The purpose of varicose vein surgery is to normalize blood flow through the deep veins. Therefore, if varicose vein surgery is indicated, you should not hesitate to apply it, because the earlier it is performed, the faster the blood flow will be normalized, improved or treated for other disorders and complications of varicose veins.
Indications for the removal of varicose veins
- With extensive varicose veins.
- If the saphenous veins dilate abnormally.
- If varicose veins are accompanied by increased fatigue and swelling in the legs.
- If there are signs of violation of the outflow of blood on the face - a feeling of heaviness, swelling, increased fatigue of the legs, even without varicose veins.
- If there are trophic skin disorders that do not respond to conservative treatment (regardless of the presence or absence of varicose veins).
- Varicose veins are accompanied by food ulcers.
- Varicose veins are also removed at the clinic for acute varicose vein thrombophlebitis.
Contraindications to phlebectomy
- In the last stage of varicose veins;
- With hypertension
- With ischemic heart disease.
- With serious infectious processes.
- Advanced age of the patient
- Inflammatory processes in the legs, eczema, pyoderma, erysipelas, etc.
- They do not perform varicose vein surgeries during the second half of pregnancy.
Recommendations before phlebectomy
Preparing for a vein removal is absolutely simple:
- Take a shower?
- Shave your foot to fully function.
- Prior to surgery, the skin of the feet must be healthy and free of blisters.
- If the operation is planned to be performed under general anesthesia, mandatory enemas are prescribed on the eve of the operation.
- Come to the service with loose shoes and clothes.
- If you are taking medication, be sure to tell your doctor.
- During the operation, various medications can be used and if you have intolerance or allergy to any medications, especially substances containing novocaine and iodine, be sure to tell your surgeon about this.
Phlebotomy procedure
In the surgical treatment of varicose veins, the diseased veins are simply removed. This operation takes about 1-2 hours. The removal of the clear veins does not affect the normal flow of blood and is safe for the body, because no more than 10% of the blood flows normally through the clear veins (ie, they are affected by varicose veins). 90% of venous blood is carried by the deep and so-called connecting veins of the legs. Therefore, when veins are removed under the skin, these vessels easily take on the weight of blood circulation on their own. After the operation, almost invisible scars remain, only 4-5 mm.
If malfunctioning venous lesions are detected, extracorporeal valve repair is performed to restore normal blood flow. After venous surgery, you need to follow some recommendations, the main one of which is elastic compression.
After surgery, the patient is advised to use an elastic bandage or elastic stockings 24 hours a day for 1. 5-2 months. In addition, bentonite drugs are prescribed to restore the function of the surgical legs.
However, such surgeries are still associated with a high risk of scarring. Recently, methods have been developed that make it possible to perform plastic surgery on the valves of the great saphenous vein without displacing the veins. These varicose vein surgeries are very effective, but they are still very complicated and are controlled by a small circle of specialists.
Reform
After vein removal surgery, the recommendations will be different for each patient - it all depends on the degree of varicose veins in the patient, the presence of chronic diseases, the general state of health, as well as the nature and scope of the operation. Therefore, after venous intervention, listen carefully to your surgeon and follow his recommendations.
From the first hours after the operation, it is recommended to turn, bend the legs, etc. And simply raising the edge of the bed by 8-10 cm significantly improves venous blood flow.
The next day of the operation, for the treatment of the varicose veins, a bandage is made using compression stockings or an elastic bandage on both legs from the tips of the legs to the knee joints. You are only allowed to walk after dressing. Also, after the removal of the veins, physiotherapy exercises and light massage are recommended to prevent the formation of clots.
7-10 days after surgery, you should not do aerobics, exercise or exercise bikes, as well as visit the sauna and bath. On days 8-9, the sutures are removed and a series of physiotherapy exercises and water procedures are prescribed. Elastic compression is required for at least 2 months after suture release.
Varicose veins exercises are especially important for the elderly. This is an ideal prevention of postoperative complications - slowing of venous blood flow and postoperative thrombosis. Medicines to prevent blood clots may also be prescribed.
The cosmetic effect after phlebotomy depends largely on the stage of the varicose veins, the peculiarities of the venous system itself and the presence or absence of varicose veins complications. Thus, in the early stages of varicose veins, the size and number of scars can be minimized. If varicose veins are neglected and accompanied by food ulcers, dermatitis and extensive pigmentation, these cosmetic defects remain even after surgery, along with small scars at the incision points.
The aesthetic effect of phlebectomy is highly dependent on the individual's predisposition to scar tissue formation. In some, even with severe skin lesions, fine scars form. Others, even with very small lesions, have a predisposition to form a coarse keloid scar that protrudes above the surface of the skin.
Miniflectomy (microflectomy)
In recent years, the method of miniflectomy has become more and more widespread.
Miniflectomy is the removal of veins through tiny skin centers. This procedure does not require major incisions such as varicose vein surgery. Depending on the stage of the varicose veins, microelectomy may require neither hospitalization nor general anesthesia. The miniflebectomy procedure can be performed in outpatients with minimal local anesthesia. The value of the minifectomy depends on the length of the problematic vessel.
After the varicose veins are removed, bruises form on the legs. The bruises disappear on their own after 2-3 weeks and after 1-2 months there are almost no traces of varicose veins and the operation remains.
If you need a specialist consultation, make an appointment with a venologist at the medical center! Call and determine the details of the operation for the treatment of varicose veins in the legs of our clinic.