The lower extremities of the human body, or more simply put, the legs, are in some way one of the main supports of our body, helping to move in space and perform a number of other functions. It is important to keep your feet healthy at all times.
The circulatory system is an amazing phenomenon; it consists of veins, arteries and capillaries, the total length of the vessels is about one hundred thousand kilometers. Any disturbances in its structure or functioning affect the entire life activity of a person.
One of the most common surgical interventions performed for diseases of the lower extremities is surgery on the venous vessels. Such disorders can be caused by various reasons, both congenital and acquired.
The main reason for prescribing this operation may be problems such as thrombophlebitis, vascular embolism, atherosclerosis, mechanical damage to blood vessels (sports injury, open fracture, etc.).
If we consider violations during thrombosis, it looks something like this: due to increased blood clotting or changes in blood flow, a blood clot forms. If the deep veins are affected (superior and inferior vena cava, portal vein, etc.), the disease will be called thrombosis.
Thrombosis of the superficial veins (small and great saphenous veins) will be called thrombophlebitis. As a result of these diseases, a blood clot appears, which can break away from the wall, move with the bloodstream, and reach the chest, blocking the pulmonary artery, which will lead to pulmonary embolism (tissue necrosis, pulmonary infarction).
The main objectives of surgical intervention are:
First, you should consult with a general practitioner and a phlebologist (a doctor who specializes in blood vessels), and women will also need to be examined by a gynecologist.
Each of these specialists must identify indications and contraindications for surgical procedures.
You will also need to consult an allergist to find out if the patient is allergic to anesthesia.
Secondly, urine and blood tests will be mandatory. The following types of blood tests are required:
Thirdly , you will need to undergo the following types of diagnostics: electrocardiogram, fluorogram, color Doppler mapping of veins (a type of ultrasound diagnostics that examines the movement of all fluids in the body).
Fourthly, you must adhere to a strict diet for 3 days before surgery. It is necessary to exclude heavy and fatty foods, eat less baked goods, but more fruits and vegetables containing fiber. The day before surgery you need to do an enema.
Fifthly, before the operation it is necessary to shave the leg on which all manipulations will take place. Be sure to report any skin lesions (wounds, ulcers, etc.) to your doctor. And 8 hours before surgery you should not eat any food.
If we exclude medical errors and the presence of chronic diseases, then the main complications after surgery may be:
General contraindications to surgical intervention of the vessels of the lower extremities:
In addition to the above contraindications, there are additional prohibitions for various operations on venous vessels.
For example, contraindications for phlebectomy:
The operation itself, although quite complex, because... requires high precision and coordinated work of surgeons, takes place under local anesthesia and lasts about an hour and a half.
The patient needs to purchase elastic bandages , because... After surgery you will need to use them for a long time.
All manipulations are minimally invasive, so no stitches or bandaging are required. On the first day after surgery, the patient is prescribed bed rest. On the second day, active conservative treatment begins. The patient may be prescribed a number of medications that strengthen blood vessels and normalize blood pressure.
also need medications to help cope with local inflammation (mainly creams, ointments and topical antibiotics). At the same time, the patient is allowed (and even required) to get on his feet and move around within the ward and hospital.
In the absence of infections, severe inflammatory processes and pressure surges, functional loads and exercises for the lower extremities are prescribed. Basically it's just walking for a certain amount of time.
You can do the following exercises:
For the first time after surgery, visiting the bathhouse, sauna or swimming pool is prohibited. It is important to treat postoperative wounds, take antibiotics, and adhere to a strict diet. Under no circumstances should you overload your legs with physical exercises - only as recommended by your doctor.
Published 05/11/2016, 17:34 | Author: e-lenka | 126 comments
Hello, my darlings! Today I was riding on the subway and saw a student girl who had taken off her high-heeled shoes and was rubbing her feet, wrinkling her nose. I remembered myself 2 years ago, when I couldn’t walk in heels for an hour. I had to take off my shoes and rub my numb feet. Once I walked barefoot (!) around the city, because severe swelling of my feet did not give me the opportunity to put on shoes . People turned around in surprise, it was very awkward.
Now it’s funny and scary at the same time because of my carelessness. Because initially I didn’t consider varicose veins a serious disease. Spider veins appeared on my legs when I was 14. At the time, neither I nor my parents attached much importance to it. Dad had varicose veins, so we talked about “bad heredity,” which, like eye color, hair color or lip shape, is inherited and is not subject to discussion.
Today, scientists have proven that hereditary predisposition is one of the main causes of this insidious disease. But this does not mean that there is no need to treat it, but you need to resign yourself and watch how the legs (and not only the legs, but also the arms, genitals and internal organs, etc.) become covered with a lumpy mesh. The main question: where to find a cure for varicose veins? I personally answered it.
From the age of 14, I observed how thin vascular cobwebs gradually turned blue and spread apart. At that time, I worked as a salesperson in a store, sometimes spending 12 hours a day on my feet. At the same time, I was involved in sports and athletics, not thinking that such a load on the legs and veins could lead to fatal consequences. Sport develops willpower, I rarely complained and was very patient. At the age of 15, veins popped out under my knee, and almost immediately after that, heaviness appeared in my legs and they began to hurt.
Do you think that playing sports is 100% protection against diseases? I thought so too before. Since childhood, spending all my free time training, I rarely caught colds, was active, mobile, and cheerful.
And so, already in my youth, I began to lose my usual energy. Feeling unusual discomfort in my legs, I still hoped that it would “go away on its own,” wasting precious time. After 20 years, I started a family, got pregnant and gave birth to a baby. While I was walking around with my belly, my varicose veins were not dormant. On the ultrasound, the doctor noted a strong dilatation of the veins of the uterus, this was dangerous for me and the baby. Fortunately, I gave birth without any problems.
At the age of 22, a knot appeared on my shin, which was very painful and grew before our eyes! I wanted to be beautiful, to wear skirts, shorts and heels, I was upset and even cried. I tried all available creams, gels, ointments, applied them regularly and nothing happened. In the end, I came to terms with varicose veins. I was afraid to go to the doctors, somewhere I hoped that everything would go away on its own.
At 27 years old, I left the store, graduated from college and got a job as a fitness trainer. The load on the legs has not decreased.
Working as a fitness trainer, I kept in shape (I didn’t gain weight, and the muscle corset gave my body strength and agility), but the veins continued to pop out from daily stress. I didn’t see the point in changing my profession or lifestyle. It is not known what is worse – “sports” varicose veins or “passive” ones. At that time, I understood perfectly well that there was no way out other than surgery, but I didn’t want to cut my legs and hoped that at least it wouldn’t get worse. There is nothing superfluous in our body; removing pieces of veins is scary, painful and dangerous. I wanted to treat it so that the veins would disappear, but I didn’t know how.
2 years ago I accidentally saw the “Health” program with Elena Malysheva, in which they talked about my illness. The story included information about how it is possible to stop the progression of the disease and a few words about “Zdorov” creams. I started looking for information about the company and its product and found two articles. One from AiF, the second from Komsomolskaya Pravda, there was more detail about the cream wax and the principle of its action.
It became clear to me that the Zdorov cream-wax was what I needed. Obvious advantages that I immediately highlighted:
I could use the cream during the day, during training, and at night, while resting. I decided to act. I found the “Zdorov” website, dialed the “hotline” and ended up with a girl operator who herself uses the cream for back pain and there are results! I learned that all this is not a hoax and not a “miracle remedy,” but an officially registered method of treating varicose veins using beekeeping products. When I ordered the cream wax, I was eagerly awaiting the delivery so that I could start treatment faster.
The package from Zdorov arrived in 10 days, I immediately opened it to make sure that what I ordered was inside. The cream-wax itself, the instructions - everything was in place. I never thought that treating varicose veins would be pleasant.
How did I feel after applying the cream? Light tingling and warmth. There was no discomfort, heaviness, or skin irritation (although I have very sensitive skin). Very soon the bruise became completely pale. In the end, he left completely. My dears, from the age of 22 to 41 I walked around with a huge varicose vein under my knee, and cream-wax removed it in 2 weeks! It seems incredible...
I used the cream-wax “for prevention” for another month, and then gave it to my dad. Dad’s pain and heaviness in his legs went away, varicose veins disappeared.
I, Elena Polupanova, a practicing fitness trainer, a happy mother and wife, confirm: Zdorov cream-wax helps get rid of varicose veins.
My dears, do not delay treatment for varicose veins. You are wasting your time and putting yourself in danger. Cream wax will help even in the most advanced cases, the main thing is to start treatment as quickly as possible. I wish you all good luck, believe in yourself and don’t forget that health is the most precious thing in the world. Take care of yourself for your loved ones.
If you have tried cream wax or anything else from Zdorov products, write to me here, in the comments to the article. If you have questions about my treatment, please ask.
Sincerely, Elena.
Hello, dear Elena! I recognized myself in your story. Also an athlete with early varicose veins. The coach said that these were “costs of the profession,” and when I quit sports after an injury, I was left alone with my problem. There was depression, I couldn’t find a place for myself. Relatives supported. I got married, I’m about to give birth, and my leg is all blue and blue with veins... The doctors are scary, you can’t cut it. Can I try the cream?
Yes, Yulechka, I understand you well. And I experienced all your fears at one time. You can use cream wax; it will not harm the baby. Good luck to you!
I received the parcel, haven’t tried it yet, I want to start on Monday. How much water should you drink? 3 liters for everyone?
The consultant calculated the amount of water for me based on body weight. Maybe you need less, please check.
Lena, I ordered cream wax, I’ve been trying it for a month now, the veins have turned pale and the swelling has gone away (I can finally wear heels.), but the knot is still there. How long to wait? I need to clean everything up before graduation. Thanks for the answer.
Hello, you have good dynamics. I would continue to use it. Call a consultant, they will tell you how best to proceed. All the best.
They cut out my varicose veins twice, but the veins popped out again. The doctor advised me to try the “Zdorov” cream-wax and said that it definitely wouldn’t get any worse. I have had no exacerbations for almost a year now and the thickest veins are gone, the mesh has become pale. I don’t believe it, but I hope that my feet will become completely clean. It’s a pity that the scars from the operation cannot be removed.
Elena, what are the statistics for men? Will varicose veins help me or not?
Ivan, hello. I don't have such data, but I don't see the difference. We are not prescribed different aspirin or some other plaster is applied? Call the hotline, you can place an order there. If you doubt that you will apply cream-wax during the day, then you definitely can at night. Write your impressions later, please.
Lena, I want to post photos before and after using the cream wax. Can?
Good afternoon Of course you can, post it.
The difference is immediately visible. I have been using this cream-wax for a month and a half. I will use it again, I want to remove the mesh on the second leg. It was necessary to take 2 cans at once, but the process was drawn out. Well, it’s okay, I’m still very happy.
Swelling of the leg after surgery is completely normal. It’s another matter if the swelling is very large or does not subside for too long. How to distinguish normality from pathology?
Typically, swelling after surgery subsides within a week. But it happens that they last longer and cause trouble for the patient.
In case of persistent swelling, it is necessary to do an ultrasound examination of the legs - duplex scanning. It will help eliminate such a terrible consequence of the operation as thrombosis (formation of blood clots in the veins).
If thrombosis is present, you should urgently consult a phlebologist who specializes in vein diseases. He will prescribe medications that thin the blood and prevent it from forming clots.
If the veins are in order, then the cause of edema is stagnation of lymph. Lymphatic vessels, as well as arteries and veins, are located throughout the body. They collect “dirty” fluid from tissues, containing a lot of protein. Along the lymphatic vessels there are lymph nodes - under the jaw (“glands”), under the knees, in the groin, under the armpits.
Stagnation of lymph is called lymphedema - lymphatic edema. There is a separate disease, lymphedema, but we will not discuss it. We are interested in secondary lymphedema, which forms after surgery.
Legs swell. they hurt. This makes movement difficult and causes a lot of trouble. What can you do to reduce swelling in your legs?
To cure postoperative swelling, a set of measures is used.
Therefore, if you notice that your legs are swelling and you feel fullness or other unpleasant sensations, immediately tell the surgeon who operated on you about it. And he will prescribe the appropriate treatment for you.
Hello! I broke my ankle, triple fracture, broke it on November 11, 21 had surgery, 2 plates and about 18 screws were installed. 20 days have already passed, the swelling continues, but I am worried about raising my leg, complete numbness and tingling all the time? Tell me please, am I panicking or is this how it should be? Thank you in advance!
Victoria, tell the surgeon about the problem. The situation is associated with severe constriction of blood vessels. It is the constriction that creates the described sensations.
In principle, this is a typical situation. Everything will be restored after the plaster and bandages are removed.
Victoria, tell me, how did you manage to recover? A similar situation and feeling, although not much time has passed, a week. Maybe share your experience?
On June 1st, surgery was performed on the left leg to remove the saphenous veins. Everything went fine. But about 10 days ago, swelling began in the left foot. My leg started to hurt and I started to limp a little. How can you find out if the lymphatic vessels were damaged during the operation?
It is necessary for the surgeon to “look” at everything with his hands (this is called palpation).
Six months ago I had surgery after breaking a triple ankle fracture. Now the x-ray has shown that the bones have completely fused. The plate has not yet been removed. The doctor said he would do it eight to nine months after the operation. After the operation I used a walker. Two weeks ago I switched from a walker to a cane. And my leg began to swell. I tried everything: troxevasin, indomethacin, fastum, and lyoton, but nothing helps. I went to the doctor and had an x-ray done, which showed no abnormalities. Please tell me what to do. Maybe I started walking too zealously with a cane? I am 70 years old, weight 95 kg.
Thank you in advance. Sincerely. A. Golubeva
Dear Alla! Given your age and weight, most likely you have begun to put too much stress on your leg.
1. Reduce the load. You can walk often but for a short distance. Let's start by walking the length of the room once an hour.
If everything is in order, then make the next pass in an hour.
2. If such a short passage causes swelling, then be sure to lie down on the bed and preferably raise your leg a little, for example, on pillows.
3. If the swelling goes away quickly, then you can reduce the time between passes to 50 minutes, then forty minutes, and so on.
That is, we alternate load and rest depending on the condition.
Hello, mother at the age of 78, in 2014, according to the quota, in the 59th in Moscow, a lump on her right foot was removed, everything is as it should be with metal implants. On the left leg, after some time they first promised, and refused, a free operation at this clinic, and after its reorganization at Botkinskaya they first put it on a waiting list, but then the same head doctor made it clear that it would cost money. After contacting the Ministry of Health and other authorities, they sent me to 1 Gradskaya, again a queue to wait for a quota, then again the price tag or the option to do it for free but without implants, the leg was in a cast for a month and with a hairpin. I agreed. Done.
5 months have passed, the leg is very swollen, “toes are dolls”, the foot looks like an inflated rubber glove and then the swelling goes up to the knee. The surgeon at the district clinic, where I forced her to go after 4 months, didn’t really say anything and didn’t give any recommendations, saying that it will resolve on its own, wear compression garments. This is already clear, because Before that, there were problems with varicose veins and the veins were removed surgically, and only after that, taking into account their age, they agreed to have foot surgery. Despite her age, the woman is very energetic and does not intend to lead an old woman’s lifestyle!
A doctor I know from words and photos determined that this is lymph stagnation, which needs to be dispersed with massage + creams based on leech extract.
I would like to hear an expert's opinion on this matter.
1. Age. No matter how a person tries to be energetic (this is great!), age still imposes restrictions on physiology. And physiology does not depend on human desire...
2. You're not the only one with a story about quotas. Unfortunately, there are not enough quotas for everyone. It is a fact.
3. Let's return to varicose veins. Unfortunately, the vast majority of patients think that surgery solves the problem. Unfortunately, the cause in most cases remains the same. Something led to the situation... In the case of varicose veins, the main reasons include diet style (a monotonous diet leads to a deficiency of some vitamins and minerals) and gait (or the predominance of static postures in lifestyle, for example, at work). Surely, after the operation, my lifestyle and diet did not change. This is a rule, since style is laid down in every family from childhood.
4. Now to the current situation. Your friend is basically right. In this case, your mother has probably lost a lot of mobility. The flow of blood and lymph in the legs has weakened significantly, that is, both have become inactive. Do not forget that blood and lymph in the lower extremities are actively transported due to the “muscle pump”. The gait should not be from heel to heel, but from heel to toe. At this moment, the muscles of the lower leg tense and compress the blood vessels and vessels of the lymphatic system and expel their contents.
In your version, the pump does not operate in the mode that would allow the required volume of liquid to be driven through, which as a result stagnates. Walking is highly recommended for massages to ensure natural flow of blood and lymph.
Hello, Lilia! How is your grandmother? I wanted to ask. You said that the wound does not heal and fluid is constantly leaking, my dad also has the same situation, they also put a plate on him and discharged him after surgery. Now he is at home. He moves on crutches. The left leg is broken, as soon as he begins to walk, the leg immediately changes color. How has your wound healed? What about liquid?
Hello, my grandmother is 80 years old. She broke her tibia and fibula when she fell on her leg. I lay with weights for a week, then had surgery. They placed a plate on the tibia. He was discharged from the hospital and was forbidden to step on his foot. Now the grandmother is just lying and sitting, both legs are very swollen. The wound does not heal; fluid flows from the wound all the time. We don’t know how to remove swelling and help the wound heal? Thanks in advance for your answer. Best regards, Lilia.
Lily! There was already a link somewhere to an article about salt dressings. I’ll give you a link to the article again, because there’s a lot there and everything is described in detail - how and what to do. Follow this link.
And further. Important! At this age, usually such inactivity for three to four weeks ends in pneumonia with a fatal outcome. That's why! It is mandatory to use crutches and move around the apartment EVERY day.
A few days ago I again had a conversation with a woman who will be 83 years old this year and who has had a broken hip for three years. She moves on crutches and a walker and is fully alive and, characteristically, with memory.
Hello. I was hit by a car. I received a large hematoma of the leg, which was opened a week later in the traumatology department. I spent two weeks in the traumatology department for treatment. The stitches were removed and the wound began to heal. At the last examination, the local traumatologist said that he did not see any pathology, everything was normal. Discharged me. I started walking without crutches. Just as the doctor ordered. But three days later, suddenly, within 10 minutes, my lower leg and foot swelled. Now everything happens like this - the swelling of the foot disappears overnight. The lower leg muscles relax a little, but it still feels like stone. In the morning and throughout the day, the leg below the knee is completely swollen. I did an ultrasound of the blood vessels - everything was normal. The surgeon said decompression of the blood vessels. I don’t feel pain, except for the clogged muscles of the lower leg. I'm moving normally. It's a little awkward to squat. I live in the province. The level of medicine leaves much to be desired. Therefore, I am asking you a question: three months have passed since the day of discharge, I am 50 years old. Do you consider this process normal and how long does the recovery process of the lower leg take?
Judging by your story (we will trust the objective data voiced by the doctor), everything is going according to plan.
Don't forget about age - the older the person, the longer it takes to recover. Although it is worth noting that fifty-year-olds today are in better health than twenty-year-olds. This is a fact and any clinic will tell you this based on their experience of seeing patients.
Most likely, after discharge you returned to your pre-injury lifestyle. It should be borne in mind that a calf injury with a wide hematoma affected the vascular system, which led to a deterioration in the blood supply to the tissues of the calf. You must understand that blood is a nutrient medium for tissues. The tissues are poorly nourished (that is, little blood enters the tissues of the lower leg) and they become stressed due to starvation. The result was not slow to show itself - what is happening to you.
1. Reduce the load on your legs (walk less for at least a month or two, until the situation improves). This is especially true if you are overweight.
2. It is mandatory to massage the lower leg in order to increase blood supply. At first, just gentle rubbing, after a few days slightly increasing the load when massaging. You can do this yourself.
3. It is very advisable to do physical exercises on your legs at home, starting with minimal load.
Imitating karate-style kicks works well. Search for videos on the Internet. Again, increase the load gradually.
4. You can take some soothing baths in the evening.
These actions will improve the situation and speed up recovery.
Classical phlebectomy, used since 1906, with the development of modern technologies loses its meaning due to its traumatic nature and the large number of relapses. However, in the vast majority of clinics and hospitals in Russia this is exactly what they do. Below are a few questions and answers asked during an online consultation after such an operation.
Hello! Me 05/15/2012 A phlebectomy was performed (the large saphenous vein on the left leg was removed), discharged on the 10th day, before that all stitches were removed except one on the bend in front of the foot; a clear liquid was oozing from it, but there was no swelling. The next day at home, my foot started to swell. The last stitch was removed at the clinic, but fluid still sometimes comes out of it. I bandage my leg with an elastic bandage, I can wear compression stockings (copper) for no more than 2 hours, then I feel pain and can no longer walk without limping. The doctor prescribed traxevasin ointment, I applied it for two weeks, the result was not noticeable. The surgeon says that everything is fine if there is no redness or temperature. Please answer, is this really normal or should I see another doctor.
This is a common complication of phlebectomy - lymphorrhea. The flow of lymph will continue for several weeks, less often months, and will gradually end. Everything will gradually pass. Don't forget to buy a grade 2 compression stocking and wear it constantly.
Hello. A little over 2 weeks ago I underwent a combined venectomy on the right (ligation of the perforating veins, removal of the distal segment of the GSV). I have 5 cuts on the inside of the shin, 1-2 cm each, one each on the bend of the shin-foot and thigh, and several punctures on the outer part of the shin (cuts about 3 mm long). Of course, no stitches were placed on the punctures. The stitches were removed yesterday. Today, during treatment, I noticed that one thread sticks out from each “puncture”; they look thinner than the stitches that were removed. Should they be removed? (I just cut off the ends so they wouldn't cling). And the second question - next to one of the punctures on the calf, a lump has formed, the visible part with a diameter of 3-4 cm, dense, when pressed it feels like a bruise. There are seals along the calf, but they are more like flat, dense plates. And this lump appeared just a day or two ago. Should I be afraid of this? Or is this normal after surgery? (otherwise, the wounds are drying, healing before our eyes, without discharge, the pain has gone away in a calm state - only itching and an occasional burning sensation remain). Thank you.
The threads must be removed; hematomas are normal and will gradually resolve.
Hello. I am 29 years old. A phlebectomy was performed a year ago. There are still bruises on the back of my legs. Is it possible to start ultrasound?
No, you need to do an ultrasound of the veins and check the condition of the venous system after the operation.
ON MAY 23, THEY DID OPERATION ON THE VEINS. REMOVAL OF THE SUPERFICIAL VEIN. MORE THAN 20 SEAMS. SOME SEAMS HAVE NOT BEEN SEALED YET. OPEN WOUNDS. I TREAT WITH PEROXIDE AND ZELENO. IS THIS NORMAL?
I think no. See your surgeon.
At the age of 25, I had surgery to remove the great saphenous vein (I had varicose veins). There was a recurrence on one leg. Now I'm 60 years old. Two years ago I had an operation - endoscopic alloying of perforating veins and received a complication - apparently tunnel syndrome. The operated leg is thicker and darker than the second leg, heaviness in the leg, paresthesia on the foot, cramps and other torment. I live in Tomsk. The doctors say they can’t help. Are there any chances of recovery and what can be done? Thank you in advance.
You need to start from today's ultrasound picture - are there any venous disorders, how removable are they using modern methods (laser, microfoam sclerotherapy).
Hello! On March 14, I had a phlebectomy (6 scars along the entire left limb) and sclerotherapy (1 small vein under the knee). Until the end of March I wore bandages, then in special underwear (tights), today, because... It’s warm outside, I’m bandaging my leg again. After the operation, I did all the required physical procedures (magnet, etc.). One of the stitches began to bother me immediately after the operation (the stitch on the ankle), it hurt very much, the area around the stitch was like “dead”, i.e. There was almost no sensitivity, only pain and severe swelling. The doctor said that time heals and we need to wait a little and all the painful sensations will pass. But now 2.5 months have passed, and nothing has changed, and if earlier my leg would swell in the evening, and after sleep it would return to normal, but now I walk with a swollen leg all the time. Please tell me, is this normal? And how long can this last? I was prescribed Detralex, but I’m not sure that it’s effective, what medications do you recommend, maybe gels or creams? Thanks in advance for your answer!
These are the typical consequences of phlebectomy - lymphedema and nerve damage. The swelling will go away if you wear golf (Sigvaris, Copper, Venosan, Bayerfind - only these brands), sensitivity may be restored, but after 6-12 months. Tablets and gels have no effect on the situation.
Desyat dnei nazad mame sdelali operaciyu lintona i venoznaya na pravoi noge vnizu uplotneniya i pokrasneniya.
See a doctor - this is a rather complicated and traumatic procedure, there may be hematomas, inflammation, etc.
I had surgery on April 29 for varicose veins on my left limb, there is still swelling in the ankle joint and that’s why I limp when I sit, then I can’t straighten my leg well, it pulls, pain in the calf muscle sometimes in the ankle joint, slight redness on the lower leg along the vein! In the mornings I feel hot, then sweat, then chills, this is connected with the operation, the temperature is normal, the pressure is 105/70, I take off the bandage at night, but I wear it all day!! What should I do to feel normal, how long will I suffer with my leg? I take Cardiomagnyl and Detralex 1 tab 2 times a day and smear my limb with Troxevasin 2 times a day!! I go to physio for a magnet, I’m afraid to walk a lot because of the swelling and because I’m limping, I’m taking care of my leg!! E vtyz tcnm “my world” you can write to me in a message, we don’t have a phlebologist!
Do an ultrasound of the veins, please!
Good evening! On October 16, 2012, I had surgery on my right leg to remove varicose veins (phlebectomy). A week later, the suture in the groin area swelled, a drainage was installed at the clinic and serous fluid was released from there. It was released for 3 days, but now the swelling is not going away, the fluid is not being released, there is drainage. The tumor is painful and hard. Tell me what to do.
This is lymphorrhea, associated with injury to the lymph node. You need an urgent examination by a surgeon and drainage. The lymphorrhea will gradually end (in a month).
Good afternoon Please tell me! 12 days ago I had a vein removed on my left leg, from the groin and foot, and there were also lumps on my calf! Everything would be fine, but my calf hurts, it feels like my leg is cramped in the calf, it hurts to step on, or rather strain the calf muscle. I also can’t feel half of my heel and shin at all! When I was discharged, the doctors said that everything would recover! Please tell me what this means and will all this be restored? Is it possible to try to walk with a crutch through the pain, what should I do? Thanks in advance for the answer.
This is intraoperative nerve damage. Everything will be restored in 6-12 months. You can try to walk. I recommend contacting a neurologist.
Hello, it’s been a month and a half since I had a vein in my leg removed, I also have a stitch in my groin and several stitches in my leg. My leg hurts and there is a tingling sensation. It should be? Or something is wrong with me. I also have a bad habit - smoking. My vacation is ending soon, I have to go to work, I don’t know how I’ll work. I walk a little and severe pain begins. Thank you
Unfortunately, surgical removal of veins often leads to a difficult postoperative period. Everything, of course, will recover and pass, but this will take months (six months).
AFTER SURGICAL TREATMENT OF VARICOSE VARICOSE
After surgical treatment of varicose veins, the patient is left alone with residual effects, which will be present in any case. What to do with them, what to be afraid of and what not to be afraid of - you will find the answers in the article.
Depending on the method of anesthesia and the method of surgery and its traumatic nature, the patient recovers from it in different ways. In the case of anesthesia, there is a several hour period of confusion in one’s own body, especially in the head and side pain in the leg, at the suture sites. The leg, bandaged with an elastic bandage in the operating room, is supposed to be in an elevated position for the first time, which is done with the help of a device - a Beler splint, which provides an angle at the knee joint of 45 degrees. Thanks to this, the outflow of blood from the lower leg and the overall blood load of the limb improves, which is good for the prevention of postoperative hematomas.
When the anesthesia wears off, the feeling of pain may be very small and will not require the use of strong analgesics. Walking around the ward is possible already in the first hours after surgery. Most often, no analgesic prescription is required the next day. Although, of course, in the case of large incisions everything is different.
About half of the patients come to the first dressing with a limp, but mostly they are just taking good care of their leg. I can imagine how you’ll want to look at your leg for the first time after surgery. However, her appearance may not inspire joy at all, and even disappoint. A leg stained with iodine solution, with traces of blood and cuts is not a sight for the faint of heart, and performing the dressing while lying down can reduce these impressions. Although, it must be said that most patients do not express obvious or hidden dissatisfaction.
In the following days, pain may only be local, most often in the area of skin wounds in the area of the knee joint and below it. An incision to separate the saphenous vein from the femoral vein in the groin area does not cause concern in the form of pain, but, fortunately, it is rare that damage to the lymphatic vessels in this area occurs, which then manifests itself as prolonged lymphatic flow. A competent phlebologist who knows anatomy makes an incision along the inguinal fold itself, or even above it and parallel. Aesthetically, this is always better, since the scar is then not visible when covered with underpants, and being located in this way, it heals most accurately. Incisions on the lower leg always depend on two reasons: the location of the veins and the lines of skin tension. Maintaining a balance between this is the key to combining radicality and aesthetics. An increase in body temperature usually occurs after 3-4 days and can be explained by aseptic inflammation in places where blood accumulates under the skin. If such accumulations are large, then painful lumps can be palpated along the removed veins. There should be no redness of the skin over them, otherwise inflammation of the skin develops, which may indicate the addition of an infectious principle. It always remains a mystery to me how, during the first dressing on the thigh along the removed great saphenous vein, no traces of a hematoma are visible, but a day later, in full bloom, it “pleases” the eyes of the doctor and the patient. Of course, this does not always happen, but very often it occurs due to untied tributaries of the venous line on the thigh, which break off. As a rule, this happens with small incisions in the groin, which does not allow access to the veins - tributaries located below. While not a mistake of traditional phlebectomy, it certainly brings discomfort to the patient. But this, unfortunately, is a tribute to small incisions with high access to the mouth of the great saphenous vein. With catheter sclerotherapy and laser ablation of the main vein, this happens much less often, because the veins do not break, and they are closed either by blood clots or coagulum. Methods of intraoperative percutaneous suturing of tributaries on the thigh are usually ineffective.
When the tributary veins are sutured with catgut, instead of removing them, thickening is observed along their course for up to a month, and here the presence of a low-grade temperature reaction is already a pattern. Special mention should be made about elastic bandages. The necessary high-tensile bandages, a few hours after the operation, having done their job and reducing bleeding from the remaining veins, begin to cause trouble. High operating pressure at rest interferes with normal venous circulation, especially at night when the legs are immobilized. And it is not uncommon when pain forces patients to get up and take a few steps, only then the pain will subside.
On the 7th or 10th day the sutures are removed. The hematomas are still in bloom and finally disappear a month after the operation. Often, stitches, even those removed later than this time, come apart slightly on the shins. A little reddish tissue fluid is released, and, in principle, lubrication with antiseptic solutions quickly dries and accelerates healing under the crust at home.
Sensory disturbances occur when the cutaneous nerves that accompany the main vein are damaged. Even a simple grasp of the nerve with tweezers already leads to numbness or hyperesthesia of the skin. Common places for numbness are at the ankle and, less commonly, along the inside of the lower leg. Recovery from a complete nerve break takes a long time, up to several years. The organization of a scar after skin incisions is a rather individual thing, and largely depends on the characteristics of a person’s connective tissue. However, most often, after a year, the scar line loses its reddish tint and becomes thin, and then over the years it becomes completely unnoticeable. In rare cases, the growth of scar tissue is significant, and then even advertised ointments and gels, such as Contractubex, will not be able to help achieve the desired beauty. Usually, you should take a closer look at old scars from skin cuts or other operations so as not to bite your elbows later. Of course, the doctor making competent cuts to extract veins can also affect the quality of the scar, but to a lesser extent.
Staying in a hospital after surgery in modern conditions is not necessary if you have contact with a doctor and transportation, but a one-day stay is still advisable. When to go to work is up to the patient to decide, and it depends, first of all, on the nature of his work. The more mobility you have at work, the longer the period of rest and sick leave. If the work does not require activity, then it is possible already within 7-9 days. You should wear elastic bandages or compression stockings for about a month after surgery. If there are no large hematomas on the thigh, then the bandage after removing the sutures can be used up to the knee, but be sure to cover the heel area. The use of phlebotonics is desirable, and is determined by the presence of swelling on the operated leg. If it is, then phlebotonics are needed for about a month after the operation, and in some cases more. Edema syndrome after surgery is possible as a reaction of the venous system to changed conditions of blood outflow from the lower extremities. During this restructuring, compression and phlebotonics help keep the remaining superficial veins in good shape. Such swelling can be conditionally called physiological.
If the swelling is severe with pain in the calves, then deep vein thrombosis, which is hypothetically possible after surgery, should be excluded. And the reason here is the activation of thrombus formation in response to surgical intervention associated with injury to the superficial veins and subcutaneous tissue; this is a common pathophysiological process in this case. A decrease in velocity in the remaining superficial veins leads to their thrombosis, and hypothetically one can assume the transition of thrombosis to the deep veins. Another reason is incorrect treatment of perforating veins during surgery. Well, a general decrease in the patient’s mobility against the background of an increase in blood clotting potential is a standard factor for thrombus formation. If thrombosis is suspected, only duplex scanning can resolve doubts. After the sutures are removed, the wounds are left with crusts of blood and the epidermis that has accumulated during this time and is not washed off. After washing off with a soap solution, you need to lubricate the wounds for some time with a solution of potassium permanganate or brilliant green once a day. After all the crusts have fallen off and there are no open wounds, this action can be stopped. Treatment with a washcloth can be no earlier than two weeks after removal of the sutures. Well, hygienic treatment of the leg outside the wound area is possible at any time after the operation, although of course it must first be carried out with alcohol solutions of antiseptics.
To summarize, I will say that all this relates to the physiological, natural course of the postoperative period.
Complications can be considered: large hematomas, festering hematomas, ligature fistulas, deep vein thrombosis, bleeding, wound suppuration. And what then, in the long term? The skin scars will fade, appearing as thin white lines and, if you look closely, often with needle marks along the edges. The appearance of new varicose veins is possible after any phlebectomy, no matter where it is performed, even in the most modern clinics with extensive equipment. If veins appear in the scar area, then they speak of a relapse of the disease. If new veins appear far from the incisions, this is a progression of varicose veins. Neither the patient nor the doctor are immune from such problems. Of course, if the operation is performed from a modern point of view, then the period before the appearance of new veins is statistically delayed. The desire to minimize the operation, the number and size of incisions, it seems to me, still does not help to reduce the recurrence of varicose veins.
If we talk about other methods of surgical treatment, laser destruction or stem sclerotherapy, then of course there are fewer complications after it than those listed above. However, only time will tell how radical such operations are, and how many relapses they cause later.
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