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Treatment of varicose veins in the legs with drugs is not always effective.Varicose veins are especially difficult to treat if they are in an advanced stage.In this case, surgery is the only option to eliminate the disease. Classical phlebectomy, mini-phlebectomy, sclerotherapy, laser vein removal are effective methods to solve the problem of varicose veins.However, not all women suffering from varicose veins immediately decide on one of them.Fear of the surgeon and the operating room, fear of general anesthesia and complications stop patients, so they are afraid to go to the doctor for a long time, relying on some forms of home treatment.Meanwhile, varicose veins progress and the condition worsens.
Will varicose veins "come out" again?Should I hide unsightly stitches after surgery?Will you really need to wear a special uniform for a year after surgery?These and other questions torment women and remain unanswered, and such an operation, which is necessary for the health of the legs, is postponed for months, and often years.But today, not only classic phlebectomy, which is a full-fledged surgical intervention (with general anesthesia, long recovery and return to normal life), but also mini-operations on veins performed in outpatient conditions, under local anesthesia, and after that a long sick leave is not even required.
Choosing a treatment method for varicose veins
Any of the listed operations, be it classic phlebectomy, mini-phlebectomy, laser or sclerotherapy, is prescribed by the doctor, taking into account the stage of varicose veins of the lower extremities and the patient's condition.You cannot choose the method of removing varicose veins yourself;determined by the doctor after the examination:
- Duplex scanning of the veins (veins) of the lower extremities is universal and informative,
- X-ray contrast venography and computed tomography methods are rarely used in complex diagnostic cases.
Features of surgical methods for the treatment of varicose veins
Various types of operations are widely used in inpatient and outpatient settings.Each method has its own indications and contraindications, pros and cons.
Classic vein removal surgery
Often the attending physician chooses classic phlebectomy.
The operation is performed under anesthesia (general or spinal).During the operation, the great saphenous vein is removed along with the varicose veins.After the operation, you need to stay in the hospital for a few days, then at home for a few weeks.The sutures are removed on the 7-10th day after the operation;recovery time varies from individual to individual.
Advantage classic phlebectomy It is highly effective in the treatment of moderate and severe varicose veins.The technique has been used for many decades, has proven itself successfully and has allowed millions of patients to keep healthy feet.
Disadvantages include a long recovery period, deterioration of general well-being after surgery and the inability to immediately return to the usual routine (work, driving, long walking distances), as well as an insufficient cosmetic effect that lasts for several months.
Mini-phlebectomy
Unlike classical surgery, mini-phlebectomy involves removalindividual superficially affected veins through multiple small incisions or punctures.The surgeon uses small special tools (hooks, mini-scalpels).The intervention is carried out at different stages of the disease and can be combined with other methods (laser removal, sclerotherapy).
Advantages of the method:
- outpatient surgery, being under the supervision of a doctor for several hours after the procedure,
- local anesthesia,
- quick healing of punctures and microcuts, absence of stitches,
- the ability to immediately return to normal work mode, as well as an excellent cosmetic effect.
Some complications are possible after the operation - hematomas in the area of cuts and punctures, discoloration of the skin in the area of the operated vessels, but generally these risks are minimal.
Laser removal
Laser removal of varicose veins (endovasal laser coagulation of veins) is a widely used and highly effective innovative method.
During intravascular (endovasal) surgery, a small incision or puncture is made in the skin: a long light guide is inserted into the vein through a catheter under ultrasound guidance.Through it, a laser beam affects the walls of the vessel, "gluing" them together.
The advantage of this method to perform the operation in ambulatory conditions, under local anesthesia. Laser removal of varicose veins mini-phlebectomy can be combined with sclerotherapy and gives an excellent cosmetic effect, which is very important for women of all ages.The place where the catheter is inserted is closed with a special plaster, which is removed after 8-10 days;no stitches required.After the operation, you can live at your usual pace with practically no restrictions.
Compared to classic phlebectomy laser removal of varicose veins it is considered less traumatic and safer.
However, it should be noted that the method is not considered universal for the treatment of patients with varicose veins (like any other).Performing such an operation as classical vein removal is possible only after a full examination of the patient, taking into account all the features of the course of the disease.
Choosing a clinic for the treatment and operation of varicose veins
Conservative and surgical treatment of varicose veins is carried out today in many public and private medical centers.The clinic in which you trust your health should have a solid reputation and experienced doctors who know the various methods of vascular surgery.
Classical phlebectomy, mini-phlebectomy, sclerotherapy (in various options), etc. are performed in high-tech operating rooms.It is important that the choice of the method by the doctor is always strictly based on the clinical picture and discussed with the patient, the pros and cons of the methods, the risks of the results and possible complications are explained.For example, in varicose vein treatment clinic It is not always advisable to use minimally invasive ("easy") methods.Contraindications for this: severe varicose veins, thrombophlebitis, blood coagulation disorders, etc.In this case, a combined operation is performed to achieve a good result.
For doctors clinics treating varicose veins, the results of therapy and the condition of patients are very important - both early and in the postoperative period.Therefore, surgeons are constantly in touch and are ready to answer the questions of patients who are undergoing surgery.
Advice from a phlebologist
Despite the choice of surgical methods and the possibility of minor outpatient interventions to eliminate varicose veins, any operation requires a rehabilitation period and a careful approach to health.Therefore, it is necessary to do everything from the first meeting to the end of the medical supervision after the operation recommendations from a phlebologist:
- wearing a medical uniform first;special underwear is worn immediately after the operation, after phlebectomy.In the first two days, as a rule, it is recommended to wear knitwear day and night.Then, daily use for 3-6 weeks (according to the doctor's instructions);
- compression therapy is not needed after endovasal interventions (laser therapy) not combined with any other methods;in the case of combined surgery, dressing is required for one or two months.On the first two days, the knitting is left overnight.
- others recommendations from a phlebologist refers to physical activity and a healthy lifestyle, excess weight control and changes in working conditions when there is a long-term static load on the legs.You need to walk for 40-60 minutes every day.You can add special exercises to your daily walks to strengthen your arteries and blood vessels.During the first two months after surgery, perform all physical exercises wearing compression stockings.Remove squats and weight lifting (dumbbells, barbells) from the complex.Also, don't put too much strain on your lower abdomen.
In general, the most important condition for the successful correction of varicose veins is the cooperation of the doctor and the patient.Trusting the doctor, following all his recommendations and subsequently following the rules of prevention helps to maintain the health and beauty of your feet.