According to medical statistics, vascular diseases are among the most common diseases among the population from 18 to 90 years.Along with diseases of the respiratory system, vascular pathologies from year to year actively gain the rate of distribution and statistical indicators are inexorably growing.
The risk zone of incidence is constantly increasing.After all, there are extremely many reasons for the development of vascular pathology, such as varicose veins.Attention to their veins is mainly paid to people with a hereditary predisposition to vascular diseases and congenital vessel pathologies.Most of the future patients of the phlebologist’s office do not even realize that for a long time they have developing a disease.This happens both because of inattention and due to low awareness about what are the causes and the clinical picture of the disease of blood vessels.And only when the varicose veins accepted the status of the neglected, the symptoms begin to manifest, which forms an almost complete picture of what is happening in him.From this moment, people most often begin to contact specialists.But, as it has already become clear, at this stage, fighting the disease is no longer so easy.Does this mean that the operation on the veins is required?How do events develop when the patient addresses the doctor?At what stage and is it really necessary to remove veins?About what the principles of surgical treatment of varicose veins of the lower extremities are and how rehabilitation goes after it, read in our article.
Is it possible to cure varicose veins without surgery?
When there is a health problem, most of us have a manifestation of such a personality quality as a tendency to exaggerate.We represent the problem more global than it really is.In this regard, having discovered varicose veins on the legs, many believe that the only option for getting rid of its signs is surgical treatment.Moreover, even “in colors” begin to imagine that, having got rid of the varicose expansion of the veins of the lower extremities, they will have a long rehabilitation.Hypertrophore the scale of the problem, we often postpone the visit to a specialist, and accordingly we do not receive the necessary treatment, which would be prescribed after consultation.And how is everything really?
To understand the situation and understand whether it is possible to do without surgery, below we will give indications for surgery for varicose veins:
- subcutaneous veins deformed due to prolonged development of pathology;
- symptoms of venous circulatory disorders (persistent swelling of the distal parts of the lower extremities, increased fatigue and a feeling of severity) in combination with dilated subcutaneous veins and without them;
- trophic changes in the soft tissues of the lower leg (often its inside);
- Some forms of thrombophlebitis.
If there is a chance to avoid surgery for varicose veins of the lower extremities, then the specialist will always begin treatment precisely according to the scheme that will do this.
In the case when a positive dynamics is not traced for the time allotted for conservative therapy, only the operation will help get rid of varicose veins.
There is more than one effective modern method of conducting an operation to eliminate varicose veins.Among them, the specialist will choose the patient as adequate as possible.In addition, having diagnosed varicose veins and deciding that the operation is necessary, the doctor not only states that there is definitely indications for the surgical treatment of varicose veins, but also the fact that there are no contraindications such as:
- decompensation of hypertension;
- ischemic disease in an exacerbation stage;
- lesions of the skin in the exacerbation stage - dermatitis, eczema, etc.;
- pregnancy at all its terms;
- lactation;
- patient's age;
- infectious diseases in the aggravation stage;
- oncology during active treatment;
- Severe diabetes mellitus;
- Extremely neglected stage of vascular pathology.
All surgical methods of treatment, even the smalle -invasive operation to eliminate varicose veins, have their own characteristics.In this regard, the list of testimonies and contraindications that the removal of varicose veins on the legs with the selected surgical way can be changed can be changed both towards the increase and in the direction of decrease.Only a doctor can objectively determine which is better and whether it is worth performing an operation for varicose veins in order to eliminate the veins on the leg, which the disease continues to affect more and more.
Varicose veins on the legs: types of operations
When the doctor is diagnosed with varicose veins and can no longer do without surgical intervention, the specialist considers various types of it.It correlates the appropriateness of each possible operation for varicose veins in each patient individually, taking into account the characteristics of the course of the disease.
What operations do operations for varicose veins?Treatment of varicose veins quickly is carried out through several main methods: gluing (sclerosis), dressing (crossectomy) and removal (phlebectomy) affected by the pathologies of the veins.
How is an operation to remove varicose veins on the legs?To carry out each of the above treatment methods, different tools and technologies are used: sclerosantia, ozone, laser light-breeding, etc. At the same time, other questions arise, which is better?For example, an operation that implies mechanical removal of a vein on the leg or gluing it with a laser?
Expert's opinion
The procedure in which the laser is used is minimal.It does not require hospitalization of the patient.She is characterized by a low postoperative risk of complications, nevertheless, he still exists.In addition, the procedure is expensive and not everyone who has varicose veins can afford such a treatment.In any case, the doctor will decide which operation will decide which operation will decide, determining which methods of its conduct are most adequate to the situation and the patient's condition.
Vascular surgeon, phlebologist
Osipova Ekaterina Yakovlevna
Preparation for the operation
In cases where an operation in the veins is assigned, it is necessary to undergo the preliminary preparation process organized in accordance with certain requirements.What does he include?In order for the operation to take place, regardless of whether the method of removing veins with a laser or phlebectomy is chosen, you need to pass a number of tests:
- general clinical tests of urine and blood;
- coagulogram or hemostasiogram for evaluating the coagulation system;
- blood tests for AIDS, HIV, hepatitis B and C;
- Analysis for a blood group and Rh-concrete;
- Biochemical blood test.
In addition to passing tests, preparation for the operation includes such examinations as:
- fluorography;
- electrocardiogram.
After the patient passes the tests, and the necessary examinations will undergo, it will be necessary to get a conclusion from the therapist.If, according to the results of the tests, no deviations were revealed and the results of the examinations will not be found at the stage of exacerbation, the patient will receive a conclusion about the possibility of surgery for varicose veins of the veins of the lower extremities.In the opposite case, surgery can either be canceled or postponed, due to the fact that to obtain a conclusion from the therapist, a second passage of analyzes and/or additional undergoing examinations and consultations of various specialists will be required.
How to prepare for surgical intervention on the day of surgery?
At least 7 hours before it, it is necessary to refuse to eat.
Take a hygienic shower.If varicose veins struck the veins of both lower extremities, then it will be necessary to remove the hairline from both legs, starting with the inguinal fold.Surgical treatment will be performed after examining the patient by an anesthetist.
Expert's opinion
Pre -purchase compression linen.It will come in handy after surgery.It is also worthwhile to worry about the comfortable clothing of free cut from natural materials.
Vascular surgeon, phlebologist
Osipova Ekaterina Yakovlevna
Operation: possible consequences
After the question of whether the operation is needed for varicose veins is no longer worth it, because it is done, the recovery period occurs.The patient should be ready for the fact that this period can overshadow the possible consequences of surgical intervention.
What are they?These can be temporary and fully explained complications caused by violations of the integrity of the skin and subcutaneous manipulations.These include seal, hematoma, pain, lymphorea, bruises, edema and others.After the operation, during which veins were removed on the legs, mistakes could be made.And it is possible that they will lead to adverse consequences, among which numbness due to damage to the nerve endings, infection, a burn of the skin, etc. In addition, the consequences can be caused by the individual characteristics of the patient and how the operation was underway.
Expert's opinion
Before and after the operation to remove varicose veins, each patient will be informed about how to act in case of complications.So, for example, if a large hematoma is formed, prone to suppuration, or when the leg is unbearably hurt and there is hyperthermia, then you should immediately contact a specialist to prevent a deterioration in the condition.It may be necessary to prescribe drugs or physiotherapeutic treatment.
Vascular surgeon, phlebologist
Osipova Ekaterina Yakovlevna
After surgery to remove varicose veins by phlebectomy, the patient is issued a sick leave from 14 days.In case of complications, it can be extended.As statistics show, if the veins were removed with a laser or other minimally invasive methods, then the risk of complications is less.The sick leave is not issued with such surgical intervention, but if the limb hurts and negative consequences still manifested, then the restoration can take a certain time, for the period of which, at the discretion of the doctor, a sick leave is issued.
Recovery after surgery to remove varicose veins on the leg
Any operation is stress for the body.Varicose veins exposed to surgical intervention is no exception.So that the veins of the legs of the legs do not recur, as well as in order to avoid possible complications, it is necessary to restore the functions of the circulatory system and the whole organism.And, will help the patient in this, rehabilitation period.
Of course, how the rehabilitation period will occur not only on how diligent and executive the patient is.Much depends on the original state of the operated.If the patient had varicose veins of the 2nd stage and laser coagulation was performed, then the restrictions after the procedure performed will be less in comparison with the patient who performed a surgical operation with the physical extraction of veins at the advanced stage of the disease, burdened by complications.
But one way or another, for everyone who has been performed on a varicose veins, there are general recommendations.
And since, after the operation to remove varicose veins on the legs, many questions often arise about what and when it is possible and what is impossible, in our article we will talk about it.
Restoration or rehabilitation after the operation to remove veins includes a set of measures that will be aimed at the maximum of confrontation between thrombosis and normalization of blood circulation.When the veins affected by pathology are already excluded from blood flow, the condition of the operated one will improve daily.After all, varicose veins are no longer progressing.To contribute to the speedy return to the usual lifestyle from the patient, strict observance of all recommendations by the doctor in the postoperative period is required.What can and cannot be done after the operation to eliminate varicose veins of the lower extremities read on.
After the operation: what can and cannot be done?
In order to restore after surgery in the veins of the lower extremities successfully, most of the patients are recommended to immediately use an elastic bandage or compression products: tights, stockings, golfs.
At the end of the surgical procedure, you should literally start going immediately to prevent the venous stagnation and the formation of blood clots.
Therapeutic gymnastics is also extremely important.Morning charging or other general physical stress during the day must necessarily contain exercises to restore blood circulation, eliminate the threat of stagnant processes, promote tissue regeneration and so that swelling does not occur.Is it possible to stretch out in general, are you not contraindicated in sports?Sport after surgery to remove varicose veins on the legs is necessary!There are certain “but” that should not be neglected due to the registration of:
- You can not perform exercises with the maximum load on the lower limbs;
- The load intensity should be focused on a larger number of approaches than on their speed and complexity;
- exclude shock and power loads on the feet;
- Correctly select sports shoes;
- Sports are carried out under the control of the instructor.
Given the foregoing, it is important to note that the step aerobic and intensive running after surgery for varicose veins are prohibited.Give preference to swimming, sports walking, aquaerobics, cycling, etc.
Proper food behavior is extremely important for the normal functioning of the body of any person, and primarily operated on.Therefore, the totality of proper food habits will make the restoration faster, hold the weight in the necessary values, as well as strengthen the vessels.Perhaps specialists can be assigned a corresponding diet that will include products with a high content of nutrients and vitamins, and exclude salt, spices, gas drinks, sweets, strong tea, coffee and alcohol.Regardless of how surgical intervention was carried out, after a laser operation to remove varicose veins on the legs or after any other, tobacco smoking should be abandoned.It serves as one of the most common causes of the development of all vascular diseases, including varicose veins.
Expert's opinion
A large number of patients are interested in whether the sauna and the bathhouse are harmful?Note that visiting a sauna is strictly prohibited.And the ability to visit the bath is individually determined by the doctor.Much depends on when to remove the seams after the operation, if it was carried out using cuts.Until the healing of the skin - you cannot visit the bathhouse exactly.After, six months later, the doctor may allow visiting the bath.
Vascular surgeon, phlebologist
Osipova Ekaterina Yakovlevna
Make an operation and count on the fact that varicose veins will retreat forever without your participation recklessly.Only daily efforts, overcoming and taking prevention measures can you create favorable conditions for this.Therefore, every day take care of the health of your legs and blood vessels.Follow the doctor’s recommendations, take hiking, actively spend your free time, make a contrast shower and self -massage to your feet.
Varicose veins and operation: "pros and cons"
Of course, there are always doubts about whether it is necessary to perform surgery for varicose veins?But to independently consider the surgical treatment of varicose veins of the lower extremities in the context of “FOR or against” is not worth it.Only a doctor, having studied the history of the patient’s disease, collecting an anamnesis of the disease, having familiarized himself with the results of the corresponding tests and studies, can definitely answer the question of whether and why is the operation for varicose veins?
The causes of doubts can lie in the same prevalence of the disease.After all, a specialist will never give a 100% guarantee of the cure of pathology.The risk of relapse of the disease will persist all life.
Expert's opinion
Some surgical manipulations give a more persistent and long effect, others less.Everything is individual.Do not forget that doing the operation is only one of the first steps on the path to healing.To prevent varicose veins from progressing, a person needs to make efforts daily for this.And far from always the patients conscientiously carry out all the recommendations received from the doctor after the operation, and therefore the varicose veins are recurrent.
Vascular surgeon, phlebologist
Osipova Ekaterina Yakovlevna
Many patients, having learned that they will have to do the operation, believe that the consequences, namely, complications are inevitable.For this series of patients, this serves as an additional reason to doubt whether to do the operation or not.After the operation to remove veins on the legs, the rehabilitation period can be associated with certain complications.But again, much depends on the quality of surgical treatment, the individual characteristics of the patient’s body and how the instructions of specialists are observed.Therefore, it is not necessary to project a negative development of events in advance, as well as to doubt whether it is necessary to do an operation for varicose veins or not.
For accurate diagnosis, contact a specialist.