is administered and the laser begins to work on the marked areas.

    This is the first stage. It is carried out by a phlebologist together with an ultrasound specialist. Using this device, the unhealthy venous network is marked. This is done with a marker. Thanks to this, at the third stage, an LED is inserted through an invisible puncture (diameter 3 mm). Under ultrasound guidance, this instrument is advanced to the groin area.

    This procedure can be performed quickly if the vein has a small number of bends. But the procedure may take longer if the vessel bends quite often, and the movement of the LED is complicated by blood clots. But at the same time, pain is reduced to a very minimum, and ultrasound control reduces the risks of puncture to a minimum.

    This is the second step in the laser varicose vein removal process. In this case, local anesthesia is used. It solves two problems at once: it anesthetizes the procedure of “gluing” the veins and creates a protective liquid “cover” near the operated area. This manipulation is done under ultrasound control with a very thin needle. The vein is injected with an anesthetic. Usually novocaine acts as a weak anesthetic.

    In this case, ultrasound is necessary to effectively puncture the vessel. The drug forms a kind of coupling around the vein. This will prevent tissue damage and prevent pain during surgery. Reviews about the treatment of varicose veins with laser show that this stage is extremely necessary for the successful completion of all required manipulations.

    It is worth noting that other anesthetics can be used instead of novocaine. In this case, the anesthesiologist decides which ones. If the procedure is carried out in paid clinics, then the price of laser treatment for varicose veins will to some extent depend on the drug used.

    The third stage is the actual operation. The phlebologist selects the mode and strength of influence on the diseased areas. Light is supplied to the tip of the LED. It is this that provokes the “welding” of the walls of the affected vessel.

    A disposable LED is inserted through a puncture into a vein and delivered to the groin area. Then they begin to gradually remove it. During the extraction process, gluing occurs throughout the entire length of the vessel. The patient may feel a slight tingling sensation or experience nothing at all during the procedure.

    Treatment of varicose veins on the legs with laser has received positive reviews from patients, largely due to its painlessness. The procedure has some inconveniences that are outweighed by the positive aspects. Doctors also consider this procedure one of the most effective, although it is not always possible to find the necessary equipment in public clinics.

    Removing varicose veins with a laser has its advantages that are worth mentioning. Patients and doctors write positive reviews about EVLT laser treatment for varicose veins in many contexts.

    For example, the following points stand out:

    1. No incisions, seams or scars;
    2. Fast rehabilitation;
    3. Minimal pain;
    4. Minimal risk of infection;
    5. The disease does not return for a long time;
    6. Traces after surgery disappear quickly - literally in a few days;
    7. No injection therapy after surgery.
    8. Comparing the surgical treatment of varicose veins with a laser and the classical method through incisions, we can conclude that the procedure is the best solution for many. But despite all the advantages, there are also negative sides. In particular, there are some risks that arise at each stage.

      For all its positive dynamics, like any operation, laser removal of varicose veins has its own risks. They are kept to a minimum, but are still present:

      Veins and the tissues that are located near them can be damaged. But this is only a probability, while with the classical type of operation injury occurs with any outcome.

      These risks are related to the experience of the doctors who perform the procedure. That is why in many clinics the price of laser treatment for varicose veins on the legs is somewhat overpriced.

      Professionalism and experience always cost more. If we talk about the disadvantages of the procedure, the following stand out:

      • Not every doctor has practical experience in using laser equipment for these purposes, which increases the risk of negative consequences.
      • The equipment is not available in every clinic.
      • The cost varies between 50 thousand rubles, which is a serious amount for some.
      • In general, the price of laser removal of varicose veins depends on the clinic and its policies, as well as on the doctor who performs the manipulations. To some extent, consumables affect the cost - anesthesia, additional drugs, and so on. In general, the cost is initially formed based on the complexity of the operation.

        Removing minor defects will cost accordingly, while a large area of ​​damage will require more money, time and medical expertise.

        Reviews after laser treatment

        Patients left mostly good reviews about the treatment of varicose veins with laser. They touched on several areas at once. Among them:

      • Most of them claimed that the process was painless. The puncture was more like a regular injection, which did not cause any inconvenience later.
      • The postoperative period was assessed as painless. But a number of patients noted some burning or minor painful pulling sensations in the surgical sites. It was noted that after taking the painkiller tablet, all unpleasant symptoms went away.
      • Doctors noted that those people who led a sedentary lifestyle, lay or sat for a long time, only slowed down the process of resorption of the treated vessel. This increased the duration of rehabilitation and, accordingly, unpleasant symptoms.
      • Doctors also recommended that after laser removal of varicose veins, not only lead an active lifestyle, but also wear compression garments. Thanks to this, the adaptation period passed much faster.
      • Patients complained mainly about the cost and availability of the procedure. The price of laser treatment for varicose veins on the legs confused many, since not everyone had that amount literally right away.
      • Otherwise, the reviews are not much different from each other. But even after treating varicose veins on the legs with a laser, you must visit a phlebologist for three years. This will allow you to track the dynamics of remission and see if the disease returns again.

        Upon completion of the operation, the patient is dressed in compression garments - stockings or tights. He must wear these clothes for about 40 minutes under the supervision of medical staff. If the doctor evaluates the completion of all manipulations in a positive way, then the patient is sent home.

        Compression hosiery is not allowed to be removed for two days. On the third day it is permissible to remove it only at night. In general, you need to wear special underwear for about two months.

        On the second day, the patient must appear for examination by a phlebologist. Then you need to visit the doctor less regularly within the specified time frame. The patient will need consultations and examinations for three years to see the dynamics of recovery.

        Considering the patient’s predisposition to varicose veins, he is recommended to change his lifestyle, diet and exercise. In particular, doctors advise such patients to turn to an active lifestyle. Yoga is considered effective for varicose veins. But more active types of activities are also not excluded - fitness, Pilates, aerobics, and so on.

        But do not forget that varicose veins can also be caused by excessive stress. Therefore, training should be carried out in doses. It is not recommended to stay in the same position for too long, otherwise congestion in the veins may develop again. At first, classes should be conducted exclusively with an instructor.

        Speaking about the diet after treatment of varicose veins with laser, first of all you should pay attention to fractional proper nutrition. A sufficient amount of nutrients, vitamins, amino acids, and minerals will make it possible to strengthen blood vessels.

        How to cure varicose veins without surgery

        Treatment of varicose veins without surgery is a treatment carried out without surgery, available only in the initial stages of the development of the disease. An active lifestyle and constant stress lead the legs to a terrible state, causing a person to suffer from constant pain. Clinics use various techniques, but it is the refusal of surgery that attracts people and remains the most popular.

        Methods for treating varicose veins without surgery

        Surgery always has a bad effect on the body. It is believed that varicose veins are not so terrible, but the operation still affects the venous system, creating a potential danger to the normal functioning of the body.

        If possible, it is better to delay categorical actions and resort to other methods:

      • Drug treatment;
      • Laser therapy;
      • Sclerotherapy;
      • Hirudotherapy;
      • Phytotherapy;
      • Folk remedies.
      • If the question arises of how to cure varicose veins without surgery, you should pay attention to each method. A detailed description will tell the patient how to cope with the disease without hospitalization. So you should move on to studying important information.

        Drug treatment

        Drug treatment is most attractive to patients. It promises easy relief from varicose veins, but it is not always possible to use it. This method is suggested by specialists exclusively in the early stages of the disease. Even a small delay seriously worsens the situation, so other techniques have to be used.

        If varicose veins are just beginning to develop, you can begin a course of treatment. Usually it consists of drugs that thin the blood and restore veins. Through them, it is possible to establish the proper functioning of the body and restore its original beauty.

        Laser therapy or laser coagulation is a complex procedure used in few clinics. It is considered one of the most effective, but the high cost repels patients. Although the technique clearly answers the question of whether varicose veins can be cured without surgery. Its implementation guarantees complete relief from varicose veins for a period of more than 5 years.

        The procedure will take several hours. During this, a specialist destroys part of the veins using a small light guide to remove and stop the disease. To do this, complete anesthesia is first performed, protecting the patient from suffering.

        Sclerotherapy is a unique new technique. It is used at a time when varicose veins are already partially swollen and urgent help is required. The essence is to introduce a special adhesive substance under the skin. This allows you to restore the state of the system and return normal blood flow in the human body.

        The disadvantage of the technique is that there is no guarantee that the disease will return. The patient manages to rid himself of dangerous blood clots, but his appearance may be spoiled. Rehabilitation is also important, forcing you to wear corrective underwear for a month, and then regularly undergo examination by a specialist.

        Hirudotherapy is considered an outdated folk remedy. It is still used in some clinics, but patients rarely agree to its use.

        The reason is the main tool, which is leeches. They are specially attached to damaged areas so that they inject a substance, hirudin, inside. It quickly thins the blood, so the figure is restored.

        Refusal from hirudotherapy is understandable, because people are not ready for such uncertain actions. Although modern medications used for varicose veins are mostly based on the same substance. It is often more profitable to use an extraordinary method, proven over centuries, than to look for a simple solution.

        If the question remains of how to get rid of varicose veins without surgery, you can also turn to herbal medicine. It is not used so often, but stands out clearly against the background of other folk remedies. Usually, coltsfoot is chosen for the preparation of ointments and compresses, but it is successfully replaced by burdock and herbal preparations.

        Preparing the ointment requires special knowledge, but recipes can be found freely. Only the impact does not always give a positive result, as it requires accuracy and patience. This technique is used for months, requiring daily attention and effort.

        For this reason, patients usually prefer other options, not trying to believe in the healing properties of plants.

        Herbal medicine is a small fraction of traditional medicine. Officially, doctors do not recognize self-medication, but in some cases it remains a necessity. The use of individual products, for example, wormwood, clay or potatoes, gives a fantastic effect. Patients who have overcome the disease do not forget to talk about this.

        Folk remedies for varicose veins are often used. With their help, you can easily cope with the problem in the early stages, when there is no serious damage to the limbs. At these stages, the decision comes easily, because it is possible to use several safe ointments and compresses, even refusing medications.

        Which treatment method should I choose?

        Treatment methods for varicose veins without surgery are varied, but it is difficult to make a final choice. Clinics use various methods, so you should always talk to specialists first. Although they will also not be able to make a correct comparison. What advice can be given in such situations?

      • If the fastest possible procedure is required, sclerotherapy is suitable. Only the puncture sites will still remain unsightly marks on the skin.
      • Laser coagulation is considered to be the most effective. It gives fantastic results and eliminates relapse for up to 5 years.
      • Hirudotherapy is outdated, but should attract attention. The complete absence of dangerous effects and easy healing of wounds has its advantages.
      • If the timing of the procedures is not so important, you can turn to folk remedies. They are quite effective, but only if used correctly and regularly.
      • These points suggest that it is difficult to call the situation unambiguous. Numerous techniques force patients to engage in preliminary comparison, which is the only reliable way to make a choice. Moreover, it is difficult to find common features in the practice of large clinics, since each specialist has his own view of the problem.

        When is it advisable to refuse surgery?

        The choice of technique is also directly related to the degree of development of the disease. Varicose veins spread quickly, so it is not always possible to refuse surgery. Without it, it will be possible to cope with the problem only in the initial stages, so only the instructions of a specialist will give the real picture.

        • The initial stage (the appearance of traces of veins) responds well to folk remedies and drug treatment.
        • Enlarged veins should be treated through sclerotherapy or hirudotherapy.
        • Severe damage can be treated with laser therapy.
        • Violation of the integrity of the skin is eliminated by surgery.
        • It is not possible to completely avoid surgery. Usually in the initial stages no one goes to the doctor. The future patient notices fatigue and difficulty moving, but does not pay attention to them.

          At such a moment, it is worth contacting a therapist who will perform an examination. After this, it will be possible to find the optimal course of treatment, but if you wait a while, only a serious procedure will save you.

          In what cases are varicose veins at risk?

          Treatment of varicose veins is a long and complex process. This is recognized by every specialist who has encountered serious injuries in his patients. They continue to argue that the disease must be prevented, knowing in advance in which cases there is a risk of its occurrence.

          What reasons can lead to such consequences?

          It cannot be said that a person is doomed in advance to encounter a disease. Yes, there are reasons that are practically independent of it, but they can also be dealt with using preventive methods. A detailed assessment of each reason will provide useful clues to people.

          There is a predisposition to varicose veins. So, their walls may be inelastic, so in life you will have to face considerable problems. Knowing this, you don’t have to worry, because you can regularly visit specialists and also take medications that eliminate this problem.

          Due to heredity, minimal patients are affected, so there is no need to worry about it seriously. Other reasons are much worse and more dangerous, so they should be considered first. Prevention has never harmed anyone.

          Due to his professional activity, a person may also encounter varicose veins. The reason for this is the constant heavy load on the lower limbs, which leads to improper blood circulation. Stagnations gradually form, which subsequently turn into large lumps.

          Hairdressers and surgeons, salespeople and promoters - they all have to be on their feet constantly. In such cases, it is useful to periodically relax the muscles and rest well in your free time. This is the only way to protect yourself from trouble.

          Personal reasons are hidden in the patient himself. They most often turn into a problem that has to be dealt with for a long time. You need to know about this in order to prepare in advance for possible troubles. What are the main factors that stimulate the development of the disease?

        • Excess weight;
        • Chronic diseases of internal organs;
        • Wrong diet.
        • If people do not want to deal with varicose veins, they will have to take care of themselves. This disease progresses rapidly and causes irreparable damage to blood vessels. You often encounter problems, so don’t forget about successful prevention.

          Treatment of varicose veins will take a long time. It will require Herculean efforts, as the disease is spreading at tremendous speed. When you don’t want to agree to surgery, you will have to think about your health in advance in order to identify symptoms in the initial stages and go to the clinic.

          Operations for varicose veins on the legs: types, consequences, rehabilitation

          Treatment of varicose veins on the legs with medications does not always have a positive effect. It is especially difficult to cure varicose veins if they are in an advanced stage. In this case, surgery is the only option to eliminate the pathology.

          For many people, surgery seems like a scary procedure, so they are afraid to go to the doctor for a long time, relying on some home forms of treatment. The disease continues to progress, and the patient’s condition worsens.

          Surgery for varicose veins of the lower extremities is prescribed under the following circumstances:

        • if the saphenous veins are enlarged as a result of physiological pathology;
        • if the disease is in an advanced stage, when treatment of varicose veins with medications or folk remedies no longer helps;
        • with the formation of trophic ulcers on the skin;
        • if vascular circulation disorders occur, as a result of which the patient experiences constant fatigue, gets tired quickly, feels pain and heaviness in the legs;
        • if acute thrombophlebitis has formed;
        • if trophic skin lesions occur.
        • For some patients, surgery for varicose veins on the legs may be contraindicated . Factors preventing surgical intervention are:

        • hypertension;
        • severe infectious diseases;
        • ischemic disease;
        • patient age (over 70 years);
        • skin diseases - eczema, erysipelas, etc.;
        • second half of pregnancy.
        • The type of surgical intervention is determined depending on the individual characteristics of the disease . Some types of surgery that are suitable for one person may not be suitable for another. Before prescribing surgery, the doctor studies the form of the disease, symptoms, and the likelihood of complications.

          The most labor-intensive and complex procedure associated with a high likelihood of complications is phlebectomy an operation to remove varicose veins. It is prescribed only in cases where other treatment methods are not able to have any beneficial effect.

          During this operation, small (3-5 mm) incisions are made in the patient's groin area, through which the affected vein is ligated at the place where it flows into a deep vein, then it is cut and pulled out of the leg using special probes. After the vein is removed, absorbable sutures are placed at the incision sites. The operation lasts from 1 to 2 hours, while the patient remains in the hospital for no more than a day, then he is sent home.

          Stripping is another type of surgical treatment for varicose veins. During this procedure, not the entire vein is removed, but only a small section of it that has undergone varicose veins. Removal is carried out through punctures in the skin, which avoids stitches.

          How to perform surgery for varicose veins - watch the video:

          Sclerotherapy is considered a less traumatic method of surgical intervention. It consists in using ultrasound to determine the exact location of the dilated vein into which a special substance (sclerosant) is injected. This substance glues the affected vessels together, preventing blood flow through them . After this operation, scar tissue forms at the site of the diseased vein, and swelling disappears. The patient is no longer tormented by heaviness and pain in the legs, and if there were trophic ulcers, they will heal quickly.

          There are two types of sclerotherapy:

        • Echosclerotherapy . This operation is used if the diameter of the affected veins has reached 1 cm or more. First, the veins are examined using a special device - a duplex scanner, then a puncture is made under its control, after which a sclerosant is injected into the vein. This procedure allows you to reduce the diameter of the affected vessel and restore normal blood flow through it.
        • Foam sclerosis . The safest and completely painless type of sclerotherapy. A special foam is injected into the affected vessel, which fills it and stops the flow of blood inside this vessel.
        • For more information about sclerotherapy for this disease, watch the video:

          Surgery to remove varicose veins on the legs with a laser is considered the most technologically advanced type of fight against varicose veins and helps eliminate pathological varicose veins in 90% of patients. During this procedure, no tissue incisions are made, which avoids cosmetic defects .

          A laser light guide is inserted through a puncture in the skin, which emits light waves. Under their influence, the diseased vessel dissolves. This method is characterized by a low number of relapses - repeated cases of varicose veins occur in only 5% of patients .

          A method for treating varicose veins, similar to laser coagulation, is radiofrequency obliteration. The essence of the method is to expose the diseased vein to microwaves, which heat the vessel, causing it to “solder together.” This method of treatment is considered the simplest and most painless . It can also be used in severe cases when the veins reach large sizes.

          How to perform surgery to remove varicose veins on the legs with a laser, watch the video:

          Possible consequences and condition in the postoperative period

          Almost all types of operations performed to eliminate varicose veins of the legs go well and cause any complications in very rare cases.

          The greatest likelihood of complications and a difficult rehabilitation period is observed with phlebectomy. Hematomas may occur in the area of ​​the removed vein , and sometimes blood may flow from the incisions because tributaries of other veins are nearby.

          Some patients may develop a fever . This occurs due to aseptic inflammatory processes in the blood, which accumulates under the skin.

          Other possible complications after surgery may include:

        • Numbness of the skin, pain . They occur if nerve endings are damaged during surgery. Over time, the pain will disappear and skin sensitivity will be restored.
        • Bruises . They are formed during phlebectomy, since this is a rather traumatic operation. After some time, usually no more than a month, they completely disappear. With minimally invasive treatment methods (sclerotherapy or laser coagulation), bruises almost never remain.
        • Edema . They may appear if the patient does not follow the doctor’s instructions in the postoperative period - he moves a lot, does not wear special clothing, or exposes himself to great physical activity.
        • After surgery, most patients lead a sedentary lifestyle. Due to physical inactivity, such a dangerous phenomenon as acute deep vein thrombosis of the lower extremities can occur. To prevent it, you need to do special exercises, follow a diet and take medications that prevent blood clots - Curantil, Heparin or Aspirin.

          Rehabilitation after removal of varicose veins of the lower extremities

          Compliance with the doctor’s instructions in the postoperative period is the most important part of the treatment and prevention of recurrence of varicose veins. Most patients are recommended:

        • Wrap your leg tightly with an elastic bandage.
        • Wear special compression underwear - knee socks or tights.
        • Do not lift weights exceeding 10 kg for the first six months after surgery.
        • Play sports with moderate physical activity - race walking, swimming, cycling.
        • Monitor body weight if you have problems with excess weight.
        • Take an annual course of venotonic drugs - for example, Detralex.
        • If pain occurs in the operated leg, a light massage can help , which can be done independently.

          Recommendations for preventing relapse

          Even if the operation to eliminate varicose veins was performed successfully, there is always a risk of recurrence of the disease. To minimize the likelihood of relapses, it is necessary to follow preventive measures:

        • lead an active lifestyle - play sports, walk in the fresh air more often;
        • in a sitting position, you need to ensure that your posture is straight, do not put one leg on the other, as this leads to disturbances in venous blood flow;
        • fight excess weight;
        • drink coffee and tea in moderation;
        • do leg exercises every morning;
        • refuse too tight and tight shoes and clothes.
        • Varicose veins are a disease that, even after complete recovery, requires adherence to a certain lifestyle. Preventive measures after surgery will need to be observed not for the first few months, but throughout life. This is the only way to normalize the condition of your body and eliminate the possibility of a recurrence of the disease.

          Don’t rush to “go under the knife”! Elena Malysheva spoke about a revolutionary remedy that at home allows you to get rid of varicose veins once and for all!

          Hello, my dear!

          With you is your faithful friend and assistant - Elena Malysheva. Varicose veins are a diagnosis that affects every second woman aged 23 to 80 years. Today, there are several options for getting rid of varicose veins. Before starting treatment, it is worth determining the stage of the disease.

          Varicose veins have 6 stages of development. In the first three, the situation can be corrected independently. Starting from the fourth, serious surgical intervention is required with an outcome that is not always predictable.

          You should be aware that varicose veins are a disease that, if untreated, causes complications in all organs, since varicose veins provoke the formation of blood clots and, as a result, impede blood circulation.

          However, the main danger lies in the high rate of development of skin atrophy. You can endure the pain from varicose veins for a long time and at one moment miss the beginning of a process that is very difficult to stop - the development of a progressive trophic ulcer.

          There are two treatment options: surgical and external. The surgical method works on the principle of cutting out the diseased section of the vein. This method is good in cases where the patient is 100% healthy, has no chronic diseases, allergic reactions and other contraindications that he may not be aware of.

          The disadvantage of this method is that it does not protect against further occurrence of varicose veins. After the operation, there is a long rehabilitation period (from 7 to 32 days), during which the patient must remain in bed.

          The external method has a number of advantages. Creams and ointments can be used without interrupting your family and work. No recovery time is required. At a low cost, the effect of quality products is quite high.

          There is only one downside to the operation: varicose veins disappear within 7-35 days, depending on the stage of the disease. Following a few simple recommendations not only speeds up the healing process, but also guarantees protection against varicose veins in the future.

          Which cream to choose?

          Before answering this question, we monitored popular anti-varicose creams and ointments, found out the opinion of leading phlebologists in Russia (Dorovin V.V., Grigomskoy P.F., Tretyakov O.V., etc.) and analyzed statistics from the World Health Organization (WHO).

          According to statistics, 81% of Russian scientists, professors and doctors of science are of the opinion that the best remedy today in the fight against varicose veins is Zdorov cream-wax.

          It contains 100% natural ingredients aimed at restoring the venous wall and regenerating damaged cells. In one course of treatment, the veins regain their tone and elasticity, swelling subsides, and the risk of blood clots is reduced.

          When used therapeutically and prophylactically, blood circulation improves and blood viscosity is normalized. Cream-wax saturates the vessels with various vitamins and microelements, which allows you to keep the veins in a healthy condition for many years without additional stimulation.

          IMPORTANT: THE EARLIER YOU START TREATING VARICOSE VARICOSIS, THE GREATER THE CHANCES YOU ARE OF AVOIDING THE DEVELOPMENT OF THE 4TH AND SUBSEQUENT STAGES

          You can get free recommendations for quickly and effectively getting rid of varicose veins, as well as find out detailed information about Zdorov cream on the official website.

          Be happy and healthy, my dears!

          After the daughter of an ANESTHESIOLOGIST died from anesthesia in a famous Krasnodar clinic, I promised myself to never have surgery, although I was already saving for a phlebectomy. Now I’m using Healthy, my legs have stopped hurting and swelling, my veins have become less visible.

          Igor Sergeevich is a doctor from God. I had a consultation with him in March, I was sure that I couldn’t do without surgery, but he dissuaded me and prescribed a massage, LPP and Zdorov cream. After 3 weeks of such treatment, not a trace remained of varicose veins.

          The prices for the operation are prohibitive. In addition to the operation itself, you need a consultation and more than one, several procedures that you usually don’t pay attention to in the price list. The end result is quite a round sum.

          I used this cream and it helped me.

          I’m now at 33 weeks, a terrible vein has come out...

          How do people get to trophic ulcers? How can you not love yourself THAT much?

          Why not love? Many simply do not have the money for surgery, and they do not know about the existence of such creams. I was the same. Thank God I started treatment on time. Varicose veins were severe.

          It didn't reach varicose veins, but stars covered all my legs.

          Wow, good result! Did you treat with a healthy cream?

          Are you with me? Healthy of course. Do you know how much money I spent on stupid creams? I don't even want to tell you.

          Olga (Nizhny Novgorod)

          I've been wanting to order this cream for a long time, but I couldn't decide. Now the last doubts have been dispelled, I’m taking it for myself and my mother. I'll post about the results later.

          I saw the surgeon today, he prescribed Zdorov. I decided to read about him on the Internet and found this article. I now order with peace of mind.

          A neighbor had a trophic ulcer. Until recently I didn’t believe that such horror could come from varicose veins. And I would never have believed it if all this had not happened before my eyes.

          I also want to brag. Look how my legs have transformed from Healthy

          Elena Puzankova (Pavlovo)

          How I regret that I didn’t buy this cream at least six months ago. It’s good, of course, that I bought it at all, but why did I think for so long, I wonder... I would have gotten rid of these pains long ago

          I'm unsubscribing. Treatment result: Healthy for 20 days.

          Great! That's it, you finished me off))) I’m ordering it too)

          Rehabilitation period after surgery for varicose veins: what is the best way to recover after removal?

          Surgery for varicose veins is a complex process that requires preparation and long recovery.

          In order for the rehabilitation period to be successful and without complications, it is important to carefully follow the instructions of your doctor, adhere to a balanced diet and completely eliminate bad habits.

          Further in the article we will tell you about the features of rehabilitation, care after surgery and proper nutrition for a speedy recovery.

          Phlebectomy: nuances of the procedure and recovery

          Surgery for varicose veins or phlebectomy is performed if conservative treatment is impossible. Radical intervention is necessary if there is a risk of thrombosis, severe swelling, trophic ulcers, or irreversible changes in blood vessels.

          The operation for varicose veins is performed under general or local anesthesia in a hospital and takes no more than 2.5 hours. The recovery period lasts much longer. The patient’s future health depends on how well it goes.

          With modern minimally invasive techniques (for example, sclerotherapy), hospitalization is not required. The procedure is performed on an outpatient basis, and the patient can go home 3 hours after it.

          However, a recovery period is also necessary in the case of non-traumatic techniques. Failure to comply with the regime and poor nutrition can trigger a relapse of the disease.

          Unpleasant consequences after surgery for varicose veins include:

        • pain and heaviness in the legs;
        • development of varicose veins and damage to new veins;
        • numbness of the limbs, decreased sensitivity of the skin;
        • bleeding and suppuration at the sites where veins were removed.
        • What is the best way to recover from varicose vein surgery?

          After surgery for varicose veins, the patient remains in the hospital for 3-5 days. The doctor monitors the patient’s condition and, if necessary, prescribes painkillers. For preventive purposes, blood-thinning and decongestant medications are used.

          To strengthen veins and improve blood flow after surgery, drugs with diosmin (Phlebodia, Venarus, Detralex), as well as drugs with troxerutin (Troxerutin, Troxevasin), are used. Treatment lasts 10-14 days, the course and dosage are calculated individually.

          During the rehabilitation period after surgery for varicose veins, the patient needs compression hosiery : leg warmers, knee socks or stockings. If your feet are swollen and it is impossible to choose the right size product, use a wide elastic bandage.

          It extends from the foot to the knee and fits snugly around the legs without squeezing them. Bandages must be worn throughout the rehabilitation period; they are changed daily, wounds are treated with chlorhexidine or other disinfectants.

          After removal of varicose veins, bed rest is necessary, but it is not necessary to remain completely immobile. The patient can move his legs, turn, rotate his feet, and bend his knees.

          When the patient can get out of bed, it is necessary to increase physical activity. You can walk around the ward, do gymnastics with raising and lowering straight or bent legs.

          Exercises on the floor are especially useful in the postoperative period for varicose veins:

        • imitation of cycling;
        • raising your knees to your chest;
        • retraction of the abdominal wall.
        • Such movements not only improve blood flow, but also prevent constipation, which is dangerous with varicose veins.

          Watch the video in which the surgeon will tell you what you can and cannot do after the operation:

          Skin and stitch care

          How to behave after laser varicose vein surgery? It is no secret that after such a procedure, stitches are applied, and the skin becomes vulnerable.

          During the rehabilitation period, special attention should be paid to the areas where the operation was performed. The sutures take 2-3 months to form, and scarring will take the same amount of time.

          Below are some recommendations after varicose vein surgery:

        • During this period, baths, hot showers, contrasting water procedures, as well as the use of scrubs and hard washcloths are prohibited. The feet are carefully washed with warm water and a soft, soapy sponge; after hygiene procedures, the skin is dried with a soft terry towel.
        • If the wounds fester, there is a burning sensation and itching, you can treat the skin with iodine. Do not use brilliant green or alcohol. The resulting crusts cannot be removed; after the wounds heal, they fall off on their own.
        • To speed up the healing of sutures after surgery for varicose veins, the doctor may prescribe quartz irradiation or UHF therapy.

    The procedures are carried out on an outpatient basis, the course is prescribed individually. UHF combines well with therapeutic exercises and massage, preventing trophic changes, inflammation and other postoperative complications.

    Foot massage can be performed independently; it reduces swelling, stimulates blood circulation, and improves the patient’s well-being.

  • The sutures are removed a week after surgery for varicose veins, during which time the wounds are completely healed. The patient should wear compression garments or wrap their legs with an elastic bandage. The bandages are removed at night. Stockings or knee socks should be washed every day, and bandages should also be changed daily.
  • To avoid swelling, it is useful to rest more often in a lying position, placing a cushion or rolled blanket under your feet. Contrast douches or foot baths, which are best done before bed, will help strengthen blood vessels after surgery.
  • The diet during the rehabilitation period after surgery for varicose veins should be balanced and varied, completely excluding provoking foods. On the first day after surgery, the patient is offered semi-liquid porridge with water, soups with vegetable broth, steamed white poultry meatballs, lean fish, and vegetable stews. After the end of bed rest, the menu can be expanded.

    1. The basis of nutrition during the rehabilitation period after surgery for varicose veins is dishes rich in fiber, vitamins, and valuable amino acids.
    2. It is recommended to eat more vegetables and fruits, both fresh and boiled or baked.
    3. The menu includes green vegetables (cabbage, salads, green beans), tomatoes, zucchini, pumpkins, eggplants, apples, citrus fruits, red and black berries.
    4. The source of protein will be white meats (turkey, chicken), sea fish, and low-fat dairy products. Porridges prepared with water or skim milk are useful.
    5. During the rehabilitation period after surgery for varicose veins, drinking regime is very important.

    6. The menu should include homemade compotes and fruit drinks rich in vitamin C and potassium;
    7. Instead of coffee, it is better to drink green or herbal tea;
    8. Freshly squeezed juices from pomegranates, cherries, black currants, oranges, tangerines, and grapefruits have a positive effect on operated varicose veins. They enrich the body with vitamins, invigorating, and help thin the blood.
    9. After surgery for varicose veins, it is necessary to exclude from the diet foods that provoke thrombosis, swelling, and worsen blood flow. This category includes a variety of smoked and canned foods containing high amounts of salt and preservatives, hot sauces and spices, fatty meats, solid vegetable fats, industrial sweets and carbonated drinks.

      Postoperative contraindications: what should be avoided?

    10. During the rehabilitation period after surgery for varicose veins, you will have to exclude some types of physical activity. Lifting weights, as well as strength sports, long walking, marathon running, and long hours of cycling are prohibited. It is worth refusing to play team games, during which you can get a leg injury.
    11. Immediately after surgery for varicose veins, it is prohibited to engage in physical activity without fixing elastic bandages. In case of extensive deformations of the veins, compression hosiery is necessary for any type of physical activity.
    12. During the rehabilitation period, you should avoid visiting baths and saunas. Exercises in the pool or gym are allowed a few months after surgery for varicose veins. Before you go swimming, you should visit a phlebologist and get permission.
    13. The rehabilitation period after surgery for varicose veins is an opportunity to pay special attention to your health. A proper diet, hygiene, reasonable physical activity, and the elimination of provoking factors will help you recover as quickly as possible and avoid unpleasant complications.

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