The purpose of varicose vein surgery is to normalize blood flow through deep veins. Therefore, if you need varicose vein removal surgery, you should not hesitate to perform it, because the sooner it is done, the faster the blood flow will return to normal, improving or curing other diseases and complications of varicose veins.
Indications for varicose vein removal
- Have extensive varicose veins;
- If the great saphenous vein expands pathologically;
- If varicose veins are accompanied by increased fatigue and swelling of the legs;
- If there are signs of violation of facial blood flow-feeling heavy, swollen, increased fatigue in the legs, even without varicose veins;
- If there is nutritional skin disease that does not respond to conservative treatment (regardless of whether there are varicose veins);
- Varicose veins with trophic ulcers;
- The treatment of acute thrombophlebitis of varicose veins is also being carried out clinically.
Contraindications of phlebectomy
- In the late stage of varicose veins;
- Suffer from high blood pressure;
- Suffer from ischemic heart disease;
- Have a serious infection process;
- The patient's advanced age;
- Leg inflammation, eczema, pyoderma, erysipelas, etc.
- They do not perform operations for varicose veins and the second half of pregnancy.
Recommendations before phlebectomy
Preparing for phlebectomy surgery is absolutely simple:
- Take a shower;
- Completely shave the leg to be operated on;
- Before the operation, the skin of the legs must be healthy and free of any impetigo;
- If the operation is planned to be performed under general anesthesia, a clean enema must be provided on the eve of the operation;
- Wear loose shoes and clothes to operate;
- If you are taking any medicines, be sure to tell your doctor;
- During the operation, various drugs can be used. If you are intolerant or allergic to any drugs, especially novocaine and iodine-containing substances, please be sure to inform your surgeon.
Phlebectomy
In the surgical treatment of varicose veins, the diseased vein is simply removed. This operation takes approximately 1-2 hours. Removal of the great saphenous vein does not interfere with normal blood flow and is safe for the body, because usually no more than 10% of blood flows through the great saphenous vein (that is, they are affected by varicose veins). Ninety percent of venous blood is delivered by the deep veins of the legs and the so-called connective veins. Therefore, when the subcutaneous veins are removed, these blood vessels can easily put the burden of blood circulation on themselves. After the operation, the scar is almost invisible, only 4-5 mm.
If a malfunctioning venous valve is detected, the insufficient valve is corrected extravascularly to restore the normal outflow of blood. After vein surgery, you need to follow some recommendations, the main one being elastic compression.
After the operation, patients are advised to use elastic bandages or elastic stockings for 1. 5-2 months. In addition, in order to restore the function of the operating leg, intravenous drugs were also prescribed.
However, such operations are still accompanied by high-risk scars. Recently, some methods have been developed to perform plastic surgery on the valve of the great saphenous vein without removing the vein. These are very effective for varicose vein surgery, but they are still very complicated and only a small group of experts can master it.
recovery
After phlebectomy surgery, each patient’s recommendations will be different-it all depends on the patient’s degree of varicose veins, the presence of chronic diseases, general health, and the nature and scope of the surgery. Therefore, after intravenous intervention, please listen carefully to the surgeon's advice and follow his recommendations.
Starting from the first hour after the operation, it is recommended to rotate, bend the leg, etc. Simply raising the foot of the bed 8-10 cm can significantly improve venous blood flow.
On the second day after the operation, in order to treat varicose veins, bandage the legs from the tips of the toes to the knee joints using compression stockings or elastic bandages. You can walk after getting dressed. In addition, after removing the vein, physical therapy and light massage are recommended to prevent thrombosis.
You cannot do aerobic exercise, gymnastics, cycling, or go to the sauna or bath for 7-10 days after the operation. On days 8-9, the stitches are removed and a physical therapy exercise and water program are prescribed. After the stitches are removed, elastic compression is required for at least 2 months.
Exercise for varicose veins is especially important for the elderly. This is the ideal way to prevent postoperative complications-slowing down venous blood outflow and postoperative thrombosis. Medications may also be prescribed to prevent blood clots.
The cosmetic effect after phlebectomy largely depends on the stage of varicose veins, the characteristics of the venous system itself, and whether there are complications of varicose veins. Therefore, in the initial stage of varicose veins, the size and number of scars can be minimized. If the varicose veins are ignored and accompanied by trophic ulcers, dermatitis and extensive pigmentation, these cosmetic defects will still exist even after the operation, and small scars will be left at the incision site.
The cosmetic effect of phlebectomy depends heavily on the individual's tendency to form scar tissue. In some cases, even if the skin is severely damaged, thin scars can form. Other people, even with very minor injuries, can easily form rough keloid scars on the surface of the skin.
Microflebectomy
In recent years, the method of microflebectomy has become more and more common.
Veniectomy is the removal of veins through tiny skin punctures. This surgery does not require large incisions like varicose vein surgery. Depending on the stage of the varicose veins, venuleectomy may require neither hospitalization nor general anesthesia. Vessel resection can be performed in an outpatient clinic with minimal local anesthesia. The price of veniectomy depends on the length of the blood vessel in question.
After removing the varicose veins, bruises will appear on the legs. The bruises disappeared on their own after 2-3 weeks, and there were almost no traces of varicose veins after 1-2 months, and the operation was still there.
If you need a specialist consultation, please make an appointment with the phlebologist at the medical center! Call our hospital for details of the operation for the treatment of varicose veins in the legs.