Surgical treatment of varicose veins in the legs

Surgical treatment of the vascular veins of the legs of the legs remains the only radical method to eliminate this disease and its complications for many decades.Thanks to modern technologies and improving operational techniques, both therapeutic and cosmetic terms are really effective, as easily and painless are implemented and painless by patients and do not durability.

Normally, about 30% of the lower extremities, the small subcutaneous venous tributaries, combined in two central venous tributaries, the large and small subcutaneous veins.These ships flow directly to deep veins, 70% of the blood.In the places of such compounds, there are valves that are only blood from surface veins.There are also small vessels with them, in addition, the surface closes the venous network in a deep way.There are also valves that transmit blood in one direction.The main cause of varicose veins is the failure of venous valves, which causes proper bloodshed: deep vessels to the surface, but also the expansion of both small ships and central venous trunks.The main objectives for the lapse of the low extremities are the main goals for the purposes of which surgical treatment:

• The elimination of the stagnation of the blood will prevent the progress of the chronic venous shortcomings and trousal disorders in leather.
• Deleting deformed ships and varieties representing cosmetic defect.
• Eliminate the surface of deep veins from deep veins - eliminating the veins of performance (clans) vessels, as well as large and small-skinned vessels.
• Prevention of the varicosis vessels again.

A separate place in the surgical treatment of women's varicose veins of low extremities belongs to cosmetic surgery.After such interventions, not only pathologically modified veins, not postoperative traces in the skin of the legs or they are not suitable.To achieve maximum cosmetic effect, surgical surgery for varicose veins is carried out in accordance with the following methods:

• Laser or radio frequency, O, a large and small subcutaneous vein of large and small subcutaneous veins under the ultrasound control from the skin of the skin or foot.
• Root sclerobling and sclerotherapy - large and small subcutaneous vessels, as well as all sleeves, even the smallest, even the smallest, special medication.

With any of the methods of treatment, varicose veins are not removed, but it becomes a soft mouse fabric from blood vessels.Both physical impacts (laser rays, radio frequency waves) and chemical compounds (sclerosants) destroy the interior layer of the vein.Thanks to this, the usual connecting (fucking) loses the lumen, glues, sticky and completely empties.Thus, without removing the vascular directly, the varicelites are eliminated for all purposes, changed ships, and the dangerous consequences of venous shortages are eliminated.The only restriction of cosmetic transactions in the treatment of varicose veins in women is possible only to 1-2 degrees.Surgical treatment during pregnancy and subsequent postpartum periods, for example, it is contraindicated with the exception of acute situations requiring urgent intervention with increased thrombophlebitis.The operation is limited to the dressing of a large subcutaneous vessel in associated with femoral (chrosectomy).Review the most common interventions in the treatment of varicose veins of the laser: the endoscopic split of the vessels of the vessels.The last one is divided into the following species:

• A classic operation or full peeling or operation of Trojanov-Trendelenburg-Bubko-Narata;
• short peeling;
• Flebectomy.

Flebectomy

Withdrawal, the removal of vessels from the skin is called flebectomy.This is one of the first ways of the surgical treatment of varicose vascular vascular vessels.But today, fleebectomy is most carried out by the most Phlebology and vascular surgeons.There are three changes and operating methods: full, short peeling, miniflekekteomy.Domestic surgeons are calling for a classic fleebecomy of Trojanov-Trendelenburg-Bubko-Narat and foreign authors.The volume of the intervention is presented:

1. Like a large subcutane body in the confusion, 2-3 cm under the thigh, through an incision.
2. Eliminate the foot using a special probe along the internal surface near the knee and ankle, using a special probe along the internal surface.
3. With separate small cuts, the removal of all varicose veins and small vessels, bankrupt performance can be about 1-2 cm (between 5-6 and 10-20) with the dressing of vascular vessels.
4. Build all wounds with cosmetic seams.

The classic phlebectomy is the most rooted, wipe the vein of varicose, but most traumatic among all the techniques available.

Short peeling

With a short stripping, all the great subcutaneous veins are not removed, but only its pieces are affected by varicose veins of the Buddha or the sub-leg.Healthy segments are not removed.This reduces the trauma of the intervention, but the risk of the disease remains the risk of relapse.Otherwise, operating operations of the transaction are similar to classic flekectomy.

Flebectomy

An innovative methodology is called a fleekectomy to eliminate the vascular vascular vascular vascular vascular vascular veins.It needs special tools for its implementation (ended scalpel, hooks, clamps, spatula), the veins are removed from a few millimeters of skin leather.You do not need to build such skin imperfections, and wounds are invisible.Most of the time, surgeons combine a short or completely peeling of a large subcutaneous vein with Phleectomy.It combines a combination of radicalism and sticky trauma with a good cosmetic effect.Laser Ablas for Varicosis Veins, a large subcutaneous side in the cleansing side contains burning with laser beam.To do this, the lumen of the skin from the skin poncy or ankle area in the thigh is mixed together all of a cattle.Under the supervision of ultrasound, the svetovod is slowly removed.Laser beam, moving on the venous wall, destroys the inner layer.As a result, Vienna falls and stops working clearly visible in the ultrasound monitor.Only the main venous highway is affected by varicose veins, but also its tributaries, and this is deleted according to the method of flekectomy.

A disease such as varicose veins is a disease, the vulnerability of valves in the arterial walls and vessels, a disease that causes venous junctions in the blood veneers and venous junctions.Such a pathology is very dangerous and not only with tropical disorders and an inflammatory process, but also the lack of tissue nutrition.As a rule, it leads to the occurrence of blood clots that can spread through blood flow in the whole body and the experience of trophical ulcers.In addition, the formation of thrombotic forms inside ships threatens the development of this disease as thrombophlebitis.Therefore, if the patient has Varicosis Varicosis, surgical treatment is regularly, especially when the disease begins.I would like to draw the attention of our site readers that the operation for varicose veins of the ledges is determined if a radical measurement and a rule can not.Surgical treatment of lower extremities, surgical treatments, several most commonly used in surgical options for surgical treatment.These options directly from the removal of ships and vessels affected by direct lower extremities.

• Varicosis uses traditional flexekectomy in surgical practice for radical treatment of vessels.This option is carried out in accordance with BebBock methodology.This shows the application of a Probe of such a procedure and the subsequent extract of the vein in the lumbar of the ship.After the operation, his cord is carried out in a cosmetic suture, later makes it almost invisible.
• Flebectomy - Such an operation is required to remove small parts of the blood vessels affected by varicose veins and vessels.It should be noted that this operation does not provide incisions in the skin, because a part of the affected ship or vessel is removed through a pencilion in the skin that does not require applying seams.

It should be noted that the treatment of certain diseases is afraid of surgery.Nevertheless, the varicose veins of the low extremities, blood clot and potentially dangerous sources of inflammatory process and potentially dangerous sources are required, surgical treatment is extremely necessary.This approach will improve the patient's condition and help the patient's complications will help them to be severe and invalid for life.States requiring an emergency operation for varicose veins include:

• risks that are thrombophlebitis or the appearance;
• complications of acute thrombophlebitis or disease;
• Wide defeat of blood vessels and vessels;
• The feet indicates a feeling of fatigue and severity, an unpleasant pain, clearly expressed varicose veins;
• The appearance of trophical ulcers.

There are also certain reverse instructions for the transaction for varicose veins:

• in the second and third trimester of pregnancy;
• Presence of infectious diseases in a sharp form;
• the escalation of existing pathologies in a patient (diabetes, asthma, peptic ulcers and others);
• myocardial infarction, stroke;
• Dermatological problems.

Cancel method consists of extensions, stretching through a special hook, most venous node.There is also a dilemma of Cryostropping, which provides a libel of the damaged ship's sinking and subsequent removal and its subsequent removal.

Sclerosis - The application of the technique of damaged sclerosis, offers a special item for the "glue" of walls of the walls of the walls.However, after the procedure, the vein does not stretch, but despite the flow of blood from Vienna, this function is carried out by venous blood vessels.The operation is carried out under the mandatory control of an expert with ultrasound equipment.

Laser loagulation - This method is the most innovative in the treatment of varicose veins and is the introduction of special equipment with laser radiation (thin probe) vessel (thin prob).The device affects a sauter on the walls of the blood vessel.

RESULTS After the operation to remove the arteries of the troubles:

• As a rule, as a rule, the appearance of postoperative operations on the surface of the body is resolved within a few months;
• In addition, after a few months, the stamps under the skin of the ship in the bed of the ship disappears;
• Violation of the integrity of the lymphatic system of blood vessels (blood vessels), which can cause stagnant processes.Postoperative results are conservatively treated, but often the lymph turn is restored in a few months;
• Possible damage to subcutaneous nerve ends indicating the impairment of the epidermis, after this transaction, passes after 5-6 weeks.

Swaggering

Varicosis Surgery

Traditionally, the fleekectomy (Krosectomy) is carried out in accordance with the BebCock method and is to place the artery with the lenge of the vein outside the skin outside the skin of the skin.In the end of the transaction with a cosmetic seam, the incision is built.Fleebectomy is used during the operation to produce very short areas of the vein, during the veins.The skin is cut off the skin and a piece of vascular fragment is removed from a thin poncium in the skin that does not apply seams.A more delicate technique with a small damage to varicose veins - can be peeled.It's just a varicose node stretches with a thin fork.Experience is carried out by two cuts in the skin with subsequent seams.The diversity of this technique is Cryostropping - using the low temperature of the vein "sinking" in Cryoson, the destructive node.

Vienna sclerosis is the entry of a sclerosent to the lumen - the walls of the vein are "glue" with each other, but the vein remains under the skin that does not perform its functions.The flow of blood flow from the vein and passes through the venous blood beneath the chest of pledge ships.Vienna sclerosis is carried out under the supervision of ultrasound.The laser clot of varicose veins is the most recent way in flebology and the laser radiation of vascular radiation is a thin proben to the laser.The method of radio frequency of vessels also applies to a more modern treatment of varicose veins, but all medical institutions are not equipped with relevant equipment.The technique consists of the impact of high-frequency radio waves in the vein wall "peace."