Varicocele veins in leg surgery

For decades, surgical treatment of varicose veins in the legs has remained the only fundamental way to eliminate the disease and its complications.Thanks to improvements in modern technology and operational techniques, it is indeed effective in treatment and cosmetics, so it is performed as easily and painless as possible, with patients well tolerated without causing prolonged disability.

Typically, approximately 30% of the blood in the lower limb flows through small subcutaneous veins tributaries, which merge in two central veins trunks – a sized subcutaneous vein.These blood vessels are directly connected to the deep vein, where 70% of the blood flows.In places with such compounds, there are valves that only spread from the surface veins to the deep layer.There are also dozens of small veins that also link the epithelial vein network to the deep.They still have only one direction to bleed.The main cause of varicose veins is the failure of the venous valve, which leads to improper blood excretion: from deep veins to the surface, which increases their pressure and causes dilation of small blood vessels and central veins trunks.The main targets of surgical treatment are varicose veins in the lower limbs:

• Eliminate blood stagnation in the veins of the legs, which will prevent the progression of chronic venous insufficiency and skin nutritional disease.
• Remove deformed blood vessels and varieties representing cosmetic defects.
• Eliminate blood from deep veins into superficial - connected and intersecting (clan) veins, as well as large and small subcutaneous veins associated with deep ties.
• Prevent recurrence of varicose veins.

A single location in the surgical treatment of varicose veins in women on the lower limbs is plastic surgery.With such interventions, not only did the veins change pathologically, but also the postoperative scars on the skin of the legs, or they were inconspicuous.To achieve maximum cosmetic effect, varicose veins are performed according to the following methods:

• Ultrasound controls the vein burning of the central trunk of the subcutaneous vein under ultrasound control by laser or radiofrequency ablation, through the skin on the thigh or foot, under ultrasound control.
• Stem sclerosis and sclerosis therapy - fills the size of the subcutaneous veins, and all of its tributaries, even the smallest tributaries, and uses a special medication.

Using any of the described treatments, varicose veins do not remove but instead change from blood vessels to soft protein structures.Physical effects (laser rays, radio frequency waves) and chemical compounds (hardeners) destroy the inner layer of the vein.Thus, it loses lumens, glue and completely desolate from the blood, becoming a common connective tissue (glia) tissue.Therefore, without the veins being removed directly, all goals of all the goals assigned to the lower limb varicose veins can be achieved - eliminating the changing blood vessels and eliminating the dangerous consequences of venous inadequacy.In women treating varicose veins, the only possibility is that the vein is only slightly or limitedly extended to 1-2 degrees.During pregnancy and early postpartum, surgical treatment is still contraindicated in acute conditions requiring urgent intervention, for example, in elevated thrombotic cysts.The procedure is limited to dressings in large subcutaneous veins where they are connected to the femur (transverse ectostomy).Consider the most common surgical interventions in varicose veins treatment in the lower limbs: laser ablation, venous endoscopic anatomy, and venectomy.The latter is divided into the following types:

• Classic operation, or complete stripping or operation of Trojanov-Trendelenburg-Bubko-Narata;
• short stripping;
• Ovalectomy.

Ovalectomy

Removal, extracting the vein from below the skin is called venectomy.This is one of the first surgical treatments for varicose veins in the lower limbs.But even today, venectomy is usually performed by phlebotomy and vascular surgeons.There are three modifications and methods for the operation: complete, short stripping, and miniectomy.Domestic surgeons call classic veins Trojanov-Trendelenburg-bubko-Narat surgery, while foreign authors completely stripped.The number of interventions was proposed:

1. As a bandage of a large subcutaneous vein at the confluence, the thigh is under the thigh, and the thigh is below the thigh, and 2-3 cm below the thigh through the incision.
2. It is incited 1-2 cm along the inner surface near the knee and ankle along the special probe throughout the groin.
3. All varicose veins and veins are removed through individual small incisions through dressings for incompensated and difficult perforated containers.
4. Sew all wounds with cosmetic seams.

Fundamentally, classic veins allow you to remove varicose veins, but the most painful of all the prior art.

Short stripping

In the case of short stripping, not the entire large subcutaneous vein is removed, but can only be affected by varicose veins, for example, only on the thigh or lower leg.Healthy segments have not been removed.This reduces the trauma of the intervention, but the risk of disease recurrence remains.Otherwise, the operation of the procedure is similar to a classic veinectomy.

Ovalectomy

An innovative approach to removing small varicose veins from large subcutaneous veins is called venectomy.To achieve this, special tools (sharp scalpel, hook, clamp, scraper) are required and a few millimeters of the skin are extracted through the skin with veins.There is no need to sew this skin defect, the scars are invisible.In most cases, surgeons combine short or complete stripping of large subcutaneous veins with vertebrae resection.This combined operation combines activism and adhesive trauma and has good cosmetic results.Laser ablation of varicose veins involves burning from the side with a laser beam of large subcutaneous veins.To this end, the bovine pituitary gland is introduced into the entire length by puncture through the skin in the thigh or ankle area.Under the control of ultrasound control, the Svetovod is slowly extracted.The laser beam acts on the vein wall, destroying the inner layer.As a result, Vienna fell and stopped operating, which was clearly seen on the ultrasound monitor.If not only the main veins are affected by varicose veins but also by tributaries, they are removed according to the venectomy method.

Diseases such as varicose veins are a disease characterized by dysfunction of the blood vessel wall and weakness of the valves in the veins, which can lead to vascular stagnation in the lower limbs and the emergence of venous lymph nodes.This pathology is very dangerous and is confused not only by the presence of nutritional diseases and inflammatory processes, but also by the lack of tissue nutrition.Usually, this helps the formation of blood clots, which can flow through the entire body and the emergence of nutritional ulcers that are difficult to survive.Furthermore, the formation of thrombosis in blood vessels threatens the development of diseases such as thrombosomes.Therefore, if the patient has varicose veins in the lower limbs, surgical treatment is necessary, especially when developing diseases.I want to draw the attention of readers of our website that surgery for varicose veins in the lower limbs is a fundamental measure, and usually, if you can't do without it, you can prescribe it.Varicocele disease in the lower limbs, surgical treatment involves a variety of surgical exercise options for surgical treatment.These options are directly a method of removing affected blood vessels and veins from the lower limbs.

• Traditional veins are used in surgical practice to treat varicose veins essentially.This option is performed according to the Bebbok method.This means that probes specifically targeting this process during the process and subsequent intravenous extracts are introduced through pre-cut incisions in the skin.After operation, its rope is carried out with cosmetic seams, which is then made almost invisible.
• Ovalectomy - Such surgery is required to remove a small portion of blood vessels and veins affected by varicose veins.Note that this procedure cannot be cut for skin, as part of the affected blood vessels or veins are removed by skin puncture, which does not require the application of seams.

Please note that surgical interventions in the treatment of certain diseases are large.However, varicose veins in the lower limbs are highly required if blood clots and potentially dangerous inflammatory processes are required.This approach will improve the patient's condition and help avoid the health and life-severance of the patient's complications.States that require emergency surgery for varicose veins include:

• Thrombophlebitis or risk causing its appearance;
• Acute thrombotic varicose veins or frequent aggravation of the disease;
• a large number of failed blood vessels and veins;
• The constant disturbing feeling of leg fatigue and severity, unpleasant pain, suggesting a distinctly expressed varicose veins.
• The emergence of nutritional ulcers.

There are also some contraindications for varicose veins:

• The second and third months of pregnancy;
• Infectious disease in acute form;
• Aggravates the pathology present in patients (diabetes, asthma, peptic ulcers, etc.);
• Myocardial infarction, stroke;
• Dermatology issues.

Peeling - Usually, this method is used in the presence of a small part of the lesion, a more spacious technique unlike traditional veinectomy.The method involves stretching the most venous nodes through a special hook.The technology also has a subspecies - frozen cover, which means that the damaged blood vessels sink into the cryotube and its subsequent removal.

Sclerosis - This technology provides the introduction of damaged sclerants, a special substance that "glues" the walls between each other.However, after surgery, the vein does not stretch, but is kept in place without achieving its purpose, and although the blood flows through Vienna and stops, the function is performed by collateral vessels, which does not violate the outflow of venous blood.This operation is performed under the forced control of an expert with an ultrasonic device.

Laser Coagulation - This method is the most innovative treatment of varicose veins, introducing special equipment with laser radiation (thin probes) into the cavity of the vein.This device has ablation effect on the blood vessel wall.

Removal of varicose veins after surgery:

• The appearance of characteristic postoperative hematoma on the surface of the human body is usually resolved for several months.
• Similarly, after a few months, the seal along the skin of the remote container bed disappeared.
• Violating the integrity of the vascular lymphatic system (vascularity), which can lead to a stagnant process.This postoperative consequence is conservative, and though this, the lymph circulation often recovers after several months;
• Possible damage to the subcutaneous nerve ends, which manifests as impaired sensitivity of the epidermis – passing 5-6 weeks after surgery.

Summarize

Varicocele surgery

Traditionally, veinectomy (transverse ectomy) is performed according to the Bebcock method and involves introducing a probe into the cavity of the vein, followed by the vein extending through its length through the cut on the external skin.The incision is sewn with cosmetic seams at the end of the operation.Ovalectomy is used to remove very short venous areas and during the procedure, no veins are used.Cutting on the skin is not performed and a piece of vein is removed through a thin puncture on the skin that does not require the application of a seam.Because of the small damage to varicose veins, a milder technique can be performed - stripping.This only has a thin hook with only varicose veins nodes protruding out.Experience is performed by following two cuts of the skin through subsequent suture.Various of these techniques are frozen textures - using low temperatures to "sink" into the frozen body, and the destructive nodes are also protruded.

Vienna sclerosing is the introduction of a sclerosing agent into its cavity - a substance that "bones" the wall of the vein, but the veins remain deep in the skin, rather than performing their functions.Blood flowing through the veins stops and passes through the enclosed blood vessels without violating the flow of blood from the veins of the lower limbs.Vienna sclerosis occurs under ultrasound control.Laser coagulation of varicose veins is the latest method in hemorrhage and is introduced into thin probes in the venous cavity with laser radiation, which plays ablation on the venous wall.Radiofrequency methods for releasing veins also refer to more modern treatments for varicose veins, but not all medical institutions are equipped with appropriate equipment.This technology includes the "burn-down" effect on the blood vessel walls of high-frequency radio waves.