What types of activities are prescribed for varicose veins?

Conservative treatments are only effective in the early stages of varicose veins. And because often the first signs are ignored, the pathology continues to develop, reducing the effectiveness of the means used. With a significant increase in symptoms, the only option to eliminate varicose veins is surgery. A special place occupied by rehabilitation, requires the patient to adhere to medical recommendations.

Surgical indications

If varicose veins are present, surgery is indicated in certain cases.

In particular, surgery is indicated for patients:

• extensive vascular lesions, can be determined by visual inspection;
• symptoms of edema, constant soreness and a feeling of heaviness;
• a significant risk of thrombophlebitis, trophic ulcers.

Varicose vein surgery is suitable when the drug does not give the desired results. It is important not to let the development of the disease until surgical treatment is in vain.

For some patients, varicose leg surgery may be contraindicated.

Contraindications

End-stage surgery is usually not appropriate, so varicose veins are treated with a variety of medications. They help to somewhat reduce the severity of the disease, but cannot be completely eliminated.

Surgical procedures are prohibited for patients with:

• inflammatory skin disease at the site of the development of venous disease (eg, halo or eczema);
• cardiovascular disorders (coronary artery disease, hypertension, heart failure);
• acute form of phlebitis;
• infectious disease (surgery possible after recovery);
• venous thrombosis, pulmonary embolism (history);
• dissolves atheroma plaques of the lower extremities.

Surgical treatment to eliminate varicose veins is contraindicated in patients over 70 years old, as well as in pregnant women.

Preparing for surgery

Consulting with your phlebist will help prepare you well for the upcoming surgical treatment. Patients have the right to ask any questions they may have concerns regarding surgery.

You should also describe current symptoms as accurately as possible, talk about possible intolerance to certain drugs, and remember to be informed about current medications.

The attending physician guides the patient through a number of diagnostic procedures:

• tests for blood and urine;
• fluorography;
electrocardiogram
• ;
• two-sided ultrasound.

The preparation phase requires compliance with certain conditions:

1. 3 days prior to surgery, the patient must adhere to a slag-free diet i. e. fry, salty, spicy, as well as meat and flour products.
2. Last meal and drink water 8 hours before surgery.
3. For at least 3 days, you should forget about alcohol and tobacco.
4. You will need to have hair removed from your legs undergoing razor surgery.
5. If you have abscesses, bruises or any other lesions on the skin, notify your doctor.

If the patient drives a car, it is advisable to arrange a relative or acquaintance to pick him up after discharge. While driving is prohibited.

Preparing for the operation, the patient is concerned about what type of surgical intervention is assigned to him and how the treatment costs. If the patient is prescribed intravenous surgery, many factors affect the price: the stage of the disease, the length of the varicose veins, anesthesia, . . . .

Method for eliminating varicose veins

Since there are many types of surgical treatments for varicose veins, the selection of a specific technique is made based on the diagnostic data. In some cases, the vein is partially or completely removed, in other cases the veins, which are deformed by varicose veins, are blocked or narrowed with a special substance.

Veinectomy

A type of surgical treatment, which removes areas of the vessel where varicose veins are present. After removal, movement of the blood is carried out through deep veins.

The operation is done as follows:

1. After the anesthetic took effect, the surgeon made small incisions (up to 5 mm).
2. The vein is removed with a special probe, then the affected area is reconnected.

Vein ablation takes 1-2 hours. Then a small scar remains on the surgical site.

Microsurgery

Great alternative to previous method. The essence of this technique is that there is no need to make a 5 mm incision. A small puncture is enough to perform all the necessary manipulation of the vein. Furthermore, the recovery in this case is much faster, while leaving no scars.

All surgeries performed to remove varicose leg veins are successful and cause any complications in very rare cases.

Thanks to this puncture technique, it is possible to get rid of even large veins.

Stripping

This is a surgical removal of a vein. With its help, the trunk of a large saphenous vein is removed. The surgeon pulls the vein affected by varicose veins through a small incision, using a special probe. Incisions are made on the inside of the groin and ankles.

Occurs:

• part- only a portion of the vein is removed;
• total- disease vessels are drawn with sub-branches.

Performing such operations requires the utmost care of a physician. If there is at least one conflicting flow, the risk of recurrence increases dramatically.

Therapeutic therapies

This is a surgery to remove veins that are progressing, less invasive, and do not require an incision. The surgeon's action is to narrow the lumen of the diseased vessel until it completely disappears.

To do this, a hardener is injected into a vein. The drug promotes irreversible damage to the vessel walls due to subsequent overgrowth of the lumen.

Specially designed preparations are often used.

Therapies have several advantages:

The

• procedure can be performed on an outpatient basis;
• patients are allowed to return to work every day on the following day;
• does not require general anesthesia;
• does not leave any scars after surgery.

One negative point is the probability of varicose re-formation. The disease can affect the veins located next to where the atheroma is injected. Up to 10 injections are carried out in one procedure and the treatment time is about one hour.

Let's talk about different types of therapies:

1. Foam.The composition is applied when exposed to air to form a foam, which fills the cavity of the flask. Closing of the lumen occurs over a short period of time, while only a small amount of atheroma is sufficient. In addition, to get satisfactory results, it is necessary to perform 1-2 courses, in which foam is injected up to 3 times.
2. Micro therapy.Techniques suitable in the early stages of the disease.
3. Atherosclerosis.It is prescribed for lesions of deep veins. The injection is carried out with an ultrasound machine, which helps you clearly distinguish the injection site of atherosclerosis, determine the exact amount of the drug and avoid undesirable consequences.

Manipulations are performed almost painlessly and the patient recovers quickly.

Laser coagulation

This treatment for varicose veins, called endovasal laser coagulation, involves using a special device - an LED laser.

It is injected into the affected vein, and thanks to its radiation, the inner surfaces of the vein are welded. The blood continues to circulate through healthy veins and the patient's health improves.

Advantages of laser coagulation:

• lacks scarring and age spots on the skin;
• is ​​performed on an outpatient basis for 1-2 hours;
• local anesthesia is used;
• operations are performed under the control of an ultrasound machine;
• short recovery time.

There can be a final verdict on the success of the operation after 3 months. The use of a laser ensures complete cure without risk of recurrence.

Recovery time after venous resection

After surgery, the patient must follow certain rules, which will minimize the risk of complications and speed up recovery:

1. It is recommended to wear compressed knitwear. The attending physician will help with her selection. At first (about 5 days), the bed linen is not removed before going to bed, and then is allowed to be used only during the day.
2. In order to maintain blood vessels, drinking and smoking should be prohibited, as nicotine and alcohol are among the most common causes of varicose veins.
3. You should limit your exertion. Even minor injuries to the lower extremities are dangerous. If the patient was previously interested in sports, it is possible to return to classes after 1, 5-2 months.
4. To prevent recurrence, do not use hot water for treatment. Contraindications to saunas, wet saunas and solariums.
5. No cosmetic procedures can be performed on surgical areas.
6. Very helpful when doing therapeutic exercises.

To prevent varicose veins coming back after surgery, during rehabilitation you will need medication prescribed by your doctor, which will help the vessels recover. You should not arbitrarily change the dose of the drug, leading to undesirable consequences. If any of these symptoms appear, it is important to see a vein doctor immediately.

The type of surgery is determined depending on the individual characteristics of the course of the disease.

Possible Post-Surgery Complications

No expert can guarantee absolutely no post-operative side effects. Complications may occur depending on the surgical treatment used.

Cut and strip are mutable:

• numbness in the lower leg;
• reduces the sensitivity of the skin;
pain syndrome
• ;
• bleed;
• hematoma;
• supports active area.

After fibrosis therapy may appear:

• swelling of the ankles and feet;
• pigment;
• peeling and itching;
• painful feeling;
• burns the skin.

If using a laser LED, it could be:

inflammation
• ;
• dark areas;
• mild bruising;
• pull pain.

The most dangerous complication of any surgical procedure is thrombosis. But its appearance is observed in some rare cases. With minimal invasive surgery, the risk of blood clots is quite low.

Through surgical treatment, it is possible to successfully escape the fatal disease. The main thing is to find a qualified specialist and not ignore medical recommendations regarding recovery times.