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Treating varicose veins in the legs with medication is not always effective.Curing varicose veins is especially difficult if they are in advanced stages.In this case, surgery is the only option to eliminate the disease.Classic phlebectomy, venous resection, sclerotherapy, and laser phlebectomy are effective methods to solve the problem of varicose veins.However, not all women with varicose veins immediately decide to choose one of these.Fear of the surgeon and the operating room, general anesthesia, and complications deter patients, so they have long been afraid to go to the doctor and can only rely on some home forms of treatment.At the same time, the varicose veins worsened and the condition worsened.
Will varicose veins "pop" again?Do I need to hide unsightly stitches after surgery?Do you really need to wear a special jersey for a whole year after surgery?These and other questions continue to plague women but remain unanswered, while this necessary surgery for leg health is delayed for months, often years.But today, not only classic phlebectomy, a well-established surgical procedure (general anesthesia, long recovery time, return to normal life), but also minor venous surgery is performed, which is performed on an outpatient basis under local anesthesia and does not even require a long sick leave after the operation.
Choosing a treatment for varicose veins
Any of the procedures listed, whether classic phlebectomy, phlebectomy, laser or sclerotherapy, is prescribed by a doctor depending on the stage of varicose veins and the condition of the patient.You cannot choose how to eliminate varicose veins on your own; a doctor will determine after an examination:
- Dual scans of the blood vessels (veins) of the lower extremities are common and informative,
- X-ray contrast venography and computed tomography methods are rarely used in complex diagnostic cases.
Features of surgical methods for treating varicose veins
Various types of surgery are widely performed in both inpatient and outpatient settings.Each method has its indications and contraindications, advantages and disadvantages.
classic phlebectomy surgery
Many times the attending doctor will chooseclassic phlebectomy.
The surgery is performed under anesthesia (general or spinal).During the surgery, the great saphenous vein is removed along with the varicose duct.After surgery, you will stay in the hospital for a few days and then at home for a few weeks.Sutures are removed 7-10 days after surgery; healing time varies from person to person.
Advantages classic phlebectomyVery effective in treating moderate and severe varicose veins.The technology has been used for decades and has proven itself successfully, allowing millions of patients to maintain healthy legs.
Disadvantages include a long recovery period, deterioration in general health after surgery, inability to immediately return to normal life (work, driving, long walking distances), and lack of cosmetic results that last for several months.
venous resection
Unlike traditional surgery, phlebectomy involves the removal ofIndividually affected superficial veinsThrough multiple small incisions or punctures.The surgeon uses small special instruments (hooks, mini scalpels).Interventions are performed at different stages of the disease and can be combined with other methods (laser removal, sclerotherapy).
Advantages of this method:
- Outpatient surgery, performed under a doctor's supervision for a few hours after surgery,
- local anesthesia,
- Punctures and micro-incisions heal quickly without sutures,
- Opportunity to return to normal life immediately with excellent cosmetic results.
After surgery, some complications may occur - hematoma in the area of incision and puncture, discoloration of the skin in the area of the surgical vein, but in general, these risks are small.
laser removal
Laser removal of varicose veins(Intravascular laser vein coagulation) is a widely used and highly effective innovative method.
During endovascular (intravascular) surgery, a small incision or puncture is made in the skin: a long light guide is inserted through a catheter into a vein under ultrasound guidance.Through it, the laser beam acts on the walls of the veins, "gluing" them together.
Advantages of this approachThe surgery is performed on an outpatient basis and under local anesthesia. Laser removal of varicose veinsCan be combined with phlebectomy and sclerotherapy to provide excellent cosmetic results, which is very important for women of any age.The catheter insertion site is sealed with a special plaster that is removed after 8-10 days; no stitches are required.After surgery, you can go about your normal life with few restrictions.
Compared with classic phlebectomyLaser Phlebectomy to Treat Varicose VeinsConsidered less invasive and safe.
But it's worth noting that this method is not considered suitable for treating patients with varicose veins (as with other patients).As with traditional phlebectomy, this type of surgery can be performed only after a thorough examination of the patient and taking into account all the features of the disease process.
Choosing a clinic for varicose vein treatment and surgery
Today, many public and private medical centers perform both conservative and surgical treatment of varicose veins.The clinic you entrust your health to should have a good reputation and experienced doctors who are skilled in various vein surgery methods.
In high-tech operating rooms, classic phlebectomies, miniphlebectomies, sclerotherapy (in various variations) and more are performed.It is important that the method chosen by the physician is always justified strictly on the basis of the clinical situation and discussed with the patient, explaining the pros and cons of the method, the risk of consequences and possible complications.For example, inVaricose vein treatment clinicMinimally invasive ("simple") techniques are not always recommended.Contraindications: Severe varicose veins, thrombophlebitis, coagulation disorders, etc.In this case, a combination of operations can achieve good results.
For doctorsClinics that treat varicose veins, treatment outcome and patient condition are very important - both early and late postoperatively.That's why surgeons are always in touch and ready to answer any questions of interest to surgical patients.
Phlebologist's Advice
Although surgical techniques to remove varicose veins are available, and minor outpatient interventions are possible, any surgery requires a recovery period and close attention to the individual's health.So, from your first appointment to the end of your post-operative medical supervision, you need to do everythingPhlebologist's Advice:
- First, wear a medical jersey; immediately after surgery, immediately after phlebectomy, wear special underwear.Generally, it is recommended to wear knitwear around the clock for the first two days.Next, wear it daily for 3-6 weeks (as directed by your doctor);
- After endovascular intervention (laser treatment) not combined with any other method, compression therapy is not required; in case of combined surgery, it will need to be worn for a month or two.The knitwear is left overnight for the first two days.
- otherPhlebologist's AdviceRelated to physical activity and a healthy lifestyle, control of excess weight, and changes in working conditions if prolonged static loading of the legs is involved.It takes 40-60 minutes of walking every day.You can add special exercises to your daily walks to strengthen your veins and blood vessels.Wear compression stockings for all physical activity for the first two months after surgery.Remove squats and weightlifting (dumbbells, barbells) from the complex.Also, don't put too much pressure on your lower abdomen.
Generally speaking, the most important condition for successful correction of varicose veins is the cooperation of both doctor and patient.Trust your doctor and follow all his recommendations and subsequent preventive rules to help keep your feet healthy and beautiful.