Varicose veins are not only an aesthetic problem, but also a disease that can cause serious disorders in the body, and gradually this pathology affects more and more people of different ages and genders. Not all patients take responsibility for their health - a visit to the doctor is often postponed until conservative therapy is no longer effective, and only surgical intervention can help. However, in some cases, traditional surgery can be replaced with a less traumatic one, for example, laser treatment of varicose veins.
Previously, if conservative treatment of varicose veins did not bring the desired results, or complications posed a serious risk to the patient's health, doctors prescribed surgical intervention. In this case, the affected vein was completely removed, and after the operation scars remained on the skin. Modern medicine allows, in certain cases, to replace outdated surgery with more advanced laser therapy.
The essence of the effect is that a laser beam with a certain wavelength is directed at the dilated vein. Blood cells convert the incoming impulse into thermal energy, as a result of which the affected vein is sealed, as it were, and the blood begins to circulate through deeper healthy pathways.
In this case, all adjacent tissues remain unharmed, since the laser beam acts selectively, and the area of the body where the manipulation was performed does not subsequently cause discomfort due to the damaged vein.
Laser surgery for varicose veins is divided into two types, which are used in different situations. Percutaneous laser correction is used in most cases to treat venous networks, which can be called the early stage of development of varicose veins. The procedure is carried out without direct contact with the skin, and the result is no different from another type of procedure, but in this case the vein should not exceed 3 mm in diameter.
Endovasal laser coagulation (EVLC) is used more often; in European countries this procedure has become a priority method of therapy, and surgical treatment of varicose veins is gradually relegated to the background. EVLT involves a microscopic incision in the skin through which a light guide is inserted into the damaged vein. This feature allows you to seamlessly “glue together” any dilated vein not exceeding 1 cm in diameter. The entire process is carried out under the control of ultrasound diagnostics, so the risk of medical error is minimal.
Negative reviews about laser coagulation of veins are most often left by people who trusted an inexperienced doctor or ignored the advice of a specialist.
Any procedure has indications and contraindications, which the attending physician should tell you about. In the case of treating varicose veins in the legs using laser coagulation, the specialist must carefully check the prerequisites for the procedure.
Firstly, the vein must be dilated at the mouth by no more than 10 mm, otherwise the therapy will be useless and the problem will soon return.
Secondly, the vein must have an even course so that the light guide can pass through it from beginning to end without hindrance.
Thirdly, there should not be too many varicose veins.
Before starting laser treatment, you need to take into account existing contraindications to the procedure:
If you ignore existing contraindications, negative consequences may arise that will be much more difficult to eliminate. For the procedure to be successful, you need to contact only a specialized medical institution staffed by experienced and responsible specialists.
At a preliminary consultation with a doctor, the patient answers all the necessary questions and undergoes an examination so that the specialist can decide whether laser treatment of varicose veins will help in this case, and whether it is necessary at all. After this, tests are prescribed, and if no contraindications are found, the date of the session is announced.
There is no specialized preparation for laser coagulation, but the patient must follow certain specialist recommendations:
At the first stage, the phlebologist, together with an ultrasound diagnostic specialist, marks and marks the location of the entire part of the vein affected by varicose veins on the affected area of the patient’s body. This stage can last differently: if the vein is straight and short, the process will take only a few minutes, but if it often bends and is affected over a long section, marking may take longer.
The second stage involves the use of local anesthesia, which is most often used Novocaine, if the patient is not allergic to it. Under the control of an ultrasound machine, the doctor carefully punctures the affected vein without damaging it. This stage is very important because it not only numbs the procedure, but also prevents the laser beam from affecting nearby tissues.
Laser removal of varicose veins begins with the phlebologist choosing a radiation mode suitable for the patient. After this, a small incision is made through which a light guide is supplied to the vein if endovasal coagulation is performed, or the laser acts superficially if a percutaneous method is chosen. Using an ultrasound machine, the phlebologist controls the process and moves the source of the laser beam along the entire length of the dilated vein.
After laser treatment of the veins of the lower extremities, you will need to wear compression garments for two weeks, and in the first days after the procedure, not only during the day, but also at night. Also, immediately after exposure and subsequently for two weeks, you will need to take walks lasting at least 30 minutes.
In most cases, varicose veins on the legs and other parts of the body can be treated with laser coagulation without side effects or relapses. At first, the patient may feel discomfort, pain or other unpleasant sensations in the area of exposure, and bruises may also appear, but this gradually goes away. Otherwise, you will need the help of a doctor.
If the course of laser treatment of varicose veins on the legs and other parts of the body was disrupted, or the patient neglected the advice of a specialist, more serious complications may occur. The most harmless of them is considered to be infection through an open wound, which can be treated with antibiotics. A more serious complication is the occurrence of a superficial or deep vein thrombus, which can only be treated surgically.
Advanced stages of varicose veins, unfortunately, exclude treatment with conservative methods. In this case, neither medications, nor physiotherapeutic procedures, nor traditional recipes will help, only surgical intervention will help get rid of varicose veins. Surgery for varicose veins is an effective method of getting rid of the disease.
Today, operations for varicose veins are not so traumatic and scary. They are aimed at removing weakened veins that are not capable of normal functioning and are performed under general or local anesthesia.
The main traditional operation for varicose veins is phlebectomy; this is the most radical and, at the same time, the most effective method.
If phlebectomy has been prescribed, it should not be delayed. Timely treatment increases a favorable prognosis and reduces the likelihood of complications.
Indications for the use of phlebectomy are extensive varicose veins, impaired blood flow, severe swelling of the lower extremities, trophic ulcers and thrombophlebitis.
Before surgery, the patient undergoes a complete diagnosis to identify existing contraindications. These are:
After the examination, the period of preparation for the operation begins: the patient is given anesthesia (most often spinal anesthesia). This anesthesia requires the patient to be conscious, but eliminates pain for 3-5 hours, depending on the complexity of the procedure. In order to prevent even the slightest movement that could provoke errors, the patient is secured with belts in place.
Next, the course of the operation itself begins. A skin incision is made in the upper and lower parts of the leg at the site of projection of dilated vessels. Through these incisions, the weakened veins (usually just one vein) are removed. Subsequently, the surgeon sutures the incisions.
The use of stripping during surgery is a gentle alternative to traditional phlebectomy. This method allows you to remove not the entire vein at once, but only its affected area. The procedure is performed through a puncture in the skin.
Such an operation allows you to remove the affected area with minimal trauma to the tissue. The punctures to remove part of the vein are only 4-5 millimeters, the seam after surgery is almost invisible. The gentle procedure involves a faster and easier rehabilitation period.
Crossectomy is the intersection of a varicose vein as it flows into a deep vein; the procedure is carried out using the Troyanov-Trendelenburg method. During surgical treatment, the patient is made an incision in the area of the inguinal fold, where the vein is ligated.
After the operation, the patient is given a cosmetic suture; traces of the procedure are practically invisible. Most often, this method of surgical intervention for varicose veins is used in cases of high risk of developing thrombophlebitis.
Safenectomy is a common operation for varicose veins, performed using the Babcock method. Suitable for advanced stages of the disease.
To perform the operation, an incision is made in the groin area, from one to eight estial ducts are isolated from the adjacent tissues. The main trunk of the vein is ligated and cut off. Next, an incision is made in the ankle area, provoking the isolation of the distal sections of the vein. After opening the vein, a special metal probe is inserted. Using a probe, the vein is separated from the surrounding tissue.
Along with surgical treatment of varicose veins, laser treatment of veins is gaining increasing popularity. Laser phlebectomy is easy to perform and causes minimal discomfort to the patient. The procedure is carried out using a computer-controlled laser device.
Under local anesthesia, a puncture is made in the patient's skin, through which a laser light guide is inserted into a vein. The laser pulse cauterizes the vein, which provokes its overgrowth. At the end of the operation, the puncture is sealed with a special plaster.
With laser phlebectomy, the effect on dilated veins is carried out with millimeter precision, this contributes to the effective cure of the disease and a rapid rehabilitation period.
Surgery for varicose veins may not always have pleasant consequences. Complications may occur several days after surgery. Although the consequences are extremely rare, they cannot be completely excluded.
What consequences and complications can be caused by traditional phlebectomy and its other types:
Such complications can be avoided if you follow your doctor's recommendations for the rehabilitation period. First of all, it is necessary to exclude physical activity in the first days after surgery and removal or intersection of veins.
Surgeries for varicose veins eliminate prominent and protruding vessels and stars. With the help of surgical intervention, both the medical and cosmetic problem of varicose veins is solved. However, in order for the result to be truly positive, it is necessary to follow certain rules during the rehabilitation period.
Rules for the postoperative period:
Reviews about phlebectomy are predominantly positive. Many patients note the high effectiveness of the operation, as well as the possibility of removing not the entire vein, but only part of it. Reviews from men and women are similar in that most patients do not consider conservative treatment as the main one, and therefore prefer surgical treatment of varicose veins.
The advantages of the method include local anesthesia and being conscious during the operation. Reviews about complications are minimal. Many patients who have had unpleasant consequences believe that surgery was necessary.
Let's look at the cost of surgery for varicose veins. What could be the price for surgical treatment of varicose veins? Surgical treatment always begins with diagnostics, without which it is not possible to determine the condition of the vessels and an adequate method of therapy.
As a rule, the price of diagnostics is not included in the total cost of the operation. Diagnostic measures, including vascular ultrasound, will cost from 1,500 to 2,000 rubles. A consultation with a phlebologist at a paid clinic will cost 1000-1500 rubles.
Depending on the degree of vascular damage and the complexity of the operation itself, the cost of phlebectomy will vary from 20 to 60 thousand rubles. If necessary, the patient will be prescribed restoration of vascular access, which will cost him approximately 30 thousand rubles. The price of laser treatment is 20-45 thousand rubles. The high cost justifies their effectiveness.
From this article you will learn: what operations are there against varicose veins (including on the legs), how they are performed. Indications and contraindications for use. Possible complications, postoperative period.
Varicose veins can be treated conservatively only at the initial stage. But at this stage, the disease often occurs latently: it manifests itself only with minor symptoms, which not everyone pays attention to. Pronounced symptoms appear only when the vessels are dilated so much that it greatly impedes normal blood circulation. And at this stage, only surgery will help you completely get rid of varicose veins.
Click on photo to enlarge
To prescribe treatment, contact a phlebologist and undergo a duplex scan. The operation itself will be performed by a phlebologist or angiosurgeon.
Further in the article, operations will be sorted by “severity” and complexity: from the easiest and safest to radical, which will require a longer recovery period.
The information on operations from this article is relevant for any type of varicose veins: legs, arms, pelvis, esophagus.
Indications for surgical intervention are as follows:
Surgery cannot always be performed at the last stage of the disease, when many veins are affected. In this case, drug therapy is prescribed, but it is no longer possible to completely cure varicose veins.
Also, surgery against varicose veins cannot be performed in the following cases:
If you are taking any medications for heart disease or hormonal medications, tell your doctor. Often you have to stop taking it during treatment.
This is a minimally invasive operation. It involves the injection of a drug into a vein, under the influence of which it gradually contracts. It is performed as an injection and does not require an incision. Usually, to eliminate the disease, it is necessary to undergo several sclerotherapy sessions.
Sclerotherapy is effective for eliminating varicose veins of the lower extremities, pelvis, as well as in the initial stages of hemorrhoids.
The essence is as follows: the doctor makes an injection into the affected vein and injects a certain amount of sclerosing drug. In one session, from 2 to 10 injections are given. The effect does not occur immediately, but after the vessels have time to react to the medication (within 2–8 weeks).
Additionally, the following types of sclerosis can be distinguished:
Varicose veins are a disease that requires special attention to lifestyle.
It is not enough to take prescribed medications, since this disease has a number of contraindications.
In order not to put strain on already damaged veins, you will have to carefully choose your physical activity options, give up bad habits and eliminate many foods.
Varicose veins are a pathology of the veins in the limbs and pelvic area . With a sharp influx and slow outflow of blood, the vessels greatly expand and protrude under the skin, forming a noticeable mesh. Constant changes in blood pressure provoke stiffness and deformation of the venous walls.
Large painful nodes appear, thrombosis and trophic ulcers are possible. The patient experiences pain and heaviness, legs cramp. Stagnation of blood causes the most severe complications, including tissue necrosis and complete vascular obstruction.
There are many reasons for varicose veins of the lower extremities.
The disease can occur due to hereditary predisposition, poor nutrition, bad habits, overexertion, injuries.
Timely identification of provoking factors will help to exclude the development of the disease and prevent complications.
What is harmless to a healthy person can bring a lot of trouble to phlebologist’s patients.
Ethyl alcohol causes blood vessels to expand greatly, which is detrimental to already deformed veins. Alcohol delays the outflow of lymph, causing swelling, which is especially dangerous with varicose veins.
Quitting smoking is equally important. Nicotine, tobacco tar and combustion products make blood vessels fragile and brittle, the blood thickens, and the risk of formation of adhesions and blood clots increases. The ban is imposed not only on regular cigarettes and cigarettes, but also on their electronic analogues, pipes, hookahs, chewing and snuff. It is advisable to avoid passive smoking.
Patients with varicose veins should avoid overloading. It is forbidden to lift a load heavier than 5 kilograms . For shopping trips, it is worth getting a grocery cart.
To successfully combat varicose veins and prevent exacerbations, it is important to carefully follow the diet prescribed by your doctor.
If the veins expand, you will have to give up:
The total calorie content of the daily diet should not exceed 2500 kilocalories for men and 2000 kilocalories for women. The exact calculation of caloric intake depends on the height, age, and degree of physical activity of the patient.
Excess weight and obesity put additional stress on blood vessels, impair blood flow and provoke the development of varicose veins. If a patient suffers from excessive obesity, he needs a special diet or even fasting under the guidance of a specialist.
With chronic varicose veins, proper rest is very important. Patients will have to give up:
For the normal functioning of the eyelids, it is important to get enough sleep , rest often (preferably lying down), do a short workout every 2 hours or take a walk.
Particular attention should be paid to the state of health of hairdressers, bartenders, salespeople and other people who are forced to stand for several hours.
If you have varicose veins, you will have to give up some of your usual hygiene procedures. Any manipulation with steam, excessively hot or extremely cold water is not suitable.
For people with damaged veins, the following are strictly contraindicated:
It is advisable not to wear synthetic knitwear, which does not stretch well and does not allow the skin to breathe freely. Rubber shoes, which cause swelling and blood stagnation in the feet, also make the top list.
A very important point is physical activity.
With varicose veins, both overload and a sedentary lifestyle are equally harmful.
Therefore, a logical question arises: what exercises are contraindicated for varicose veins?
The ideal option is balanced physical activity.
Walking, light jogging, swimming, and Nordic walking are suitable for phlebologist patients . The list of contraindications is much longer.
When planning to engage in fitness, you should avoid:
More detailed information about training in the gym is presented in the following video:
There are contraindications for varicose veins on the legs and for amateur athletes .
It is not recommended to do:
Phlebologists recommend eliminating all loads that can injure blood vessels.
Activities that cause a strong rush of blood to the extremities, changes in blood pressure, or increased stress on the lower extremities are contraindicated.
Some treatments for varicose veins can worsen the patient's condition. Before resorting to them, you need to familiarize yourself with the full list of contraindications. Treatment with leeches (hirudotherapy) improves blood flow, promotes the elimination of toxins, and strengthens venous walls.
However, this type of therapy is absolutely excluded if:
Another popular procedure for the treatment of varicose veins is pressotherapy. It accelerates the outflow of blood and lymph, tones blood vessels, prevents capillary fragility and the appearance of a noticeable venous network on the calves and thighs.
However, pressotherapy also has contraindications for varicose veins.
It is absolutely not suitable for:
Taking into account all possible contraindications, you can significantly improve your well-being and ultimately achieve complete healing.
Varicose veins are a pathology of the vessels of the venous network, the direct task of which is to ensure proper outflow of blood to the heart from the legs. If you have varicose veins, you should avoid any unnecessary stress on the lower limbs, because this increases the pressure in the veins, which are already deformed and weakened.
In any case, a confirmed diagnosis of varicose veins for the patient means that the way of his usual life must change. At least until radical treatment. Certain rules of prevention can stop the progression of pathology.
But it is important for a person who has varicose veins to understand that he should consult a phlebologist as early as possible. This will be the key to preventing the occurrence of complications and the development of further stages of varicose veins of the lower extremities. The mentality of the population of our country is designed in such a way that we go to see a doctor when trophic ulcers have already formed on our legs, bringing pain and discomfort day and night. In this case, treatment will last longer and cost more. Is it worth bringing your illness to this point if you can cure varicose veins at the first stage of development?
There are different contraindications for varicose veins. Some apply completely to everyone who suffers from varicose veins, others only to a part of the patients, depending on the particular disease.
So, for varicose veins it is contraindicated:
And now in more detail about each point.
Varicose veins are a very common occurrence in pregnant women and women in labor. The main thing that a woman should remember is that after childbirth, in the presence of varicose veins, taking hormone-based contraceptives is contraindicated. This recommendation is due to the fact that blood clotting increases under the influence of sex hormones, and as a result, blood clots can form in varicose veins.
Massage is also not indicated for patients with varicose veins. All types of the above massages can harm diseased veins and provoke the progression and complications of varicose veins. Most often, spider veins appear in new places, the feeling of heaviness in the legs and swelling increases. Sometimes anti-cellulite massage can even cause thrombophlebitis. The only thing that is allowed is preventive massage, but only in the initial stages of the disease.
For varicose veins, weight lifting of no more than 4 kg on average is allowed. If you go to the gym, it is best to work out with a trainer. It is important that there is no excess tension in the veins, which can cause bleeding from varicose veins. All exercises should be performed lying or sitting. Pilates, yoga, and swimming are not contraindicated.
Regarding shoes, it is worth saying that the heel for women's shoes should be no higher than 5 cm, and preferably 3 or 4 cm. Women with trophic lesions of the skin of the legs should especially heed this advice. If there are no such complications, then wearing shoes with heels is allowed, but not often. High heels contribute to the constant presence of muscle tone in the legs, due to which the outflow of venous blood becomes difficult. This puts a lot of pressure on the valves of the veins, and their function is impaired over time, which subsequently leads to the progression of the disease.
Waxing is considered a thermal procedure, like a sauna bath, which also worsens the condition of blood vessels. Therefore, it is better to refuse them.
Tightening and too tight clothes are not compression knitwear, which exerts pressure with a certain and, most importantly, correct distribution. Socks or stockings with tight elastic bands simply pinch the veins in a certain place, thereby complicating the physiological outflow of blood.
It is very important to monitor your weight and eat a balanced diet to prevent obesity. Excess weight is always an additional burden on diseased veins. You should consume the required amount of foods containing vitamin C, which strengthens the vascular wall and makes it more elastic.
If you have a job where you have to sit or stand in one place for a long time, try not to let your legs go numb and get up every half hour to walk.
Women who have older children should try to sit them on their laps less often, as well as hold heavy bags. In such cases, the veins of the legs work for wear.
If you suffer from varicose veins, but due to certain circumstances you have to make frequent flights, or travel on buses where you are expected to sit for a long time, then you need to do it correctly. The fact is that prolonged exposure to air can cause vein thrombosis, which is a rather dangerous condition. During takeoff and landing of an airplane, the veins of the lower extremities are subject to increased hydrodynamic load, which causes stagnation in the venous blood flow and the formation of blood clots. Therefore, in order to avoid such complications, you should definitely wear compression garments, perform the simplest leg exercises on the road to activate outflow, do not drink alcohol while traveling, and drink a glass of water every hour, which will be an excellent prevention of dehydration and blood thickening.
New technologies in the treatment of varicose veins
Varicose veins are dilation of veins that impair the movement of blood through the veins. Varicose veins are not only unsightly, but also pose a serious threat to human health. Treatment of varicose veins, like any other disease, is much easier at an early stage than at a later stage. The sooner you contact a specialist - phlebologist for advice, the easier it is to fight this disease.
In the prevention of varicose veins, physical activity most often comes first. But there are some contraindications for varicose veins , which indicate that intense physical activity is prohibited for the patient. But this does not mean that you should kill your desire to engage in any sport. You just need to choose something easy. Pay attention to swimming, fitness and water aerobics. Breathing exercises and yoga are also not indicated as contraindications for varicose veins . If you still want to go to the gym, then use the services of a personal trainer. There are special contraindications for varicose veins , which must be taken into account when visiting the gym, including squatting, running, and lifting heavy weights.
In addition, foot massage for varicose veins . But this kind of procedure must be taken seriously. For example, cupping massage is generally prohibited, honey massage is extremely rare. But a regular foot massage for varicose veins , which is performed with your hands, taking into account all the problems, will only benefit you. Moreover, it’s a good idea to find a massage therapist who professionally performs foot massage for varicose veins , because this is a rather “delicate matter.”
Use a contrast shower for varicose veins . An even more effective way would be if after each visit to the shower or bath you splash your feet with cold water. Walking in dew, medicinal baths, wraps and other procedures require time, therefore, if you use a contrast shower for varicose veins , this will already have a good effect on the main treatment of the disease.
After a hard day of work, allow yourself to relax by throwing your legs 20 cm above the level of your heart, this will improve the flow of blood from the extremities. Remember, prevention, like treatment, is extremely important.
And no matter what, it's important to take care of your feet. Using a contrast shower for varicose veins is already a significant plus, and if you engage in moderate physical activity, your legs will soon become the same as before. Love your feet and they will love you back.
Varicose veins are best treated in the early stages, when it is possible to use conservative therapy. Otherwise, the disease will progress quickly, and surgery will not be avoided. Surgical intervention gives positive results, but the process itself and the rehabilitation period are quite difficult for the patient, so it is better not to let it come to this.
Another reason why you should not rely on surgery is its high cost. Not all public hospitals provide such services, so you will have to go to a paid clinic.
The point of carrying out any operation on varicose veins on the legs is at least two points:
Both effects occur due to the fact that the affected vein is removed, and blood is no longer retained in it, clots and blood clots do not form. Blood can flow normally through the vessels and nourish all tissues, incl. skin
Today there are three modern methods of getting rid of varicose veins on the legs:
Each of them has its own characteristics, indications and contraindications. Usually, the doctor himself, based on the medical history, makes a conclusion about the advisability of a particular method. But in rare cases, the choice is made by the patient, so it will not be superfluous to familiarize yourself with the types of operations for varicose veins on the legs.
The essence of the procedure is to remove a non-functioning vein from the bloodstream mechanically. Those. it is simply pulled out through a small incision.
The price of surgery for varicose veins on the legs using the phlebectomy method ranges from 30 thousand rubles. If the case is complicated by trophic ulcers or other problems, the cost may increase by another 10-20 thousand.
This operation is carried out when:
If you watch a video about an operation to remove varicose veins on the legs, everything will not be very attractive. But in reality, everything is much simpler, because the intervention costs “little blood.” There are only two cuts, and they are very small; the whole procedure takes about an hour; hospital stay after surgery is 2-3 days.
The procedure involves the injection of a special substance into the vein, which glues the walls and removes the vessel from functioning. This substance is called a sclerosant. Since the 17th century, many different sclerosants have been used, but they all have serious side effects, and the consequences of varicose veins surgery sometimes cause complications. It was only in 1946 that fiberglass was discovered, which is still in use today.
Prices for surgery for varicose veins on the legs by sclerosing veins start at 5 thousand rubles and can reach up to 30 thousand. It all depends on the area of the treatment area and the thickness of the affected veins. Sometimes one session is not enough, so to get an ideal result you have to do repeated sclerotherapy.
The operation is performed, rather, for cosmetic purposes to eliminate small spider veins or spider veins. If the deep vein is affected, sclerotherapy is not advisable. It will be easier to simply pull out the vessel (perform a phlebectomy).
Any video on the operation of varicose veins on the legs by sclerotherapy shows that it is carried out under ultrasound control. This is necessary so that the doctor can see where to insert the needle. From 2 to 10 injections are carried out per session, because it is necessary for the sclerosant to be distributed throughout the entire vessel.
The abbreviation stands for endovasal laser coagulation. The technique also involves gluing the affected vein, but instead of a special substance, a laser is used. It seals the walls of the vessel, while simultaneously disinfecting micro-wounds formed as a result of exposure to high temperatures. The cost of surgery for varicose veins on the legs using the EVLT method is 30-40 thousand rubles.
The method is based on innovative technologies and is used to remove varicose veins in elderly patients who find it difficult to endure full-fledged surgery. Can act as an alternative to phlebectomy.
EVLT also requires ultrasound monitoring. A hollow tube is first inserted into the vein through an incision, into which a radial light guide with a laser at the end is then inserted. The light guide is slowly pulled out, while the laser tip seals the vein walls. Everything takes about 40-60 minutes. Videos of operations for varicose veins on the legs using laser coagulation are available on the Internet. You can watch the videos and make sure that this method is the safest and most effective.
Not all people can undergo surgery to eliminate varicose veins. Contraindications are:
Despite the fact that in all three cases, tissue damage is minimal and the stitches are very small, recovery still requires strict adherence to the doctor's instructions. Otherwise, the consequences of surgery for varicose veins on the legs can be disastrous: a relapse will occur, and one or more veins will stop functioning.
Depending on the type of operation performed to remove varicose veins on the legs, rehabilitation tips may be as follows:
Also, everyone who has undergone phlebectomy, sclerotherapy or EVLT is given a special diet without smoked and spicy, fatty and spicy foods. The following foods are useful for blood vessels: raw fruits (especially citrus fruits) and vegetables, salads with vegetable oil, low-fat soups, cereals and cereals, berries, seafood.
Often, when choosing an operation, price is decisive. But the phlebologist still understands more clearly the picture of the disease and the procedure for carrying out the procedure with the most favorable outcome. Therefore, he tries to convince the patient not to save money, but to cure varicose veins thoroughly and completely.
If you set priorities, then most often you choose EVLC, because... this is the most modern and safe method. In second place is phlebectomy, because the technique has existed for more than 100 years, and during this time it has managed to improve. Sclerotherapy, however, is still considered by many to be a cosmetic procedure rather than an operation; therefore, it is prescribed for aesthetic rather than functional problems.
Finally, a summary video about operations to remove varicose veins on the legs, which may help you better understand the essence and principle of different techniques. The vascular surgeon talks and discusses some methods of surgical intervention.