Surgical treatment of the varicose veins of the sub-extremities

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.

Tips and reverse hints

It is not recommended to run patients with any varicose veins.There are clear tips for operational and reverse hints.

The surgical treatment of varicose veins of low extremities is displayed in the following cases.

Medical indicators- Disclosure of 2-3 degree vessels accompanied by symptoms of complaints and chronic venous shortcomings:

• Convincing, tense veins under the skin;
• More than one successor (nodes) along changed ships;
• Swelling of the affected foot;
• violent and pain along the expanded vascular;
• Convulsions in the calf muscles of the lower leg, "reduce the foot;
• Inflammatory changes in the veins - thromboflebitis;
• Trophilic skin disorders - dark spots, redness, subcutaneous layer sealing, long leaved wound-jazzva.

Cosmetic signs- Early (first) phase of varicose veins without venous deficiency signs, only one cosmetic defect and aesthetic concern in the patient:

• a slightly expanded and mixed veins as superficial;
• The vein "stars", "spiders" and red-blue small capillaries in the skin of the legs.

It is important to remember that if there are signs from the operation, it is necessary to refuse if there is no more benefits.

The main reflection instructions for the surgical treatment of varicose veins:

• The serious general situation caused by any acute (heart attack, pneumonia) has started chronic diseases (liver, sincere, lung deficiency) or the elderly age of the patient.
• Any sharp infectious diseases.
• Conductive treatment for cancer.
• Anemia is pronounced.
• Pronunciation or decrease in blood clotting.
• Inflammatory and probability processes in the skin of the lower extremity of surgical interference (scores, rashes).
• Pregnancy and early postpartum period.

Except for the first, all the opposite hints are considered relative.This means that in special circumstances (varicose veins, such as thromboflebitis, for example, one or another surgical treatment should be carried out.

If an emergency operation is necessary

Emergency surgical treatment surgical treatment can be required with a sharp growing thrombophlebitis of Varicosis Varicosis.This aggravation is an inflammation inside the lumen of a large subcutaneous vein accompanied by the formation of blood clotting.

If such a pathological process belongs to the thigh, the blood clots have a risk of glinging in a deep venous system.In the absence of such a blood clot, it penetrates ships of the lungs and a life-threatening life of a dangerous disease - lung tromboembolism (lung fiber).

The main manifestations of the rising bud thrombophlebitis:

• pain along the vein along the inside of the bud;
• Redness and growth at skin temperature;
• The seal of the modified area and a sharp pain in the phaspace.

The volume of surgical treatment with increased thrombophlebiti can be represented:

• CrossCTomy - Crossing and Bednaya intersection of a large subcutaneous vein in the confusion;
• Removal of a vein changed after initial wrap.

Objectives of surgical intervention

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 are directly connected to deep veins that flowing 70% of blood flow.In the places of such compounds, there are valves that are only blood from surface veins.

There are dozens of small vasculars called perforant, in addition, the surface combines the venous network with deep.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.

Preparation for operation

Full compatible preparation for surgical treatment for varicose veins includes:

1. The patient's health-general blood and urinary tests, koagulogram, biochemical analysis, blood type and rh factor, syphilis tests, blood sugar level, lung radioography, a general operating examination.
2. Special diagnostics that allow you to determine the characteristics of the surface, to determine the location of an ultrasound and bankrupt performance vessels with colorful doppler map of the surface surface, deep veins and subsections.
3. The operation is carried out on an empty stomach so you can't eat and drink on the day of the operation in the morning.
4. Prior to the operation, it is necessary to shave all the hair to the groin to the foot of all hair.

Women's Varicosis Veins

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 settlement veinsUltrasonic control under the ultrasonic control by continuing the central trunks of a subcutaneous vein in the thigh or the skin of the skin.
• Root Sclerobliction and sclerotherapyWith large and small subcutaneous veins, as well as all the sleeves, even the smallest, even the smallest, custom sclerocian 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).

Types of surgery

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;
• Miniflekektomy.

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.

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.

Minifiethektomy

An innovative methodology is called MinifleBektomy to remove a small varicose vein of a large subcutaneous vein.

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 surgeons combine a short or complete part of a large subcutaneous vascular vascular with miniflekektomy.It is connected to a combination of radicalism and minimal trauma with a good cosmetic effect.

Endoscopic split of the veins

During any phlebectomy, it is difficult to find all the veins of the indifference.Endoscopic equipment (video camera and manipulators) are used for these purposes.Through minor cuts in 1-2 cm, they are put under the skin in the majority of the performance vessels found in ultrasound.

Under the control of the camera, they all find low perforators, bandages and pass them.During this operation, subcutaneous veins are not removed.Both independently and can be done together with any type of fleekectomy: peeling, miniflektomy.

Laser treatment

Laser Ablas for Varicosis Veins, a large subcutaneous side in the cleansing side contains burning with laser beam.To do this, a catheter-helist is presented to the lumen of the skin of the skin or ankle in the foot of the bud.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 if the main venous trunk is removed by both its branches, but also by varicose veins, they are removed according to the miniflebectomy method.

Rehabilitation

Regardless of the operating method of the treatment of varicose veins, patients' restoration occurs soon.The full rehabilitation terms depend on the methodology of the transaction, the stage of the disease and the general condition of the patient.Initial varicose veins with laser treatment and minifiers, it has been 2-3 weeks, with a classic phlebectomy for the advanced forms of the disease - 1-3 months.

Walking, after anesthesia, stabilization of the situation and recommended as soon as possible in 5-6 hours.If the spinal is anesthesia, the bed rest is recommended within 12 hours.With local anesthesia, the patient can put the operating room on his feet and can not even hospitalize in a hospital.The main condition before walking is to make a bandage with an elastic bandage or put an individual selected compression knitting.

Stay in the hospital between 1-2 and 5-8 days.If the stitches were superior, it is better to remove them in 7-8 days during control verification.A month after the operation, compression knitting is recommended.You need to put it in every day without leaving the bed.In the night, compression products are removed.It is better to continue to compress until 3 months after a classic fleekectomy with severe varicose veins.

Throughout the moon, it is strictly prohibited:

• sauna and hot bath;
• heavy physical activity in the lower extremities;
• Stay a long time in a dormant position standing or sitting.

Possible complications

The most common complications related to operations for varicose veins:

• Pain in the foot operating as a result of damage to large nerves.
• Swelling in length of the lower leg and foot.
• Bottom leg and thighs hematomes and bruises.
• Bleeding from wounds.
• Flebotrombosis - inflammation of the deep veins.
• Control of ponoperative wounds and necroso of the skin around the formation of trophic ulcers and control.
• Formation of sores after a rough operation.

Thanks to modern methods and technologies, the surgical treatment of varicose veins is easy, painless and highly efficient.Compliance with all the recommendations of the transaction shall minimize rapid recovery, complications and relapse of the disease.