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Surgery for varicose veins of the leg

17 Jul 18

Is surgery necessary for varicose veins on the legs? What methods of surgical vein removal exist and how much does the procedure cost?

What to do if conservative methods do not help cure varicose veins? The disease is at such a stage that it deprives a person of the opportunity to work. Without surgical treatment, a person risks becoming disabled.

From this article you will learn what operations exist to remove varicose veins on the legs, prices for the procedures and what do they depend on?

Surgery for varicose veins on the legs: indications and contraindications

Surgery for varicose veins in the legs may be prescribed in the following cases:

  • varicose veins affected too large an area;
  • strong bulging of venous nodes was detected;
  • the disease is accompanied by fatigue and pain in the legs;
  • trophic ulcers have formed on the lower extremities;
  • signs of acute thrombophlebitis were found.
  • Leg vein removal surgery cannot be performed in several cases:

  • the patient suffers from heart disease (ischemia, hypertension);
  • presence of an infectious disease;
  • a person suffers from eczema or erysipelas;
  • advanced age;
  • pregnancy.
  • Before performing surgery on the veins of the lower extremities, you must:

  • Donate blood for analysis to determine biochemical parameters.
  • Be sure to undergo a cardiogram procedure to assess the state of the cardiovascular system.
  • If there are no contraindications to surgery, wash. Get rid of vegetation on the operated leg.
  • Visit the surgeon 20 minutes before surgery.
  • Types of surgery

    To eliminate varicose veins of the lower extremities, the operation must be performed as quickly as possible and the following methods must be used:

    There will be no need for stitches after surgery.

    The surgeon uses a special scalpel and a large needle as instruments.

    Excision of the diseased area takes place under local anesthesia.

    During the procedure, the specialist pierces the affected area in 2 places. These holes are necessary to remove dilated venous areas.

  • you don’t have to worry about scars remaining after the operation;
  • a surgical procedure allows you to correct the appearance of your legs;
  • the nerve structures under the skin are not damaged;
  • patients do not feel pain when performing surgical procedures;
  • the recovery period is very short, since the damage received by the patient during the operation is minimal;
  • Hospitalization after surgery is not required.
  • there is a risk of permanent scarring;
  • after removal of varicose veins, a pigmented area may remain on the legs;
  • cannot be used if you have spider veins on your legs.
  • This operation to remove varicose veins involves pulling out the dilated vessels using a metal probe. In this case, the surgeon makes incisions in the sore spot.

  • there is no possibility of repeated damage to the vein;
  • usually patients are discharged already on the 5th day after surgery;
  • no traces remain at the operation site (small incisions made during the operation heal quickly);
  • The operation can be entrusted even to a novice surgeon, as it is easy to perform;
  • low price.
  • To perform phlebectomy, spinal anesthesia is necessary;
  • the operation is highly traumatic;
  • after surgical treatment of varicose veins of the lower extremities, noticeable scars remain;
  • patients need a lot of time to recover;
  • Hematomas form on the patient’s operated leg.
  • Watch the video: phlebectomy is an operation to remove varicose veins.

    How are veins removed for varicose veins on the legs using this method?

    The surgeon makes a small incision in the area of ​​the inguinal fold.

    Immediately after this, he isolates the large saphenous vein and ligates it.

    At the final stage of the operation, the specialist installs drainage in the wound and applies cosmetic sutures.

  • the operation allows you to stop the development of the pathological process;
  • deep venous trunks from superficial ones;
  • crossectomy can be performed in the presence of acute inflammation.
  • high requirements for the professional level of doctors;
  • high probability of thrombosis formation.
  • This is one of the most gentle methods for eliminating varicose veins. Before performing leg surgery for varicose veins, the exact location of the affected vein is determined. Varicose veins are removed through 2 incisions.

  • quick recovery after surgery;
  • trauma after short scraping is minimal;
  • the patient does not feel pain after the operation.
  • there is a risk of recurrent varicose veins, since the vein is not completely removed;
  • the patient may experience complications due to impaired venous outflow.
  • Radiofrequency obliteration

    How is this leg vein removal surgery performed?

    The surgeon uses a special catheter to deliver radiofrequency current into the diseased vein.

    After turning on the generator, a current begins to act on the vein, which heats the walls of the blood vessels to 120 degrees.

    Exposure to high temperature causes sclerosis of the diseased vessel. There is no need to use a sclerosing agent.

  • there is practically no pain;
  • vein reconstruction can be performed simultaneously on both legs;
  • the procedure is performed very quickly;
  • the patient does not have any traces after surgery.
  • burns remain after the operation;
  • blisters may form;
  • The method cannot be used in atherosclerosis or the presence of thrombosis.
  • Laser intravascular coagulation

    The light guide is inserted into the affected area using an ultrasound scanner. When exposed to a laser beam, the walls of the vessel are glued together. The procedure lasts about 30 minutes.

  • laser coagulation permanently eliminates the symptoms of venous insufficiency;
  • injuries caused during the procedure are minimal;
  • the operation can be performed on an outpatient basis;
  • After the procedure, the patient can go home within 2 hours.
  • the method cannot be used in the treatment of patients with poor blood clotting;
  • the risk of blood clots increases;
  • Laser coagulation cannot be performed in case of atherosclerosis of the legs.
  • Watch the video: Laser treatment of varicose veins, how it works.

    Endoscopic vein dissection

    An endoscope is used to monitor the progress of the operation. The surgeon makes a small incision on the dilated vein, which is needed to insert an endoscope. This allows you to minimize negative consequences.

  • the traumatic nature of the operation is minimal, since the doctor constantly monitors the progress of its implementation;
  • there is the possibility of remote access to the affected area;
  • no long-term rehabilitation is required.
  • the method cannot be used to treat pregnant women at a late stage;
  • The operation is not performed in the presence of trophic ulcers.
  • Actions in the first days after the procedure

    After surgical treatment of varicose veins of the lower extremities, the doctor assesses the patient’s condition.

    After surgery for varicose veins in the legs, the following rules must be followed:

  • in the first days you should not go to the bathhouse, as an increase in pressure can lead to seam divergence;
  • the patient is prohibited from swimming in the pool for 2 weeks;
  • try not to put any weight on your sore leg;
  • take medications prescribed by your doctor in a timely manner;
  • wear compression garments (socks or tights);
  • It is prohibited to lift weights that weigh more than 10 kg for 6 months.
  • Possible complications

    Doctors observe the most complications after phlebectomy.

    Most often, they appear in the form of:

    1. Hematomas at the surgical site.
    2. There is a sharp increase in temperature due to the onset of inflammation. In this case, readmission to the hospital may be required.
    3. Loss of sensation in the affected leg due to damaged nerve endings.
    4. The patient experiences pain after surgery.
    5. After a month, the patient’s pain goes away and skin sensitivity is restored.

      What will be the cost of surgery to remove leg veins? The cost of surgery for varicose veins of the lower extremities depends on the severity of the disease. On average, treatment will cost about 30 thousand rubles.

      The cost of an operation to remove leg veins using laser coagulation will, on average, be about 40 thousand rubles.

      The choice of surgical intervention to get rid of varicose veins depends on the severity of the disease. There is no universal method suitable for all patients. It is necessary to take into account the indications and limitations for the operation.

      Now you know how much surgery to remove varicose veins on the legs costs, what types of surgical interventions exist, as well as what disadvantages and advantages they have. We hope the article was useful to you.

      Rehabilitation after surgery for varicose veins of the lower extremities

      The success and duration of rehabilitation after surgery for varicose veins of the lower extremities depend on the initial condition of the patient and the extent of surgical intervention. The course of therapy is prescribed in each case individually, and if the doctor’s instructions are followed, recovery occurs without complications.

      The success and duration of rehabilitation after surgery for varicose veins of the lower extremities depend on the initial condition of the patient and the extent of surgical intervention.

      Inpatient rehabilitation

      To maintain the tone of the cardiovascular system after the operation, the patient’s legs are placed on a 10 cm high cushion, and already 3-4 hours after the operation the patient must perform simple exercises: circular movements of the feet, raising the legs. Lying still is harmful.

      With phlebectomy, postoperative sensations may be painful - this is due to damage to soft tissues.

      The next day, the patient is allowed to sit down, a bandage is made from an elastic bandage, with which he is allowed to stand up and walk. At the same time, physical therapy and massage are prescribed to prevent blood clots from forming. Treat wounds and change bandages every 1-2 days.

      The doctor allows you to drink and eat after 2-3 hours, when the anesthesia wears off. Avoid foods that have a laxative effect or may cause constipation, as well as salty and spicy foods.

      The doctor allows you to drink and eat after 2-3 hours, when the anesthesia wears off.

      If the wounds are dry, the individual sutures are removed after 5-8 days. They remain on the shins and groin for up to two weeks. They stay in the hospital for 5-10 days, depending on the condition.

      They are discharged from the hospital no earlier than the skin sutures are removed.

      The recovery period lasts up to 6 months. To prevent recurrence of the disease, it is important to visit a doctor and follow his recommendations.

      Compression jersey

      Special socks, stockings or tights are worn when the skin sutures are removed. Knitwear creates increased physiological pressure in the lower part of the leg, which decreases closer to the thigh. As a result, blood does not stagnate and swelling is eliminated. Such underwear helps the body quickly get used to the changes that follow the operation and prevents excessive tension in injured muscles, thus reducing pain.

      The degree of compression and duration of wearing special jersey are determined by the doctor. For some patients, it is enough to wear special underwear for 3-4 weeks, while others are prescribed it for 2-3 months.

      Only after the skin sutures have been removed can the patient put on compression garments.

      To prevent recurrence of varicose veins, you should definitely wear compression stockings in the following cases:

      • if you have an air flight or a long bus ride (2-4 hours);
      • if your legs get very tired at work;
      • when playing sports;
      • when even minor swelling appears;
      • women during pregnancy or taking hormonal contraceptives.
      • Instead of knitwear, an elastic bandage is sometimes used. In the lower part of the leg, the bandage is made tighter, the middle and upper third of the shin are bandaged looser, and the thigh is bandaged without tension. Elastic bandages and compression hosiery increase the speed of blood flow through the deep veins by 5-7 times; without them, normal postoperative rehabilitation is impossible.

        Instead of knitwear, you can use an elastic bandage.

        A set of exercises is performed lying down. Do the “Scissors” and “Bicycle” exercises, pull your knees to your chest and raise your straight legs to a vertical position. Therapeutic gymnastics is a good prevention of postoperative complications, since it does not allow the blood to stagnate. However, you should not overload your muscles with training, since excess uric acid produced can lead to blood clots. The operated leg must be protected from injury.

        Breathing exercises, yoga, swimming and heel-toe walking are helpful. Walks of 20-40 minutes are recommended.

        If an operation has been performed for thrombophlebitis of the saphenous veins, vibration gymnastics is useful: standing straight, rise on your toes, lifting your heels 1 cm from the floor, then sharply lower them with a blow. This exercise normalizes blood circulation, it is performed 20-30 times and repeated after a break of 5-10 seconds.

        Phlebologists recommend including the following products in your diet:

      • fruits and vegetables rich in vitamin C to strengthen the walls of blood vessels. These are black currant, sea buckthorn, sweet pepper;
      • seafood, as it prevents veins from stretching;
      • containing plant fibers - leafy vegetables, celery, apples, oatmeal;
      • blood thinners - onions, garlic, cherries, citrus fruits, tomatoes, olive oil;
      • containing rutin, which makes the walls of veins elastic - walnuts, hazelnuts, honey.
      • You can't overeat. It is important not to gain excess weight, which harms blood vessels and joints. It is recommended to drink 1.5-2 liters of still water at room temperature per day. Part of this volume can be replaced with green tea, healthy for blood vessels, and freshly squeezed vegetable and fruit juices, with the exception of carrots, since it increases blood clotting.

        It is recommended to drink 1.5-2 liters of still water at room temperature per day.

        To normalize microcirculation after surgery and restore vascular tone in the lower extremities, the doctor may prescribe the following medications:

        The last two drugs are also recommended for edema. To reduce the risk of thrombosis, antiplatelet agents (Vasobral, Doxium) are used.

        Doctors who perform vascular operations use the drug Trental and other pentoxifylline-based drugs to stimulate bypass pathways of blood flow.

        The treatment regimen after surgery at home, indicating the dosage and frequency of administration, is determined by the doctor. In addition to therapy, vitamin complexes and antioxidants are prescribed.

        To restore vascular tone in the lower extremities, the drug Troxevasin is used.

        What should you not do after surgery?

        The body needs a gentle regimen to open the reserve superficial venous system. Until this happens, the deep veins will experience increased stress, and there will be swelling on the foot and lower leg. In order not to provoke complications, for the first 2-3 weeks you should not move intensively, squat, or sunbathe. It is advisable not to fly on an airplane during this period - changes in atmospheric pressure are harmful.

        Taking good care of your health in the postoperative period involves the following prohibitions and restrictions:

      • the leg should not be wetted until the skin sutures are removed;
      • Do not injure the seam with a hard washcloth or scrub, or remove the crusts covering the incision lines;
      • before the suture is formed (2-3 months after surgery), do not take hot baths or go to the bathhouse or sauna;
      • It is not recommended to lift a load of more than 4-5 kg ​​in the first 2 months and 10 kg for 6 months after surgery;
      • do not smoke or drink alcohol.
      • After the operation, smoking is strictly prohibited.

        You should not try to get rid of bruises and seals along the removed veins using ointments, compresses or heating without consulting the surgeon who performed the operation.

        When can I return to work after surgery?

        Sick leave is issued for 15-30 days, depending on the profession and condition of the patient. If the operation was performed on one leg, you can start working in 2-3 weeks, if on both legs, after 3-4 weeks.

        The therapist evaluates the recovery process and can extend sick days if the patient needs it.

        If a long-term certificate of incapacity for work has been issued, you must come for an examination to the clinic every 15 days to confirm or terminate the rehabilitation period.

        You can start simple remote work after leaving the hospital.

        If the operation was complex, the doctor may extend sick leave by sending the patient to a sanatorium.

        Possible complications and consequences

        Cosmetic defects on the skin appear due to the tendency to form keloid and hypertrophic scars.

        More severe complications after surgery can occur in the following form:

      • suppuration of wounds when they become infected;
      • accumulation of fluid in tissues due to damage to lymph nodes;
      • decreased sensitivity of the skin if the nerves passing near the veins and lymphatic vessels are injured.
      • To determine the risk of thrombosis, a complete blood count is done before surgery.

        Why did the veins remain

        The operation affects only the affected vessels, so the disease may return. The appearance of veins along the scar indicates a relapse of the disease. The expansion of veins in the legs away from the incision is evidence of the progression of varicose veins. The most common reasons for relapse are:

      • neovascularization (pathological proliferation of blood vessels);
      • heredity;
      • obesity;
      • Very often the cause of relapse is pregnancy.

        If the symptoms of varicose veins are severe, surgery cannot be postponed. 85-90% of the blood flows through deep veins, which are rarely operated on. 10-15% of the total current occurs in the subcutaneous vessels. Surgeries are most often performed on them. Today, surgeons are developing minimally invasive, gentle methods for such intervention.

        Reviews after surgery

        Elena, 35 years old, St. Petersburg: “After the operation, my legs look ugly, I’ll have to close them, but I no longer have any pain or fear for my veins.”

        Lyubov, 37 years old, Krasnodar: “Veins appeared after childbirth. For 9 years I periodically smeared them with all kinds of ointments and creams, but nothing changed. I had the operation a year ago. Its OK now. I recently went to the doctor and everything has healed perfectly.”

        Irina, 44 years old, Moscow region: “The operation was done 2 years ago, the scars are invisible - if you don’t know, you won’t see, the sensitivity has long been completely restored and the legs look beautiful.”

        Diana, 31 years old, Uzhgorod: “I had the operation 5 years ago. The result was reassuring. She carried and gave birth, but no veins appeared. Having decided to undergo surgery, it is important to contact a professional and follow all his instructions. Over time it will become a habit.”

        Galina, 66 years old, Moscow: “5 months have passed since the operation on both legs. Varicose veins were in advanced condition. Now I live differently: my legs don’t hurt or swell, and seeing a doctor gives me more confidence in life.”

        How is leg vein removal surgery performed?

        Varicose veins at an early stage usually respond well to drug treatment. But if the disease gets worse, or if the pills still turn out to be ineffective, you have to resort to the help of vascular surgeons.

        Let's figure out how leg vein surgery is done, whether you should be afraid of it, and what to do after.

        When you can't do without surgery

        Varicose veins are a serious and, unfortunately, very common disease. Especially in the modern world, with its sedentary lifestyle, unfavorable environment and genetic diseases.

        Varicose veins are a vein disease associated with weakening of the internal valves and venous walls.

        Blood flow in the veins slows down, stagnation occurs, causing the walls to stretch.

        Because of this, veins begin to appear through the skin.

        It looks very ugly, but that's not the worst thing. Much worse possible complications:

        It is in order to avoid these complications or prevent their development that surgery is performed for varicose veins on the legs.

        In what cases is surgery to remove leg veins prescribed? There are several options for surgical intervention.

      • Severe heaviness in the legs, swelling, fatigue.
      • Extensive damage to veins by varicose veins.
      • Thrombophlebitis.
      • Trophic ulcers.
      • Many people are afraid of any kind of surgery, but removing veins on the legs even sounds scary. A lot of questions and concerns immediately arise. And the main thing is how will the blood continue to rise to the heart if the veins are removed? In fact, only superficial veins are removed, while up to 90% of the blood flow passes through internal, stronger vessels that are not susceptible to varicose veins .

        Before agreeing to surgery for varicose veins, you still need to weigh the pros and cons.

        Important! If you still have any doubts, do not hesitate to ask questions to your doctor, he will explain, tell and show everything.

        Modern medicine has reached a level where vein removal is completely safe.

        Moreover, a correctly performed operation guarantees complete elimination of varicose veins.

        Of course, provided that the patient follows all the doctor’s recommendations.

        If you refuse surgery, you will have to be content with a slight relief from the pills. In addition, advanced varicose veins are a risk of developing thrombophlebitis . And this is already a deadly disease.

        True, there are situations in which surgery is really not worth it. If the condition of the veins in the legs is too advanced, then, alas, surgery cannot be performed. The condition of the veins is assessed by a phlebologist and a vascular surgeon before removal. To do this, you need to do an ultrasound examination of the veins, an external examination and a blood test.

        Also, surgery is not performed if the patient suffers from coronary artery disease or hypertension. In these cases, there is a high risk of complications during surgery. Skin damage, opened trophic ulcers and various skin diseases are also contraindications. So are infectious diseases. They need to be treated first.

        Important! For elderly people and pregnant women from the second trimester, surgery is also contraindicated.

        If a specialist, after all the research, insists on surgery, you still shouldn’t refuse. After surgery to remove varicose veins on the legs, there is a chance to get rid of the unpleasant and dangerous disease forever.

        Where to have vein surgery

        Particular attention should be paid to where exactly you will have the operation. Their further condition entirely depends on the qualifications of the doctor in whose hands your legs will be. Correctly performed surgical treatment of varicose veins of the lower extremities is completely safe .

        Today, in almost every city there is an opportunity to choose a clinic and a doctor. What should you pay attention to?

      • Clinic equipment . Modern equipment and suitable medications increase the chances of a successful outcome.
      • Doctor's qualifications. Do not hesitate to ask where and how the specialist was trained, check all diplomas and certificates.
      • Patient reviews . The Internet gives us the opportunity to get acquainted with real and varied patient reviews about the clinic and the doctor.
      • How is the operation performed?

        There are several different techniques for surgical vein removal.

        Direct surgical intervention is the most proven, long-tested, but at the same time the most radical method.

        The surgeon makes two incisions on the leg: in the groin area and on the ankle.

        Additional, smaller incisions are made in the area of ​​the main venous nodes. The vein is excised through these incisions .

        The operation itself lasts about 2 hours. It can be performed under either local or general anesthesia. A thin wire, a venous extractor, is inserted through an incision in the groin, which is used to remove the vein. After the operation is completed, the incisions are carefully sutured. The main advantage of this method is that even a large vein with a very wide lumen can be removed in this way.

        Important! The patient will be able to get to his feet within 5 hours after the operation.

        Sometimes there is no need to remove the entire vein; it is enough to get rid of the affected part. In this case, a miniflebectomy is performed. Two small incisions are made in the area of ​​the affected area of ​​the vein, and through them this area is removed .

        What to do after vein surgery? Follow all doctor's recommendations. They are very individual, and largely depend on the degree of neglect of the disease, individual characteristics and concomitant diseases.

        This is one of the newest methods of combating varicose veins. Its main advantage over the actual operation is the absence of incisions. Sclerotherapy of the veins of the lower extremities is carried out using syringes with a thin needle.

        A sclerotant is injected into a vein. Under its influence, the inner layers of the vessel are destroyed, and the middle ones simply stick together. As a result, the vessel simply falls out of the bloodstream.

        Attention! Within 1-2 days you will notice how the damaged vein disappears.

        After such an operation, the patient comes to his senses much earlier. Within an hour he can get up and move around on his own. In addition, with sclerotherapy, there is less chance of developing hematomas at the injection site.

        Laser vein removal

        Another innovative method is laser surgery. This also involves making small punctures through which a laser LED is inserted into the vein .

        It heats up the walls of blood vessels and glues them together. At the same time, under the influence of temperatures, all microorganisms die, which reduces the likelihood of developing an infection.

        The consequences of laser leg vein removal are minimal. This procedure can be done literally on the way home after work, and the next day you can return to work.

        Important! The disadvantages include low accessibility: the procedure is expensive, and not every clinic has the necessary equipment.

        Rehabilitation and possible consequences

        The postoperative period from leg vein surgery lasts literally a few hours. And the sooner the patient begins to move his legs, bend them, turn them, lift them, the shorter it will be. And the lower the risk of complications after surgery on the veins of the lower extremities.

        It is necessary from the very beginning to stimulate blood flow in the remaining vessels, to promote the rapid rise of blood to the heart. You can also do this by placing your feet on a pad so that your feet are higher than your heart level.

        The rehabilitation period after surgery to remove varicose veins of the lower extremities can last about two months . At this time, it is necessary to wear compression hosiery selected by a specialist.

        As already mentioned, recommendations after surgery for varicose veins are very individual. However, some generalizations can still be made. In addition to wearing compression garments, it is important to:

      • change your lifestyle to a more active one. Without this, varicose veins will return sooner or later;
      • lose weight if you are overweight;
      • do special exercises to strengthen the leg muscles;
      • follow a diet for varicose veins;
      • take medications for varicose veins.
      • The consequences of phlebectomy are usually minimal. Hematomas may appear in the area of ​​incisions or punctures, however, as a rule, they quickly resolve. Some people who are prone to connective tissue overgrowth may develop scars at the incision sites. If you know that you have this characteristic, it is better for you to choose a less traumatic method.

        After surgery to remove a vein in the leg, lumps and pain may occur. This happens extremely rarely, but it still happens sometimes. In this case, you must immediately consult a doctor.

        Surgery for varicose veins of the lower extremities

        Diagnosis: “You have varicose veins. Surgery is necessary,” sounds like a death sentence for most patients. But should one be afraid of surgical intervention if it can significantly improve the condition, and after a while the person can even forget that he once had such problems?

        Timely surgical treatment of varicose veins offers many methods that reduce the rehabilitation period to a minimum. The consequences will be almost invisible if you follow precautions and prevent relapses.

        Indications and contraindications for surgery

        However, such therapy does not always give a positive result. And patients consult a doctor only when the disease has reached such a stage that surgery to remove varicose veins is the only way to cope with the disease.

        Surgery for varicose veins of the lower extremities is recommended for clear indications, namely:

      • a significant increase in saphenous veins, accompanying physiological pathologies;
      • when the disease is in an advanced stage (often occurs during self-medication) or its rapid development;
      • trophic changes in the skin and the occurrence of trophic ulcers;
      • with the development of acute thrombophlebitis;
      • with significant discomfort caused by varicose veins in the legs and a deterioration in the quality of life.
      • The question naturally arises: if varicose veins are grade 2 (subcompensation stage), is surgery necessary? Indeed, at this stage of the disease it is possible to use conservative methods.

        Whether it is worth having surgery in this case, the patient will decide with the attending physician on an individual basis. However, all possible risks and consequences must be taken into account.

        The operation to remove varicose veins on the legs has a number of contraindications, which must be taken into account by a specialist:

        • infectious diseases with a severe course (both situational and chronic);
        • hypertension, ischemia;
        • advanced age of the patient (as a rule, surgery for varicose veins is not recommended for people over 70 years of age);
        • dermatological diseases, especially where surgery will occur;
        • pregnancy. The doctor may consider whether it is necessary to perform surgery for varicose veins in the first third of the term. The 2nd and 3rd trimesters are a clear contraindication.
        • Taking into account all the risks and possible consequences, the doctor, together with the patient, decides on the need for surgery for varicose veins of the legs and determines the type of surgical intervention.

          Types of varicose vein surgery

          Modern medicine offers several types of operations for varicose veins of the lower extremities. They differ in the method of implementation, the presence of consequences, the rehabilitation period and the risk of recurrence. The specialist makes a decision on the use of one method or another, based on the signs of the disease, the degree of its severity and the individual characteristics of the patient.

          Surgery for varicose veins, which involves removing a vein, is done in several ways:

        • Phlebectomy. The most traumatic type of surgery, it is used only in extreme cases due to the lack of alternatives. The operation requires high qualifications and time. After such a procedure, unpleasant consequences in the form of complications may occur. Although varicose veins after such an operation, as practice shows, practically do not recur. Skin incisions are made through which the affected vein is removed using special devices.
        • Miniphlebectomy. This is a type of phlebectomy; punctures are made on the body in places through which the affected vessel is removed using specialized probes. The postoperative period is shortened, and a smaller area of ​​skin is injured.
        • Stripping is a type of surgical intervention when only the affected part of the vein is removed through punctures in the skin, and not the entire vessel. With this operation, no stitches are required - the possibility of cosmetic defects is eliminated.
        • Sclerotherapy is a method of surgical intervention that involves the introduction of a sclerosing substance into the diseased vessel. During an ultrasound examination, the location of the dilation of the vessel is determined, and the drug is injected directly into this area. The vein sticks together, and blood no longer circulates through it. Sclerotherapy is carried out in two ways: The first is echosclerotherapy (with a special device and under its control, the location of the dilation of the vessel is determined, then a puncture is made, followed by the introduction of a sclerosant into the affected area; the method is used when the veins dilate by one centimeter or more and makes it possible to restore normal blood flow); the second method is sclerotherapy with a foam composition (a special medicinal composition in the form of fine foam is injected into the vein at the site of its expansion. The substance stops the blood flow in this area of ​​the vessel. To achieve a lasting result, several procedures are recommended. There are practically no relapses after this type of treatment).
        • Laser coagulation can make the patient's legs straight and smooth, without visible cosmetic defects in just one procedure. During this type of treatment, a high-frequency laser beam is used, which heats the vessel to 70°C and seals it, which prevents further blood flow.
        • Radiofrequency obliteration is a method similar to laser exposure. The vessels are influenced using microwaves. This method is used even with extensive vein lesions and their significant size.
        • Recovery period

          What needs to be done to prevent the disease from returning again:

        • bandage your legs with an elastic bandage for the first month after surgery;
        • wear compression garments, the density of which will be determined by your doctor;
        • stand and sit correctly - straight posture or a position in which the blood vessels are not pinched;
        • reduce heavy lifting (no more than 10 kg, at least for the first 6 months after surgery);
        • lead a moderately athletic lifestyle. Preference should be given to sports walking and swimming, as well as cycling;
        • avoid significant weight gain;
        • undergo regular examinations with a specialist and take courses of venotonic drugs.
        • The postoperative period, as a rule, passes without complications if you follow all the rules. But sometimes some side effects or complications may occur, which go away either with the help of additional treatment or on their own.

        • Hematomas and fever are observed in most cases only after phlebectomy. These conditions require hospitalization for constant monitoring of the course of the complication in order to avoid the addition of a bacterial infection.
        • Pain at the site of exposure, numbness of the skin. Such phenomena can be observed if nerve endings were damaged during surgery. A light massage will help get rid of unpleasant symptoms. Over time, all these uncomfortable sensations will go away on their own.
        • Bruises usually form after phlebectomy, since the degree of impact is quite large. No later than a month after the intervention, the bruises will resolve. After minimally invasive methods, such side effects are not observed.
        • Swelling is a phenomenon that is usually entirely on the patient’s conscience, since such symptoms indicate non-compliance with the doctor’s recommendations in the postoperative period.
        • Consequences of postoperative intervention on the legs for varicose veins

          After surgery for varicose veins of the lower extremities, the patient may encounter various residual effects. In addition, in a number of situations complications may develop, about which the patient must be informed in advance.

          The postoperative period for varicose veins on the legs can proceed according to a variety of scenarios, which are determined by the surgical method used and the chosen method of anesthesia.

          Possible consequences and condition in the postoperative period

          The pain syndrome may practically not be detected during a minimally invasive operation and, on the contrary, can be very noticeable during phlebectomy - in this situation, hematomas often form at the site of the removed vein, and in some cases, blood may even bleed from the wounds. This is due to the tributaries of the venous line. A few days after the operation, a slight increase in the patient’s temperature may occur, which is caused by aseptic inflammation of the blood that accumulates under the skin of the lower extremities.

          In some cases, if too much of it accumulates, lumps can be felt along the venous lines, which can be very painful. It is also necessary to take into account that there should be no redness on the skin above these lumps, since this picture indicates bacterial inflammation. Since phlebectomy, like any operation, including on the lower extremities, can be aggravated by subsequent infection with further complications.

          Stop fooling yourself

          Before reading further, I will ask you one question. Are you still looking for a varicose vein treatment that will help you?

          I hasten to disappoint you , there is NOT A SINGLE CREAM that will help get rid of varicose veins.

          And all the “drugs” that are sold in pharmacies and advertised on the Internet are a complete scam. Marketers are simply making huge money off your naivety.

          The only drug that can somehow help you is Venorem . This drug is not sold in pharmacies and is practically not advertised on the Internet, and it costs only 1 ruble as a promotion .

          So that you don’t think that they are selling you another “cream for varicose veins,” I will not describe what an effective drug it is. If interested, read all the information about Venorem yourself. Here is a link to the official Venorem website .

          The incision in the groin, which is made during the operation and which allows you to separate the subcutaneous and femoral venous lines, usually does not cause any pain. At the same time, in some cases, but very rarely, after damage to the lymphatic system, lymphatic drainage may appear in the area, which often causes significant discomfort to the patient.

          In addition, there is a possibility of deep venous thrombosis due to physical inactivity due to a sedentary lifestyle after surgery, which can lead to phlebothrombosis with all possible complications.

          Prevention of vein disease in the legs

          To eliminate the occurrence of all these problems, doctors prescribe comprehensive postoperative prophylaxis to increase the rheological properties of the blood, which also includes elastic compression of the legs (compression stockings, stockings, or claws) and a decrease in motor activity. If we talk about the appearance of the part of the body on which the operation was performed, then it must be recognized that the recovery process will be determined by genetic predisposition. For example, in some people, all other things being equal, scars seem to dissolve on the skin, while in others, outwardly unpleasant keloids appear .

          It is necessary to keep special control over the consequences after phlebectomy, which may manifest themselves after some time. The procedure for eliminating these consequences cannot be defined as a full-fledged treatment. Rather, this is just a way to combat the unpleasant symptoms of the above-mentioned pathology. Simply put, the disease cannot be cured using this method, and the risk of further complications remains relatively high. To reduce this risk to a minimum, it is necessary to carry out a postoperative set of preventive procedures, which, no matter what happens, cannot be ignored.

          How to behave after surgery, removal of varicose veins on the legs

          After the first hours after surgery for varicose veins of the lower extremities, doctors advise patients not to become a slave to bed rest, afraid to make even a single movement.

          On the contrary, they say that active movements (the main thing, of course, is not to overdo it) are an effective measure for speedy recovery. A set of exercises for varicose veins may consist of flexion and extension movements in the knee joint and circular passes with the feet.

          All these exercises must be performed with feeling, sense and arrangement - and only then will they benefit the patient. It is necessary to understand that simply applying a bandage and fixing the leg in a suspended state cannot improve blood flow.

          First of all, you need to keep the entire cardiovascular system in good shape, which is why all these exercises are done for varicose veins. But even when a person remains motionless (during sleep), his lower limbs after surgery should be slightly elevated - by ten centimeters.

          After one or two days after surgery on the veins of the legs for varicose veins, you can already begin to sit down. During the same period, an elastic bandage is applied to the patient - from the toes to the knee joint. You can already move with it, taking short walks and simple physical therapy exercises. In addition, massage may be recommended as an auxiliary measure to prevent blood clots.

          An elastic bandage (knitted underwear) will need to be worn for approximately two to three months. In addition, it is worth taking a course of blood thinning medications.

          One of the conditions for the prevention of varicose veins of the lower extremities is proper nutrition and diet. It is recommended to enrich your table with products that thin the blood and have anti-inflammatory properties. The products whose consumption has the most beneficial effect on health include: dry red wine, tomato juice, lemon, seafood .

          So, to summarize at the end of the article, we can once again say that prevention after leg surgery is based on an active lifestyle, which also includes exercise therapy, and proper nutrition. Follow these rules, and then you will forget about varicose veins forever!

          We conducted an investigation, studied a bunch of materials and, most importantly, tested most of the creams and medications for varicose veins. The verdict is:

          All the remedies, if any, gave only temporary results.

          In addition, advertised creams are addictive, and if you stop using one or another drug, the disease will sharply worsen.

          Remember! There is NOT ONE CREAM that will help you quickly get rid of varicose veins.

          The newfangled means that the entire Internet is replete with also did not produce results. As it turned out, all this is a deception of marketers who earn huge money from the fact that you fall for their advertising.

          The only drug that has given significant results is Venorem .

          You may ask, why doesn’t everyone use this “magic” remedy? The answer is simple, Venorem is not sold in pharmacies, it is not advertised on TV or on the Internet. And if they advertise, then it’s a FAKE.

          There is good news, we have contacted the manufacturers and will share with you a link to the official Venorem website.

          By the way, manufacturers are not trying to profit from people suffering from varicose veins; the promotional price of Venorem is only 1 ruble .

          How much do varicose veins cost? Prices for operations in different countries

          Have you decided to get rid of varicose veins forever through surgery? And you want to receive highly qualified medical care with good results. Of course, the operation can be done at a local hospital. It will cost you completely free, but the lengthy preparation and rehabilitation will confuse you. Yes, and the scar will remain on my leg.

          One-day interventions are not available in your area, and the prospect of hospitalization is unattractive for you. As an enterprising and business person, you begin to look for alternative options. Such that the level of medical care is modern, and the numbers in the price list are not scary with the number of zeros, and the procedures are performed using advanced techniques.

          The money issue is a decisive one for most patients. The days of free medicine, when you knew that the doctor was obliged to treat you, have sunk into the distant 80-90s. Only because he has a calling, and he himself chose this profession. When your rare acquaintances told you that you can get medical care abroad only with some kind of insurance or for cash, you were filled with bewilderment. However, life develops, and today dictates different rules. Today it is possible to independently choose not only a doctor, but also a clinic where you can receive highly qualified medical care. For money, of course. Make no mistake.

          We decided to conduct a brief review and analyze how much surgery to remove varicose veins costs in different countries. Let's do this using the example of two types of the most common minimally invasive interventions.

          Cost of endovenous laser surgery

          The price of minimally invasive surgery using EVLT depends on several components:

        • From the length of the affected vein.
        • Depending on the degree of neglect of the disease.
        • From the price of anesthesia.
        • Depending on the length of stay in the day hospital.
        • Add here the payment for the work of the doctor and staff, the cost of operating equipment, the use of medications and the cost of sterile material. These are not all the aspects that will make up the total amount.

          We propose to compare what minimally invasive care looks like in numbers in different countries. The price is for treatment of one leg*

        • Russia. In Moscow, the price of EVLT surgery reaches EUR 653 in case of advanced varicose veins. For comparison, in St. Petersburg such an intervention will be performed for EUR 512 .
        • Belarus. In the capital of Belarus, Minsk, they will give you EVLK from EUR 502 , but this does not take into account the severity of the process.
        • Ukraine. In Kiev, the price of EVLC is slightly lower and ranges from EUR 450 . But not for the most advanced cases.
        • Riga. Certified Baltic doctors will perform EVLT using the most advanced technologies using modern equipment for EUR 495 on one leg and for EUR 678 on both legs. This is taking into account the neglect.
        • Israel offers EVLC from EUR 4000 to EUR 9187 . The operation costs approximately the same in Germany.
        • Cost of radiofrequency laser ablation

          As in the previous case, we give prices in euros. So, getting rid of varicose veins using radiofrequency ablation will cost you the following amounts:

          1. Russia , Moscow from 700 euros and above.
          2. Belarus , Minsk – from 500.
          3. Ukraine . In Kyiv - about 500.
          4. Latvia , Riga – 605.
          5. Israel and Germany offer to pay several thousand euros for the same services, starting from 6. If you have such funds, you can plan treatment in these countries. We found it interesting that the services of a Russian-speaking translator cost 50 euros per hour, and the translation of one written line of text into Russian costs from 2 euros .
          6. All this is impressive. It is clear that the average citizen from the CIS countries is unlikely to afford such an expensive trip. And if you take into account flights, accommodation and other household necessities, you get an impressive figure.

            Do you lead a sedentary lifestyle and suffer from varicose veins? In the next article we will tell you what exercises are useful for varicose veins.

            Of course, if you are on a budget, you will most likely choose treatment in Germany or Israel. Our brain is designed in such a way that it is accustomed to considering the most expensive as the best. However, it’s worth thinking about: is significant spending always reasonable? After all, even in the vast expanses of the former Soviet Union, there are specialists of the highest level who have international certificates and conduct training operations for their foreign colleagues.

            Treatment in Latvia is an effective and inexpensive choice:

            However, it's up to you to decide. Draw reasonable conclusions. And remember that for the amount you plan to spend on treatment in Germany or Israel, you can receive more qualified assistance in Latvia. By the way, the cost of the glue method in Riga will be a quarter of the price of laser treatment in Germany and Israel. A convincing comparison, isn't it?

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